HomeMy WebLinkAbout10120 Adams Ave - CofO (7)Address I u 1 A D A E.
Business Name H V it 1 a G'; J
Business TypL-
CERTIFICATE OF OCCUPANCY 9
CITY OF HUNTINGTON BEACH
Date
District
Occ. Group
BUSINESS OWNER/MANAGER
Name BUSINL�,"i PFC4 Name 1.111iTii
Address l76Home.7,1 FITC!i Address CALVELT P, V11
City Tel
Hme o
Tel. City —
Construction No. of Stories Occupant Load 4 C� Sprinklers
CONDITIONS OF APPROVAL
This C(,,fificato of Occupanjy
SHALL BE posted in a conspicuuus place on the
premises and shall not be removed except by the
Bulicling Official.
DEPARTMENT OF COMMUNITY DEVELOPMEN-,
by
COMMUNITY DEVELOPMENT
"'Address
✓Business Name
`/Business Type _
i
/Name 16
V/Address C
/ty- /' -7;-
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTmEN'r OF COMMUNITY DEVELOPMENT
IPRINT OR TYPE ONLY)
;7,ty
ress
To l �_.�'.� j— —
DATE
�'�S�fICI
Tel CVY)
Oce irc p
BUSINE`S OWNERt,v1ANAGER
Home iel y��_ys`j
t13E WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG ® CHANGE OF OWNER • ZCGE OF OCCUPANT
EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
to sormer use, if any ''- X 154 r'"{�_ r k>b6 5kt512 - _OCcupancy Gr. Div.
RE FT. OF BUILDING TO BE OCCUPIED f ��y J_i!1
TICE: Occupancy of any building is prohibited and a business license will not be issued until the build)nq has en
inspected and a certificate of occupancy is issued.
2. No electrical service will be re,eased for any existing building until the service has been insper d and
' certified safe. All applicants fur occupancy in an existing building are required to schedule an dlectrical
'fuse up' inspection in the Department of Community Development at the time this applications is ...'ed.
Change of occupancy or use inspection fee. WhenevEr it is necessary to make inspection of a building or
J1 f premises in order to determine if a change may be made in the character of occupancy or use of the building
ri or premises which would place the building in a different division of the same g• oup 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 Cade SecLun 10.208 requireE 'hat building numbers must bE a minimum of four (4)
inches 'n height with one half (1/2) inch stroke, and of a contrasting color from the background. These
numbers must he posted on your building in a lor;ation {hat is visible from the etreet.
S. Huntir)Cton Beach Fire Code Sec+fun 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Assoc ation pamphlet 10 (see t&verse side).
Now (FOR OFFICE USE ONLY) -7
SUPPLEMENTAL INFORMATION ZONING
OCCUPANCY GROUP, PLAN CHECK NO NO f -RKING SPACES
OCCUPANT LOAD PERMIT NU HEALTH DEPT APPRCVAI
NO. OF STORIES --- ADMIN ACTION UTILITIES RELEASED
•■a..d --�f— CERTIFICATE OF OCCUPANCY FEE
AP ' cD DATE CHANGE CF USE OR OCCUPANCY FEE
TOTAL
75.039 Rev. 11190 COMMUNITY DEVELOPMENT
I
SUPPLEMENTAL INFORMATION
1. 3USINESS ADDRESS �c�%ao �L���"i� A)f
I
2. Person to contact in case of eri,ergency- Ce-�n o..k _
Telephone number: 714 S-e c1 �-,Z
3. Does the building in question have electricity? Yes
�i No
(a) if No, are you requesting that the electricity be ❑ Yes
turned on? u No
4. The building is sprinklered? Yes
l.7 No
5. Operations will produce dust/wood shavings or-Imilar
material? Yes
No
5 Operations will involve the repair or replacement of 0 Yes
automobile parts? 19 No
I f Yes:
(a) Desjribe+ the components repaired or replaced.
