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Home My WebLink About10111 Adams Ave - CofO (12).;r r- rr f, k ,�APPLICATION FOR CERTIFICATE OF OCCUPANCY I" eo CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT l A0WNTNGTON BEACH 7 (PRINT OR TYPE ONLY; DATE f r' Address _ / D f'l Tl� District Business Name l f/ f iV Tel.' Business Type t4yN [ �d l'fU1r�P (d ! In w1! QQ _ Occ. Group BUILDING OWNER BUSINES//S��OWNERIMANAGER NameName ie I 7��ONt� .e,! % Home Address — Address t,�a� �2 ' { City City �T-� Home Tel THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT EXISTING BUILDING ❑CHANGE OF USE ❑ADDITIONAL OCCUPANT Indicate former use, if any �R�� S'7^OQ� Occupancy Gr.—Div.— SQUARE FT. OF BUILDING TO BE OCCUPIED �dS ?'411,1-C NOTICE: 1. Occupancy of any building is prohibited and a businessliaense will not be issu d unti! ti;e building has been ' inspected and a certificate of occupancy is issued. 2. No electrical service will be released for any existing buiiding until the service has been inspected and certified safe. All applicants for occupancy in an existing building are required to schedule an electrical 'fuse up' inspection in the Department of Community Development at the time this application is filed. 3. Change of occupancy or use inspection tee. Whenever it is necessary to make inspection of a building or premises in order to determine if a change may be 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 c: $ 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 i, height with one half (1/2) inch stroke, and of T, :ontrasting color from the background. These numbers ,lust be posted on your building in a location that is visible tcom the street. 5. Huntington Beach Fire Code Section 10.301 requires fire extin c fisher selection and distribution per the National Fire Protection Association pa,nphlet 10 (see re a si i TRAFFIC IMPACT FED DATE: PAID � r a AMOUNT RECEIVED NAME (FOR OFFICE USE ON ) ZONING OCCUPANCI' GROUP _ PLAN CHECK N `"� NO PARKING SPACES OCCUPANT LOAD — PERMIT NO, HEALTH DEPT, APPROVAL - NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED 1+ o CERTIFICATE OF OCCUPANCY FEE $+ kPROVE $ ATE CHANGE OF USE OR OCCUPANCY FEE g_ TOTAL $ � c r-038Rev. 1/97 COMMUNITY DEVELOPMENT r? y, -him h ., „a, • _sale �. ' SUPPLEMENTAL INFORMATION r 1. BUSINESS ADDRESS 2, Person to contact in case of emergency- �ENNrS t�f�Br� i Teiephone number: 3. Does the building in question have electricity? L Yes I ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑- No 4. The building is sprinklered? &Yes ❑ No 5. Operations will produce dust/wood shavings or simelar ,f material? E6 Yes Ho 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? No If Yes: t f:; (a) Describe the components repaired or replaced. 1 (b) Does the -operation involve the use of an open flame? Yes - WNo 7. The business is drinking, dining or- assembly use that will result in an occupant load of more than 50 persons. Yes ❑ No 8. The following best describes my operation; Office Only Retail Sales Warehouse , i Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental F Other (describe)N1-evS� SUPPLEMENTAL INFORMATION r i t� !l S POILEMENTAL, INFORMATION (Continued) „ Does. the operation involve any of the following materials? Yes -0 If Yes, indicate quantities: _Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combustible liquids a Class 11 :> Class III -A 3. Combination flammable liquids - 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled ` 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing m: ' vial - gases 12. Oxidizing material liquids 13. Oxidizing material solids 14. Qrganic peroxides i 15. hlitromethane (unstable materials) 16.. Ammonium nitrate `- 17. Ammonium nitrate compound � m�ixtu.