HomeMy WebLinkAbout10111 Adams Ave - CofO (14)�1 g
J� CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BFACH
`� DEPARTMENT OF DEVELOPMENT SFRV;vES Date
HUNnNMON BEACH
1 itl7.i.G �.'T> . r
Address District
Business Ptame Tel. c.3. ^v" ;`: 7�
Petati?. Sale of. -e s 7111 I,-et7�.•r tics �..,.
Business Type _ Occ. Group
BUILDING OWNER BUSINESS OWNERAIANAGER
Name Name i.'i_sa 1-7--
Home 5711 ,!n-st 0e Vi.1.3
Address— Address
City _Tel. _City _ '�dIc`inae Home Tel.
Construction No. of Stories ijpani LoFl5d Sprirklered
This Cortifics;te of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on
the premises and shall not be removed ex- ,
f cept by the: Building Official. by-"'
APPLICATION FOR CERTIFICATE OF OCCUPANCY
io,
CITY OF HUNTINGTON EACH
DEPARTMENT OF DEVELOPNiL°NT SERVICES
HUNTINGTON EACH (PRINT OR TYPE ONLY) DATE
Address "_ 101111�B" Adams Ave. huntington Beach District
Business Name Pet] and _ _ Tel 714- 963-4887
Business Tyra Retail sale of pets and pet supplies _ Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name Name ,.tisa Switzer
Address Address f-5711 Crest de Ville
City __Tel. City 4'"Orange, CA 92667__Horne Tel.974-3105
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF O`":NER ❑ CHANGE OF OCCUPANT
❑ EXISTING BUILDING ❑ C:-IANGE OF USE CJ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr.---Div.—
SQUARE FT. OF BUILDING TO BE OCCUPIED 5600
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has l
been inspected and a certr;icate of occupancy is issued.
2 No electrical service will be released for any 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 Departmant of Development Services 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 may be made in the character of occupancy or use of the
7 building or premises which would place the building in a different divisior, of the same group of occupancy
or in a different group of or ;upancy, a change of occupancy inspection fee of $
shall be paid to the city.
f,tC� 4. Huntington Beach Fire Code Section t0.203 equires that building numbers must be a minimum of four
lE� (4) inches in height with one half ('/.) inch stroke, and of e. contrasting color from the background. These
numbers must be posted on your building in a location theis visible from the street.
0 5. Huntington Beach Fire Code Sec' -ion 10,301 requ,res fire extinguisher selection and distribution per
the National Fire Protection Assecittticri pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP �- _ PLAN CHECK NO.
OCCUPANT LOAD l+ __ PERMIT NO.
NO. OF STORIES —_ __ ADMIN. ACTION
ri CERTIFICATE OF OCCUPANCY FEE
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEF.
TOTAL
75-039 REV.
ZONING C- 2. P. ' 2-6 '8G 16
NO. PARKING SPACES
HEALTH DEPT. APPROVAL
UTILITIES RELEASL^
$ _ cl o
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
10/2�/^4
Address
r n r etTr c
c
District
Business Name
w - F T, 1'i P. M i 'i r; 5+
Tel.
Business Type
FF`'ATI F F T til P1
1 .4. t,r`7c
Occ. Group r
BUILDING OWNER
BUSINESS OWNER/MIANAGER
Name `' &
A PROPERTIES
Name
P ICEiAfsL F . P",AFIi�G_
Home
Address fit}-.(,
�4� Li k aT
n r,
Ar;dress
Home
City COSTA
Tel.
r'h9_ r r. _
City c'Iit r, fir, n* Tel r Wit. r, r
Construction
No. of Stories
Occupant Load
Sprinklers _
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.
DEPARTMENT OF GOIVIMUNITY DEVE—OPMENT
by
COMMUNITY DEVELOPMENT
-- ,-,_------- --- -- -------- __ _ _ ------
3
C !A�Y-
yA,
411��.APPLICATION FOR CERTIFICATE OF OCCUPANCY
L011�
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENTHUNnNaON BEAO! (PRINT OP TYPE ONLY( i
Add;, —24• 49, C/1 zGC-/, _ District
n
9usin s Name /'' e- 0 Tel 171
Business Type ��_—t0e- je 5E 4-� d �c7-s Occ. Group_ k
BUILD'tiG OWNER BUSINESS OWNERWANAGER
Name �� aPerTr /ems Name
A�a-ss 0 Qr�c/►yGC�i 5 'i Sdr�e �.2 B o gd�dr � lQ fJ �j �tS 4- -5 4n C _
City/ �05 //t_L$ _Tel iY - 20o Crt�y 1�� y,� Home Tel&7Ur:0�-/&/`�1'
IS USE WOULD BE DESCRIBED AS:
LJ NN WLY CONSTRUCTED BLDG
19 EXISTING BUILDING
LC1 CHANGE )F OWNER 4`4,
IJ CHANGE OF USE
Indicate forms use. it any Occupancy Gr
SQUARE FT. OF 3UILDING TO BE OCCUPIFD SS o d
4CHANGE OF OCCUPANT
U ADDITIONAL OCCUPANT
]m
NOTICE: 1. Occupancy rr any building is prohibited and a business license will not be issued until the building has bean
inspected and a certificate of occupancy is issued.
2. No electrical servica will be released for any existing building until the service has been inspected and
certified safe. All applicants for occupancy in an existing bui!ding 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 fee. Whenever it is necessary to make inspection of a building or
premises in order to determine if achange may be made in the character of occupancy or use of the building
�j or premises which would place the building in a different division or the same group of occupancy or in a
tivn I different group of necupancy, a change of occupancy inspection fee of $ shall
�J be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimun. four(4)
inches in height 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 extinguisher selection and distribution per the
National Fire Protectior Association pamphlet 10 (see averse side).
t' oL q..p.`�
(FOR OFFICE USE ONLY)
Gam' 4f2Z
SUPPL �fdEiv?AL INFORMATION
ZONING r
� ^ Z
OCCUPANCY GROUP
PLAN CHECK NO.
