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Home My WebLink About10112 Adams Ave - CofO (4)T Address Busint�bs Name Business Type BUILDING OWNER Name — Address City Tel Construction No. of Stories CONDITIONS OF APPROVAL CERT)FICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Tel Date District . Occ. Group BUSINESS OWNER/MANAGER _ Name Home _ Adc'ress _ Ime City _ — _ lei. _ Occupant Load A Sprinklers DEPARTMENT OF COMMUNITY DEVELOPMENT 1 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not he removed except by the by Building Official. ,ObfALINITY DEVELOPMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH 2z" 0 -PARTMENT OF COMMUNITY DEVELOPMENT F I HUNTINGTON BEAC)l T f 13;sme- Adds , OZb THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY C-.4 P "JIT EXISTINC F_ j indlf_!!F, f!-,vn`lr7f SQU4r4l F7 of f3l — - _ NOTICE: 1, Occupancy of any but it.,. i fig 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 re'eased for any existing building untif the service has been oispec'--d and certified safe. All applicants fo, occupancy in F n exsbting buiiling are r�quired to schedule an electrical 'fuse up' inspection in the Deoartment of Community Dpvelvpment at the time this app,ication is filed 3. Change of occupancy or use inspection fee. Vlhene,.er it is ne-cssary to make inspection of a building or premises r, order to determwe it q change may be ma -a in!,-ie character ofoccupancy cr i:se of the building or premises which would place the butiding in a dtffeent don of the Sine group of occupancy or in a different group of occupam�y, a change occupancy inspection fee of S shall be paid to the city- 4. Huntington Beach Fire Code Section 10.208 requires that bi-,icing nurrLers must be a minimim of lour (4) inches in height with one half 1' 2) inch stroke. and of a contrasting .,Aor from the backr,, -jnd These numbers must be posted on your building o, a loi;ation that is visible from the street. 5. Huntington Beach Fire Code Section IC 3301 requires fir extinguisher selection and distribution per the National Fire Protection Association paniphiet 10 isee reverse side). 12 . I 7a Vc- (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION OCCUPANCY GROUP-- ------ -- OCCUPANT LOAF) V, i, NO OF ';Tq, PIES .71 PR VEVAN' L 75 039 Ra,. 11 f90 COV" SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS AQZZ �2. , -?�d ,'YjS )e , . t 2. Person to contact in case of emergency — Telephone number: 3. Does the building in question have electricity? ❑ Yes ® No (a) If No, are you requesting that the electricity be 2 Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes Z No 5. Operations will produce dust/wood shavings or similar material? ❑ 'ses IN No 6. Operations will involve the repair or replacement of O Yes automobile parts': No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes X No 7. The business is drinking, dining or asserqbly� 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 a! Warehouse Manufacturing / Distribution (de3cribe process and end product) Restaurant/Take Out Food Medical / Dentr Other (describe) SUPPLi T-liTik. R'IPORNW:C'N W SUPPLEMENTAL NFORMATION ?GoiiV-cued) Class 3. ;a,nmab!o F�am t .)tom`,, le ve i6 nitrate ------- --- 17 A r s thiv-E by weight, Highly toxic, material, avid poisonous ;as S nokeless powder 20. Black spir,,rting powder 1 hereby (;r--lrtity that thc; a;)ove information is true ond correct to me hest of my kjiowlef.',,,-,,- Signafure Dati •�k 1�� r South Coast AIR QUALITY MANAGEMENT DISTRICT 9150 FLAIR DRIVE, EL MONTE, CA 91731 (8, 8) 572-6200 DATE: March 8, 1990 To: AnytDwn Building Department FROM: Arthur Lawler, Air Quality Engineer SUBJECT: BUILDING PERMITTING UNDER AB3205, WATERS BILL Regarding PLAN CHECK #: 90-12345 LOCATION: John Dore Inc. 12345 Main St. Anytown S A M P L E S A M P L E S A M P L E S A M P L E This site has met or is meeting the requirements of Section 42303 of the Health and Safety Code and the reguireraents for a pu--mit-to corstruct and operate for the Sou`h Coast Air k?ual,.