•es' { containing more than 60 /o nitrate by weight 18. Highly toxic material and poisonous gas n . 19. Smokeless powder I 20. Black sporting powder ti hereby ce f t. the.• al ove inforrmi ian _ is trueLad correct to the best of ledge: Q ^nature bate , y South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALITY PERMT CHECKLIST I for nonresidential buildings only Company Name:, l Location of Property: -Zeoa—,1 Oe-5 7' _.. City: 14 -P� Zip Code: Contact Person: 17&PN r Sv/-[ Title: Tviephone Number:':N Fax Number: Type of Industry/Business: To apply for a nonresidential building permit, you must comple*e this checklist. If you have any questions about completing this checklist, please call CUO) 388-2121. YES NO I. Will the facility have a charbroiler? [ j 2. Will any internal combustion eabine with greater than 50 hors-epower operate at the facility (excluding motor vehicles)? 3. Will operations at the facility involve mixing, blending, or processing of solvents, adhesives, paints or coatings? 4. Will dust or smoke be generated at the facility? 5. Will refining of any liquids or solids be done at the facility? [ ] 6. Will any plating or coatis-; of materials be done at the facility? [ ] [ 7. Will any rnmbustion eq.Lpment rated greater than 2,000,000 BTUlhr be opera'«.: at the facility? 8. Will any acids, solvents, or motor fuel be used or stored at the facility? j ] 9. Will any organic liquids or gases be reacted or produced? j 10. Will any ovens be used to dry or ,.ure products at the facility? j ] 11. Will any CFC (Freon) recycling machines operate at the facili ✓✓✓ j ] [ Applicant: -4tk� eol gu% v0�- Signature: (Print name clearly) ' 11 you have marked "Nth" in all the boxes, an air quality permit is I12 needed at this time, and this checklist is your written release. } If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality Management Distiiet (AQrAD). Please read the requirements on the back of the checklist. (800) 388--4121 ADDITIONAL SUPPLEMENTAL INFORMATION i 1 t 1 { =I' r I SI - 10/11/1929 10:21 9494967591 UNIVERSAL ACCESS LLC PAGE 02 act 11 99 10:20a Building d Safety 714-374-1647 P.1 CITY OF HUNTINGTON BEACH � UNREASONABLE HARDSHIP FINDING Valuation below $89,000 (See, 1134B.2.1, Part 2 of T•tle 24) r PROJECT INFORMATION P.C. NO. _ 16111 ADAMS AVrL4JU& PROJECTADDRESS: HU�1t"it�Gvas��tasc+�, PROJECT DESCRIP'; ION; !fit! CfCt1C 1�Li� d 4yA)r 0 4V�r S lf-?Vn% W — q4 4-4 AMusiAgt /x- 1'9",',PtItO�OJECT TYPE OF FACILITY: VALUATION: FINANCIAL HARDSHIP Title accessibility improvements c : th i iii The it a 24 ccessl 1 rygale a following Impact on the', ianciai fear b ry of the project, , ❑/ Delays project, loan must be renenotfated. it Project would be abandoned, ineii0clent funds. 0 Other: (Explain) ACTUAL COST Cost of accessibility features outside the area of remodel, repair, or addition required for full compliance 0 Path of travel to entrance, $ ❑ Entrance ramp $ 0 Path of travel within building faciiity $ y tF 1. Sanitary facilities $ 0 Drinking fountains $ 0 Telephones $ " ❑ Other $ =} The accessibility features increase construction costs by: % TOTAL EXPENDITURES (Minimum of 20% of project valuation = 3 ) Specify access features provided and cost - access priorities should be provided in the following order'. 1. Accessible entrance: S 2. An accessible route to the altored area S 3. At least one accessible restroom for each sex:_•_ j f 1 /5 •[X 4. Accessible telephones and drinking fountains: $ 5. Additional accessible elements - ( parking, storage, alarms APPLICANT INFORMATION TOTAL $ NAME: NV75 ftflt✓Jfi SIGNATURE: FIRM/ADDRESS: 7 GA 0 2�cJU�cJrirJL,ZW ,tletit, t 92Gr7 FOR DFkAR{MENT USE ONLY APPROVED BY: t� (paiuV)O1npIfWmO/pla eckR�nfahp.doc „r � r PR0JQAL1:) A 0 V I'soli MINccZ 16111145 �� / M, �-/W/f �T/GI✓ j a 0'70 -7P s A` APPLICATION FOR CERTIFICATE OF OGC-UPANCY 0 CITY OF HUNTINGTON BEACH it DEPARTMENT OF COMMUNITY DEVELOPMENT y E 0a rN/NTraGrOM G A i (PRINT OR TYPE ONLY) Address (Jtit-(��IIA S _ — District Business Name I rs Tel. 714 - ?Jjr.