NO PARKING SPACES
OCCUPANT LOAD
�'�
PERMIT NO.
HEALTH DEPT APPRCVAL—
NO. OF STORIES
ADMIN. ACTION
UTILITIES RELEASED
r/,��z(
�y 1s
CERTIFICATE OF OCCUPANG 'FEE
$ "—
A V D BY
DATE
CHANGE OF USE OR OCCUPANCY FEE
$
TOTAL
75-039 Rev. 11,190
COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS LOLI d 'f!1-5
A,,e
� 9,2
2. Person to contact in case of emergency
Telephone number:
3. C as the building in question have
electricity?
Byes
D No
(a) If No, are you requesting that
the electricity be ❑ Yes
AA
turned on?
❑ No
4. The building is sprinklered?
LDS Yes
❑ No
5. Operations will produce dust/wood
shavings or
similar
material?
❑ has
E2" No
6. Operations will involve the repair or replacement
of ❑ Yes
automobile parts?
No
If Yes:
(a) Describe the components repaired or replaced.
_-- & f
(b) Does fide operation involve the use of an open flame? ❑,Gas
E" n"O
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑/es
No
8. The following best describes my operation;
Office Only
tat' Sales
Warehouse
Manufacturing ,' Distribution (describe process and end product)
Restaurant / Take Out Food
Medical / Dental
Other (describe)
LX
SUPPLIMENTAL INFORMATION
SUPPLEMENTAL INFORMATION (Continued)
Does thr, operation involve any of the follcv.,.*i7g :ilazerialOC,r -�
!�' No
�f Yp�, indicate qua�iti#ies:
! 4ateridl Quantity
1
'=lamrnab;e liquids
Gass i-,:
.,lass 1-B
''lass I--C
2.
Combustible r.quids
Class !i
Class lh -A
—
3.
�mbir.a;++ri flammable liquids
4
'=[amrrat,Is gases
flammablq g r-.a
to
€-Iarr�r^�rJ!�.fibers loc
F"' wmal; fife+5 bale:
a ?mnmable solids
0.
Lnstabie rna`eriais
10.
<, orroswe. liouids
" 11.
'?xid'.e°n - m atei ia, - gases
t
,i
_
+Jx�di�ii r ,f - liquids
na�:�r,�a�
13.
-` Ox;d,'zing ^ material solids
14
Organic peroxide
16.
N'itrorn-e,.hane (unstable materials)
16.
Arrimonr,ren nitrate
17.
Ammonium ;citrate compound mixtures
,
containing more than 60% nitrate
by weight
18.
Highly toxic material and
poisonous gas
19.
Smokeless powder
20.
Black sportin; powder
I hereby certify that the above iniormaticri
is true and eorre `. t
thebestofmy
knowledge.
Signature.
Date
0-6
•
Cite of Huntington Beach
2000 MAIN STREET CALIFORNIA 92t.-.3
DEPARTMENT OF COMMUNITY DEVEi.OPMENT
Building S36-5241
Planning 536-5271
Housing 536-5271
Government Code Section 65850.2(b) requires the,City of Huntington
Beach Building Division not to issue the final certificate of
occupancy unless the applicant has 'net or is meeting the
requirements of the South Coast Air Quality Management District
(AQMD). The Auildirg Division must obtain a written release from
AQMD to show the applicant has complied with this law. The check
list or. the r-.verse side is designed to he)p the applicant and the
building division to meet these requirements.
1. The applicant (the same person who apulies for permits from
the Buildina Division) must complete the check list which
can be obtained either at the Building Division or at AQMD.
2.. If all boxes in the list are c:iecked "no", tra Building
` Division ,an accept the check list as the release.
3. If there are any "yes" answers ;n the 14,st, the applicant
must contact an AQMD engineer by calling. (71 396-2000 to
find out whether air permits are required f.• the proposed
construction project.
4. If air permits are not required, the applicant will obtain
a written release from AQMD.
5. I£ air permits are required, the applicant must submit the
necessary permit applications before :he release can be
issued.
Because of the time it may take for AQAD to go through the above
procedures, the applicant is advisee: to contact AQMD immediately
after applying for Building permits.
(1360D)
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: 10111 Adams #B
Property Owner Name: S & A Properties Phone # 5457700
Name of the Person Preparing this form in print and sigpature
Name: Michael F. Marino Sicanature: l —I-"
The person preparing this form must be the same person applying for
building 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 titan 50-HP?
2. Does your facility involve mixing, blend4ng, or
processing any solvents, adhesives, pai:°_cs
or coatings.
3. Does your facility create any dusts or smoke?
4. Does your facility reline any liquids or solids
or reclaim any met�ils?
5. Does your facility plate or coat anything?
6. Does your facility have any combustion equipment
i.e. boiler, furnaces, broiler, baking ovens,
etc.) rated greater than 2,000,000 BTU/HR?
7. Does your facility handle or store solvents or
- motor fuel?
8. Do you use or store any acids?
9. Do you use any chemical Process?
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurant ;with a
charbroi?ter, body shop, gasoline station,
printer, or part coater?
12. Is the subject building located within one
thousand (1,000) feet of any school? _
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all columns, you do not need an Ai
Quality permit at this time. If you have marked any questions in
the "YE a" Column you must contact the South Coast Air Quality
Management District located at:
21865 E. Copley Drive
Diamond Ba, CA 91765-4182
Please call: Plan Check
(1360D-2)
(714) 396-2000