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Home My WebLink About10112 Adams Ave - CofO (2)APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH - DEPARTMENT OF BUILDING &: SAFETY P"' Floor -:Must Appip Inc -Person) Business License 9 Date S "73 -OA Address /® // Z AV'L 7ec4 Business Name ITS V1 A \k y,,". e k 5-zo'e E Telephone ') Business -'ype �'P r'�. , L Ax,'4 S Dwner Information �,�.z✓� ✓' e vdn v ' 9 Business O�lnner Name Name 'Q � �:te � fil'RS/iy'e� '%ru4ss Address 3 0 J3 A/ ram, C-o .,i 01' Home Address 1:9-2W9-hl S. r+ v IL City _Oxl,v e krW1 6,g &7Z-n ,, :._Tel. 2/21- 33s=y35Yi City //yz,Tasi,JPr9c t, Tel. art t• THIS USE WOULD BE DESCRIBED AS: ❑Newly Constructed Building or t,:1txistin- Building CHECK ALL THAT APPLY: ❑Change of Otiv>ier Change of Occupant �Chanr e of Use ❑Addition, Occupant Indicate fo iner use, if any �/,<'j S - ,��A'T C�>x+ 1 Doe.; the building have e:-ctricity? Yes E No ❑ If No; are you requesting that the electricity be turned on? Yf , No ❑ The building is sprinklerpd? Yes ❑ Nog Operations will product dustr'wooe.. shavings or similar material? Yes ❑ N0'❑ Operations will involve the repair or replacement of automobile parts Yes C No Ea If yes: Describe the components repaired or replaced. Does the operation involt e the use of,,velding or open flame? Yes Q No Gr The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Yes ❑ No Ll Thy, following best describes my operation: ❑office Only 5IRetail Sales t❑lvledical/De ital ❑RestaurantiTake Out Food ❑ Varehouse ❑?vIanufacturing/Distribution (describe process and end product) ❑ Other (describe) Office Use O,tly: Zoning: Sq Ft Occupier , ` ' Occ Group: i� 1 ^ Oce Load: 4 StorAes: �_ Parking Spaces: TIF Ret ier� : I' N Amt PaidS: Pa d BEFORE rin31',n5pec:;r11 ?ilding Permit # Comnaents. U$; ' '%_mi l Planner Initials:;".*-,-- Date: Entitlement M: Plan Checker Initials: tI'::, Date: CofO _ South Coast Air Quality Management District 21865 E. Copley Drive Diamond Bar, CA 91765-4182 (909) 396-3529 h1pp:/Avv,-�v.agmd.gov Air Quality Permit Cheeldist California. Government Code 65850.2 prohibits cities from issuing a Certificate of Occupancy to a busirie :s without clearance from the local air quality agency. T'_iis checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQ1NID). Company Name; t S A� ra lk µ a r- k `7� i oI? �_ Property Address O 1 1 L AN% S �Ya k y 4 _iI �_ City:;�, ►a �'►� ��b%' '• Q \ Zip Code: Contact I eeson: "'e�_� G� k Title: V � dz_ Type of Busines6: _ ��'��. I "'S 6AtL S -Telephone: Applicant: (print name) , -1JRSOO e, Signature: - r • will the facility have any of the following equipr:lent? Yes ❑ No Charbrwler Dry cleaning machine Spray Booth Printing Press (screen/lithographiciflexograph:c) Internal combustion Fngine (greater than 50HP) (excluding motor vehicles) Boiler/combustion , quipment (greater than'-? million BTLT/hr, maximum input) Abrasive blasting cabinet/room Baghouse/cartridge type dust filter/scrubber. Motor fuel storage and dispensing equipment . Will any of the following operations be performed? Yes L1 No I Application of paints or adhesives Etching, plating, casting, or melting of metals Molding and b1criding of liquids ancUo- powders Storage of acids, solvents, organic liquids or fuels Ak Production of acids, solvents, organic '..iuids, or furs Production of fumes. dust, smo< or strong odor, s If you answered "No" to both questions, this checklist ;:s your clearance from AQNID. If v ou answered "Yes" to either question, you must contact AQ1MD to determine if air quality hermits are required. if permits are needed. AQ;\1D wili assist you in submitting pemiit applica Lions) and then provide you with a clearance letter. You can call AQ', ID at their Small Business Assistance Office at (800) 333-212L Certificate of Occupancy — Information Sheet 1. Occupancy of any building is prohibited until the bu:Iding has been inspected and a certificate of occupancy is issued. 2. No electrical service will be released for any existing building until the service has been inspected and ceLdfied safe. 3. Huntington Beach Fire Code re ,.fires that building numbers rrust be a minimum of four (4) inches in height with one half (V2) inch stroke, and of a contrasting.; color from the background. These numbers must be posted on your building in a location that is visible fror, the street. 