- Business Type � dr �i�L ,.S. i i1.✓ I Occ. Group BUILDING OV, .ER BUS SS OWNERIMANAGtR Name ¢'fl s!'lynlr— � Zr4 LLC Name -1a t j 14, w D 216as Address -��11Urd ST SVt7� ZOd Home Address 9 Address LL l NJ6 H !t L MI. 5�2� 535Z City �dti°6r"` r Tel. Glty►�-t-tae� �i- Hom THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ElCHANGE OF OWNER 91 CHANGE OF OCCUPANT ® EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, it any 2 61i- Occupancy Gr, Div SQUARE FT. OF BUILDING TO BE OCCUPIED -'JD-/)Cj 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 issued. 2. No electrical service will be released for sny existing building until the service has been inspected and certified safe. All applicants for occupancy in an existing building are required to schedule an electrical 'fuse up' inspection in the Department of Community Development at the time this application is filed. 3. Change of occupancy or use inspection fete. Whenever it is necessary to make inspection of a building or premises in order to determine if a change may be made in the character of occupanc, -r 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 height with one half (1/2) inch stroke, and sf 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 extinguisher selection and distribution per the National Fire �Protection Association pamphlet 10 (see reverse side)).. {e' THAF 'CT FC:E GATE PAID _ AMOUNT RECEIVELy . (FOR OFFICE USE ONLY) NAf67E _ --- OCCUPANCY GROUP PLAN CHECK NO. OCCUPANT LOAD PERMIT NO. NO. OF STORIES — ADMIN. ACTION Cat ZONING — NO PARKING SPACES HFAi1H DEPT APPROVAL --S RELEASED zxze�i� i� CERTIFrATE OF OCCUPANCY FEE ROVED 1. A� TE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ 75-039 Rev. 1197 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS kOkkk LDA•MS ttU> CuGtytu > (:�A , 2. Person to contact in case of emergency�t Telephone number: `214/ - <_" E- S"3S" G 3. Does the building in question have electricity? LYYes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? M-les L� No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes 0-too 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? M-1q-0- If Yes: (a) DE�-cribe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes ❑-Ido i. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes M-too 8. The following best describes my operation; Office Only - tail es — Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food j Medical / Dental 0 Other (describe) SUPPLEMENTAL INFORMATIG I z s. i! i< if SUPPLEMENTAL INFORMATION (Continued) Does the operation involve ny of the foll-)wing materials? ❑ Yes . t No H Yes, indicate 'quantities Material - Quantity 1. Flammable liquids 'Class I -A Class I-B Class I-C 2. Combustible liquids Class If Class 111-A 3. Combination flame,ia'.)le liquids 4. Flammable gases 5. Liquefied fFammablq ge 3 s 6. Flammable fibers - lo;: , 7. Flammable fibers = baled 8. Flammable solids, 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material. - gases 12. -Oxidizing -material - liquids 13. bxidlzing -.material - solids 14." Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17_ Ammonium nitiats compound mixtures containing more than 60% nitrate by weight 18. Highly toxic m.atenal and poisonous gas 19. Smokeless powder ' 20. Black sporting powder I her by certify that the -above information is true and correct to the be,0 of my knowledge. /_X 62-) , 0__� r-(, 2o —450 Signature Date