HomeMy WebLinkAbout10111 Adams Ave - CofO (13)Address 10111 ADAMS
Business Name CLOTH WORLD #1447
Business Type RETAIL
3UILDING OWNER
U & A PROPERTIES
Name
Address 89n W. BAKER
City COSTA 14ESA � Tel.
Construction 1
No. of Stories
CONDITIONS OF APPROVAL
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the
Building Official.
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
---------------------------------
3/01/95
Date
District
Tel. 963-4992
Occ. Group
BUSINESS OWNER/MANAGER
FCA OF OHIO, INC.
Name
200 Home 5555 DARROW
Address
City HUDSON Tome 216-656-2600
333
Occupant Load Sprinklers
DEPARTMENT OF COMMUNITY DEVELOPMENT
ff 1 i
by
COMMUNITY DEVELOPMENT
ld1
J� APPLICATION FOR C ATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
NUMtNG70N !'FAQf (PRINT OR TYPE ONLY( DATE
Address Idly l,�c�a�n✓ Q�e °�
Distract
Business Name__l1//(��h �lG��a' # 1�lq 7 Tel
Business Type d>�/ / _ FC1�7/YG ciT� ? , '12T ���1 % Occ. Group
--
BUILDING OWNER _BUSINESS NERANAGER
{ i�
Name �/ �r'�Name FG•
Address 6��G' w- � U"'C' �-00 Home �6:z)'�
Address
City � IA, 170eCtGi, 1A —Tel City v,�IG�iJ 0A,e' 94Vz&6 HomeT�.�l 4�J�%ZC�L''
5.7 &.7 (o
THIS USE WOULD BE DESCP„RFD AS:
❑ NEWLY CONSTRUCTED BLDG IJ CHANGE OF OWNER
run
EXISTING BUILDING _ ❑ CHANGE OF USE
Ind(Vicate former use. if any ell-77 �--
SOUARE FT. OF BUILDING TO BE OCCUPIED,
❑ CHANGE OF OCCUPANT
❑ ADDITIONAL OCCUPANT
Occupancy Or Div
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
inspected and a certificate of occupancy is ssued.
2. No electrical service will be relearad for any existing building until the service has been inspected and
certified safe. All applicants for occupan�Y ' t an existing building are required to schedule an electrical
'fuse up' inspection in the Department of Communlly Development at the time this application is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
premises in order to determine if a change maybe made in the character of occupancy or use of the building
or premises which would place the building in a different division of the same group of occupancy or in a
different group of occupancy, a change of occupancy inspection fee of $ shall
be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in heigni with one half (1/2) inch stroke, and of a contrasting color from the background. These
numbers must be posted on your building in a location that is visible from the street.
5. Huntington Beach Fire Code Section 10.301 requires fire e,tinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse :Je).
�_.R OFFICE USE ONLY)
SUPPLEMENTAL INFORMA'iI
+� OCCUPANCY GROUP PLAN CHECK NO
OCCUPANT LOAD 3� PERMIT NO _
NO. OF STORIES — ADMIN ACTION,_
CERTIFICATE OF OCCUPANCY FEE
AP ED t3Y DATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL
75-039 Rev, 11/90 COMMUNITY DEVELOPMENT
ZONING
NO PARKING SPACES
HEALTH DEPT APPROVAL
UTILI1IrS RELEASED
$
$
$
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS
2. Person to
contact in
case of emergency,
Telephone
number:
5// -
3. Does the
building in
question have electricity?
2—Yes
❑
No
(a) If No,
are you
requesting that the electricity be
❑
Yes
turned
on?
❑
No
4. The building is sprinklered? ErYeS
❑ No
5. Operations will produce dust/wood shavings or similar
material? ❑ Yes
Q'No
6. Operations will involve the repair or replacement of ❑ Yes
automobile parts? ®'NO
If Yes:
(a) Describe the components repaired or replaced.
(b) Dces the operation involve the use of an open flame? ❑ Yes
❑ No
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 p.: rsons. ❑ Yes
M—No
8. The following best describes my operation;
Office Only
etail
Warehouse
Manufac'aring / Distribution idescribe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
SUPPLIMENTAL INFORMATION
SUPPLEMENTAL INFORMATION (Con i' nued)
noes the operation involve any of the E
ErNC,
a-te"
!Q?
Flammable liquids
Class !-A
Class 1-30
Class t-C
2 Fq:lids
Class iii-A
-3.- -D-M- 131: _m iti o nflammable ---- _ liquids
Flammable gases
LL
—ga's—es
G."iammable fibers -"-loose
7 Fanimable ;;bees baled
fide:-------
9. Uristable materials
-its. Corrosive iiquids
11. xiaizinr, material gases
2, Oxidizing tnaierw,; liquids
aten-11 solids
ganic
15. (unstable materials)
minonium, nitrate
17. Ammonium nitrate compound mixtures!
containing more than 60% nitrate
by weight
18. Highly toxic meierial and
poisonous gas
19. Smokeless powder
20. Black sporting powder
I hereby certify that the above information is true and correct to
the best of my knowledge.
Signature Date
SOUTH COAST AIR QUALITY MANAGE
- - -.
DISTRICT: `
(Nonresidential Buildings Only)
Location of Subject Property:
Property Owner Name:
Phone #: I 6,;
Name of the person preparing this form ;n print a-d signature:
Name: 17c z ' l—, "A4 Signature:
The person preparing this form must be the same person applying fpAuilding permits. Please
answer the following questions regarding your proposed occupancy of the subject building. IF
YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE'YES' COLUMN:
AQMD PERMITTING CHECKLIST
YES
NO
1.
Does your facility use any internal combustion engines greater than 50-HP?
2.
Does your facility involve the mixing, blending, or processing of any
solvents, adhesives, paints or coatings?
3.
Does your facility create any dusts or smoke?
4.
Does yot.r facility refine any liquids or solids or reclaim any metals?
1—
5.
Does ycur facility plate or coat anything?
r�-
6.
Does your-acility have any combustion equipment boiler, furnaces,
broiler, baking ovens, etc.) rated greater than 2,000,000 BTU/HR?
7.
Does your facility handle er store solvents or motor fuel?
8.
Do you use or store any acids?
v
9.
Do you use any chemical process?
y`
10.
Dr_, you use any solvents for clean-up?
4i
11.
Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline
station, printer, or part coater?
12.
Is the subject building located within one thousand (1,000) feet (property
line to property line) of any school (Grades K-12)?
If you have marked "NO" in all columns, you do not need ar •SIR Quality permit at this time. If
you have marked any questions in the "YES" columr. �u must contact the South Coast Air
Quality Management District before submission for City review. The Air Quality Management
District may be contacted at:
21865 Copley Drive
Diamond Bar, CA 91765-4182--
Or call: PIan Check (909) 396-2000
(scagmd)
%W �/12