(b) Does the operation involve: the use of are open flame? 0 Yes
[a No
iT. 'The business is drinking, dining or assembly use that will
resuit in an occupant load of more than 50 persons. Yes
LA, No
8. The followinj best describes my operation;
Office Only
t ra Ira l Sales
Warehour,
Manufacturing / DistributiGn (describe prod'-qs and end pr`:-,bart)
Restaurant / Take Out Food
Medical / Dental
Other (describe)
SUP,-LIMEVAL INFORMATION
SUPPLEMENTAL INFORMATION (Continued)
Does tht operation involve any of the following materiels? K Yes
❑ No
If Yes, indicate quantities:
Material Quantity
1. Flammable liquids
Class I -A
Class I-B
Class I-C
2. Combustible iiquids
Class II
Class III -A
3. Combination flammable liquidF
4. Flammable gases
5. Liquefied flammable gases
6. Flammable fibers - loose
7. Flammable fibers - baled
8. Flammable solids
9. Unstable r terials
10. Corrosive liquids az.. F ,
11. Oxidizing material - gases
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
15. Nitromethane (unstable material)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight _
18, Highly toxic material and
poisonous gas
19. Smokeless powder
20. Black sporting powder
I hereby certify that the above information is true and correct d')
the best of arty knowledge.
Signature Date
0 South Coast
AIR QUALITY MANAGEMENT DISTRICT
2' fi65 E Copley Dave. D.a~ ^c Bar. CA °; 765 4' R2 ;909i 396.2000
AER QUALITY PERMIT CHECKLIST
'/ //-ivfor nonresidential buildings onhv
/ Company Name: ,4 n;- L, 13,ak S la c4/s
Location of ProDem•: _/61-26 Alter ,tivc--
City : �� h eactti (^A Zip Code: Yo?-6 V(�D
Contact Person: e /{o 4, Title: 6 w h e--
Telephone Number: r1 r5� �'��- V? 64 Fax Number:
Type of IndustryBusiness: tfa 64 % es
To apply for a nonresidential building permit, ou must complete this checklist. If you have any
questions
about completing this checklist, please call (800) 388-2121.
YES
]�O
1.
Will the facility have a charbroiler?
2.
WiIl any internal combustion engine Mth greater than 50 horsepo«°er
operate at the facility, (excluding motor vehicles)? [ ]
[ Q
3.
Will operations at the facility involve mi-, ng, blending, or processing of
solvents, adhesives, paints or coatings? [ ]
[q
?.
Will dust or smoke be generated at t'ie facility? [ J
14
3.
Will refiring of any liquids or solids be done at the facility?
6.
Will any plating or coating of materials be done at the facility? [ ]
[�]
7.
Will any combustion equipment rated greater than 2,000,000 BTLJ/hr be
operated at the facility? [ ]
[X]
8.
Will any acids, solvents, or motor fuel be used or stored at the facility? [ J
14
9.
Will any organic liquids or gases be reacted or produced? [ ]
[X)
10.
Will any ovens be used to dry or cure products at the facility? [ ]
[
11. Will an} CFC-reon) rec}/cl' g machines operate at thefa�ci/li�/
Applicant: t�S. P l l t o c Si anature: /� • �'�— 7��
-�
(Print name clearly)
If you have marked "NO" in all the boxes, an air quality permit is not. 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 Ai, Qu-,1it}
Management District (AQNID). Please read the requirements on the back: of the checklist.
(800) 388-2121
t
HUNTINGTON BEACH City of Huntington Beach
Department of Community Development
Building & Safety Division (714) 536-5241 Fax (714) *174-1540
Dater / J�
Job Address: /d�� �G�`-� Plan Check ##:�y"
Job Description:
Dear Property Owner/Applicant:
Just a friendly reminder to let you know our records indicate that the plan check application
on the above mentioned project is about to expire.
Please contact our office personnel within the next 30 days to arrange for a plan check
extension, or to obtain the necessary permit(s). Extensions may be honored for up to 2 years
from the original submittal date in 6 month increruents.
If we do not hear from you within the next 30 days, we will assume the project has been
cancelled, or abandoned and the plan ch-& application will be expired. The plans and/or file
records may be picked up upon request, or will be discarded in order to preserve space.
Thank you for your cooperation and assistance regarding this matter.