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HomeMy WebLinkAbout10122 Adams Ave - CofO (6)'..'WrIFICATE OF OCCUPANCY 6/ 2 2/ 9 8 CITY OF HUNTINGTON BEACH Date Address 10122 ADA14S District Business Name HOPELESS ROMANTIC Tel. 714 _4 7 4- 8900 Business Type RETAIL SALES, GIFTS, HOUSEWARE Occ. Group N BUILDuit- CWNER BUSINESS OK'NERWANAGER BUSINESS PROPERTIES SHAR014 MARUOLIS Name Name 17631 F`ITCH Home 10122 AllANS Address Address IRVINE� 14-.�474-8900 tIB Home 714-546-�1929 City Tel. City Tel. Construction No. of Stories 1 Occupant Load 4 6_ Sprinklers F CONDITIONS OF APPROVAL t 1 DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Otmupsncy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by Building Official. s 9 COMMUNITY DEVELOPMENT } PPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH PEPARTMENT OF COMMUNITY DEVELOPMENT (PRINT OR -rYPE ONLY) S I DATE Address 101 744= AOXV- S A�\. Districtt Business Name a�©�� �� �M.4/ &74- Tel_7/'i • 47,q' iee� Business Type Z;E-r$ • Occ. Group 41 BUILDING OWNER BUSINESS OWNERIMANAGER Name Name '! 1VAywpi / 9i is a&Ws �c-13.� Home Address/Z� AtS • � �/)reef/ Address 1d/AT CityF 04• Tel5 LIS& City Ny��'~L� Home t'el.oeR_ THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNEF. CHANGE OF OCCUPANT AEXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any 915212�4�- Occupancy G•. /t7 _Div. SQUARE FT. OF BUILDING TO BE OCCUPIED 'S 1 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 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 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 a change maybe made in the character of occupancy or use of the building or premises which would place the building I i different division of the same group of occupancy or in a different group of occupancy, a change of . cupancy 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 of a contrasting color from the background. These numbers must be posted on your building in a location that is visible from the street. i 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). =� 151710 - lye SUPPLEMENTAL INFORMATION (FOR OFFICE USE ONLY)a II/ ZONING CCCUPANCY GROUP XA PLAN CHECK NO .� NO. PARKING SPACES OCCUPANT LOAD — PERMIT NO. 1-1 lEALTH DEPT- APPROVAL NO. OF ST IES ADMIN, ACTION UTILITIES RELEA D CERTIFICATE OF OCCUPANCY FEE $ APPROVE DATE CHANGE OF USE OR OCCUPANCY FEE $_ TOTAL $ 75-039 Rev.11190 COMMUNITY DEVELOPMENT R 1 SUPPLEMENTAL INFORMA110N 1. BUSINESS r,DDRESS 2. Person to contact in case: of emergency*&5/,� f]7 Telephone number: D-'/ff 3. Does the building in question have electricity? i Yes Q No (a) If No, are you requesting that the electricity be ❑ Yes , a i turned on? ❑ No i F 4. The building is sprinklered? ❑ Yes No 5. Operations will produce dust/wood shavings or similar. material? ❑ Yes I XNo o. Operations will involve the repair or replacement of ❑ Yes automobile parts?Nr If Yes: (a) Describe the components repaired or replaced. 4 (b) Does the operation involve the use of an open flame? ❑ Yes 't91No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons.. ❑ Yes ANo a 8. The following best describes my operation; Office --Only f etail-5 } ouse Manufacturing / Distribution (describe process and end product) a Restaurant / Tace Out Food Medical / Dental Other (describe) g M SUPPLIMENTAL INFORMATION t SUPPLEMENTAL INFORMATION (Continued) Does the operation involve °-anyY`-, bf the'following materia;a? El Yes No ' If Yes,-' indicate.-.quantities-,'� Material Quantity 1. Fla mmable liquids ) Class I -A ) Class I-13 I Class I-C t 4 ; 2. Combustible liquids Class 11 ,_Class 111-A 3. Combination flammable liquids F 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. 'Flammable fibers - baled 8. Flammable solids i 9. Unstable materials 10. Corrosive ic,.tids- 11. Oxidizing material - gases 12: ')xidizing material - liquids r 13. Oxidizing material - solids �- 14. 'Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate c mpound mixtures containing more than 60°lo nitrate by weight 18. Highly toxic material and poisonous gas 19. Smokeless powder - 20. Black sportim,, powder I hereby certify that the above information is true and correct to the be of my knowledge. Signature Date 1 s SOUTH COAST ARRR QUA. L97%f IRWARAGEMENT MSTRECT iNonre.,iiden'tiall Buildings tardy? Location of I )ubject Property:_ Property Owner Norne:__,04,614 ry Name of the Pe)LCion p,--axing phis forrr in print and signature: Narne:_e Signature The person p.,eparing this luim must bet V! ib 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 QUES-60N, MARK IN T HE `YES- COLUMN: AGM0 PET RM017TONG CHECKUST YES No 1. Does your facifty use any intemat coirwbuse'on engines greater than 50HP? 2. Does your facility involve rni.ting, t1anding, or prucessing any solvents, adhesives, pal its or coatings" Does vc-ir facilitv, cT,oa,imv dzntf-, ,x- srno?e? 4. Does your iaciiity refine any Naids or solids or reclaim uIny ra etais? 5. [rocs yout facility pate or coat anything 17 6. Does your fanihty!gave amy;,,orabustion equipment (i.e. boiler, fuFrraces, broiler, baking ovens, etc.) rearing greater than 2,000,000 GTU1HR? 7. Doos your fac,2;ty hardle o.­ stoi�e colven2s or -not"r fuel"? 8. ')c you use or fAoro any acids? 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? 1. Are you a dry cleaner, restaurant with a charbroi4a, body shop, gasoline station, printer, or part coaier? 12. Is the subject building located viiihin ore th.)usand (1,000) feet 0 any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have rnarked "NO" in all cc:umns, you do not need an Air Quality permit at this time. If you have marked any questions in the "YES" column you must contact the South Coast Air dualityManagement District located at: 21665 E. Copley Drive Diamond Bar, CA 91765-4182 Plea -so call: Plan0neck (10109) 30-2000