4. Huntinbton Beach Fire Code requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10: a. Apartment Buildings (5 or more units): One (112A rated extinguisher, to be located on each floor level so as not to exceed 100 feet of travel. TFvo or less apartment unite on an upper level may be serviced by the extinguisher on the next lower level. b. Industrial and Commercial Buildings: • Light Hazard — (May include offices, sc—oolrooms, churches, assembly halls, telephone exchanges, etc) — One (1) 2A rated extinguisher is required for each 6,000 square feet of floor area, or a portion thereof. • Ordinary Hazard — (May include mercantile storage and display, auto showrooms, parking garages, light manufacturing, warehouses not classified as extra hazard, school shop areas, etc,) — One 2A rated extinguisher is required or ^. ach 3,000 square feet of floor area or a portion thereof. • Extra Hazard — (May include woodworking, auto repair, aircraft servicing. wareliousos with high -piled (over 15 feet in solid piles, over 12 feet in piles that contain liorizontat channels) combustibles, and processes such as flamL;able liquid handling, painting, dipping, etc.) — One (1) 3A rated extinguisher is required for each 3,000 square feet of floor area, or a portion thereof. Certain extra hazardous uses and!or processes may require additional fire protection systeris. An on sire inspection will be required to male the determination. c. Service Stations: Are required to maintain one (1) 1OBC rated extinguisher within 75 feet of travel of the dispenser cabinets, and one (1) 2A rated extinguisher on the premises. d. Fire extinguishers for commercial and industrial buildinzs are to be located so as to maintain a maximum distance of travel of 75 feet, e. Occupanciez having a potential for fires .involving combustible cooking media (vegetable or animal oils and fats) shall provide a Class K lire extinguisher within 30 feet of the hazard. IMPORTANT: PLEA.SF READ i'HE FOLLOWING CAREFULLY You may purchase this extinguisher at any hardware store and a number of department or discount stores, or you may purchase your extinguisher from an extinguisher service company, which may be found under "Fire Extinguishers" in the yellow pages of your phone book. The axtinguislier is required to be serviced when new and annually tbereafter. The hardware, department and discount stores usually are not licenses to serti-ice extim-fishers. Therefore, you should expect an additional expense to have your new extinguisher certified b.; an extinguisher service company if you purchase it from one of these stores. If you have any questions regarding the inspection or fire extinguisher requirements, please feel free to contact the Huntington Beach Fire Department Fire Prevention Bureau: at (714) 536-5411. CERTIFICATE OF OCCUPANCY EVALUATIGN FORM i GENERAL. BUILDING INFORMATION i vner name: Adoress ano/or suae tf: � Ito I Emergency contac Phone number. �PS�iYU '21 - 3 s - -Y 3 S �j fj Occupancy Class - primary use(s) & sift.: i Occupant load: .3 Saa i Occupancy Class -second ure(s) & sq. ft.: Type of construcluon: Stories & Height(R) Sprinkling used? l7Story increase I ❑City Ordinance OUnlimiled area i ! OOne hour construction OAtria ElArea increase OCha ter 9 Area allowed: Basic: Yard. Area separation: Sprinkling: l For multi -storied and mixed use attach a separate work sheet or include in sketch area Attach work sh:. itL ny Plannin or r Fir?, if -3rcviddeed Y_ YARD In YARD 3 AMA KRCFEN � rrrerus p YARD 1 q p wATMG� DUJRIG RM t ,g ,q PARKING P, RJIN�'] SAMPLE - ASSEMBLY USE 1 IPA KI G STREET NAME SKETCH ARgL' 5 /(/v. f G:IBUILDINGTORMS1Cert of Occupancy\CofO Evalulafon.DOC May 3, 2004 Trancode : [COFO ] COMMUN ITY DEVELOPMENT unction: [HST] C 0 F 0 H I S T O R Y (4411] Address: [101121 (ADAMS Business Name Issue Date [PATS HALLMARK ] [00/00/00001 [TUESDAY MORNING, INC. ] (10110119911 [LOOPS TABLE TENNIS ] [09/18/19971 [SEXY LINGERIE ] [04/30/1998] [MELROSE SOUTH ) [12/16/1999] [HOLIDAY BARN BOUTIQUE ] [03/16/20041 [ l [ l [ l t ] I ] [ ) [ ] [ ] [ I 7 ] r ] Admin.Action Detail? Continue9 (Y=Continue Display; N=Keyscreen Return; D=Detail Display) [N] [ ++++ PLEASE CONTINUE Connected to The Advantage Processor #1 RCV I (FORM) ILTAII ICol 13JRow 11Page 11WS14UC Trancode' [PERMIT] COMMUNITY DEVELOPMENT Function: [HST] P E R. M I T H I S T O R Y ['3 ['1',CB0525241 Address [101122 (ADAMS ) [ ] [PLEASE CONTINUE ] Unit Permit Issued Status [ l [B052524] (02031997] [FIrtALS,ED [ ) [B052714] [02141997] [1-NALLED [ ][E014449][09241991][FINALLED [ l [E019517] [09291993] [FINALLED [ ILE0215831[092819941[FINALLED [ ] [E023382] [09201995) [F'.NALLED [ ] [E024091] [03011996] [FIN_ALLED [ ][E0257941[020319971[FINALLED [ )[M018799][02041997][FINALLED [ ][P019861][02041997][FINALLED [ ][ J[ l[ t ]f l[ ][ Effective Building Use [02211997][COM TI (03051997)[COM ROOF [09251991][COM [093019933[COM [09291994] [COM [09211995) [COM (040119961[COM (022019971(COM MISC [022019971[COM TI [02181997](COM TI [ l[ [ l[ [ l[ [4070] PG 1. (1) Link Pge [ ] [ ] L ] [ l t l [ ] [B052524] [ ] (B052524) [ ] Connected to The Advantage Processor #1 RCV I IcORMJ ILTAII ICol 13JRow 11Page 11WS14UC CITY F HUNTI TON EACH HeS Department ®f Building Safety Telephone: 714153 6-5241 CORRECTION NOTICE Q INSPECTION REPORT 0 Structural Cl Electrical 0 Plumbing Q Mechanical ,Q Job Address /06/ ,ItDA, . Lot Permit(s) No /iCo✓/lJ I 9 Y� ►--1►I�J`lI WW C LDate Time ---Inspector Signature V G:BuildingAdmin Fom:s/CorrNoticeinspRpt