°.y Management District . APPLICANT HAS ALA REQUIRED PERMITS FROM THE 8CUTH COAST AIR QUALITY MANAGEMENT DISTRICT FOk THIS SITE AND/OR PLAN CHECK ONLY. APPLICANT HAS FILED FOR PERMITS TO CONSTRUCT EQUIPMENT WITH THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT. APPLICANT IS EXEMPT FROM PERMIT REQUIREMENTS AT THIS SITE AND/OR PLAN CHECK ONLY. REVISED 7/ 13/89 PE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: &( 11, Property Owner name: �Si r/ ,sue `fieS Phone # Name of the Person Preparing this form in print 41d signature Name�� ( rc. 5 Signatz? e,_&,i,1 r', ✓��Y t1 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 bu.lding. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE "YES" COLuNN: SCAQMD PERMITTING CHECKLIST YES NO 1. roes vour facility use any internal combustion engines greater than 50-HP? 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings' 3. Does your facility create any dusts or smoke? rn 4. Does your facility refine any lic_.ids or solids? I�XX �I Recl` _ m any metals`? 5. Does your facility plate or coat anything? , 6, Does your facilty 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 J fuel? L—� 8. Do you u--c or store any acids? 9. Do yuu use any chemical process? 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a charbroilel, body shop, gasoline station, printer, or part coa.ter? 12. Is the subject building located within one thousand rr----11 (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked "NO" in all colunns, you do not need an Air Quality permit at this time. If you have marked any questions in the "YES" ^_olumn you must cont<<ct the South Coast Air Quality Management District located at: 9150 FLAIR DRIVE, EL MONTE, CA 91731 Please call these offices: Plan Check (818) 572-6406 D:AL00603 (818) 572-6111, (818) 572-6261 Assembly Bill 3205 requires t.ie Building Departments not to isF,e the final certificate of occupancy unlF-;s the applicant has met or is meeting the requirements of the District. The Building Department musL obtain a written release from the District to show the applicant has complied with this law. The attacn�d check list is designed to help the applicant and the building departments to meet these requirements. 1. The applicant ( the same person applies permits from the Building Department:) must fill the check list which can be obtained either at the Building Department or at the District. 2. If all bO;ce; in the list are checked "no", the Building Department can accept the check list as the release. 3. If there are any "yes" applicant must contact (818-572 6405, 818-572 whether air permits are construction project. answers in the list, the a District engineer by calling 6111, S18-572 6261 ) to find out required for the proposed 4. If air permits are not required, the applicant will obtain a written release from the Di.3trict engineer. 5. If air permits arc required, one applicant must submit the necessary permit applications before the release can be issued. A sample copy of the release is attached. Because of the time it may take for the District engineer to go through above procedures, the applicant is advised to contact the District immediately after applying for Building permits. myl/al .AB3205ID R HUNTINGTON BEACH FIRE DEPARTMENT, INTERDEPARTMENTAL REP.tERRAL •; FIRE DEPARTMENT USi District— F Date fs� To;.,,.-. & 6. � C "� :'r — ..' ': Zepartri ent C; From: _ �' ,;;.Station Address of Referred Subject �� J' Subject rfG Yi C o' " V0, r F -- �/4.1 ti Reviewed by'J; .! _'-'7^,�-f1�. _ Telephone Number / '�-- REFERRED DEPARTMENT USE Disposition a i• -y �'.fa.•,r,'%' s`i9^.s.a'Ir �.<`..T'. A�„'."'`l.a�"�..- f1r J Datel Signed • ROUTING • White/Yellow Copy To: Referred Deportment Pink Copy To: Originator - Discard. When Disposition Completed Return White Copy To Fire Department When Disposition Is Completed Yellow Copy Retained By Referred Department FD-012 (10/75) a.m.-