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Home My WebLink About10124 Adams Ave - CofOµ p CERTIFICATE OF OCCUPANCY CITY OF HUNTING70N BEACH Date Address n err rr n r, n an c District Business Name T; c. {` T r. L c_w(�j! n m r r. Tel. > q n r, n r. Eusiness Type --- eT JT?=`s L T k!' P I -I_ � A L Viz' Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER Name %USTYuE�S 1'KFERTIES Name S1Y,CN LAi ESSI:AT' i t Home Address 97Fb s7 Tg r pG Dry 2rr.nr. Address SL2 I i kin pn Home City I�;r7Y.;E. Tel. _ oalr ;rp crri. city rr— ter, r., cr• Tel. n Construction No. of Stories Occupant Load 6G Sprinklers i CONDITIONS OF APPROVAL i I i f j { DEPARTMENT OF COMMUNITY DEVELOPMENT i r This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by t Building Official. i COMMUNITY DEVELOPMENT 0 n .�7 APPLICATION FOR CERTIFICATE OF OCQ: UPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HU"N(T. ON BEACH (PRINT OR TYPE ONLY) DATE Address / 01t�2cl— ,,( f-e /,/• !!2 District Business Name �' Tel. Business Type Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER Namejei 1'o�i-i' �f��1��.0 /iti' g _ Name 76'J/ Home Address/ ��C� / .D .r�� Address Tel.-�ity Cn� Home Tel. 7 -o%JZI' THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER URI CHANGE OF OCCUPANT ® EXISTING BUILDING �� ,HANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any L�G J !�'� f Occupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED2 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 r'etermine if a change may be made in the charecter of occupancy or use of the building or premises which would place the building in a different division of the same group of occupancy or in a different group of occupancy, a change of occupancy inspection fee of $ Si 'I be paid to the city. 4. Htmtington Beach Fire Code Section 10.208 requires that building numbe, _ ,nust 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. 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and di,. bution per the National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ON..Y) �� SUPPLEMENTAL INFIYRrvrn GA- .'_yr ZONINO- OCCUPANCY GROUP I's PLAN CHECK NO. C < _ NO PARKING SPACES OCCUPANT LOAD —t$i_ PERMIT NO 13 HEALTH DEPT APPROVAL NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED •27•1' CERTIFICATE OF OCCUPANCY FEE $ APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ 7- TOTAL $ 75-039 Rev. 11/90 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS �2426 &A�G}� 1 e_ Gc / . /�b'r (659 2. Person to contact in case of emerg ncy Telephone number: �7>c�j 3. Does the building in question have electricity? Domes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ID -No 4. The building is sprinklered? ❑ Yes IR NO 5. Operations will produce dust ' wood shavings or similar material? ❑ Yes e'No 6. Operations will involve the repair or replacement of ❑ Yes automobile pars? 0-No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes ®-No 7. The business is drinking, dining ur assembly use that will result in an occupant load of more than 50 persons. ❑ Yes 91-No 8. The following best describes my operation; Office Only Retail Sales Warehouse Manufacturing / Di,cribution (describe process and end product) Restaurant/Take Out Food Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION AID. �8u SUPPLEMENTAL INFORMATION (Gonritwed) Does the operation involve any of the tollowing materials? LYYes ❑ No If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A Class I-B 2, Class 1-C Combustible liquids Class 11 Class III -A 3. Combinatio—,, flammable liquids 4. Flammable eases 5. Liquefied flammable gases_- - 6. Flarmable firers - loose 7. Fla nmable fibers - baled 8. Flammable solids �. _._� i 9. �Unstable materials c0 Corrosive liquids - 11. Oxidizing materia! gases 12. Oxidizing material - liquird 13. Oxidizing material - solids 14. Organic peroxides 15. Nitra ethane (unstable materials) 16. Ammonium nitrate- 17. Ammon -.um nitrate crompound mixtures containing more than 603% nitrate by weight 16. _ highly toxic material and poisonous gas 19. 20. Sniokeless powder Black sporting powder I hereby certify that the above information the best of my knowledge. Signature is true and correct to Date OR .r* Government Code Section 65850.2(b) requires that the City of Huntington Beach not issue the final certificate of occupancy unless the applicant has met or is meeting the requirements of the South Coast Air Quality Management District (AQMD). The Department of Community Development must obtain a written release from AQMD to show the applicant has complied with this law. The check list on the reverse side is designed to help the applicant and the building division to meet these requirements. 1. The applicant (the same person who applies for permits from the Department of Community Development) must complete the check list which can be obtained either from the Department of Community Development or at AQMD. 2. If all boxes in the list are checked "no", the Building Division can accept the cheat list as the release. 3. If there are any "yes" answers in the list, the applicant must contact an AQMD engineer by calling (714) 396-2000 to find out whethf-r air permits are required for the proposed construction project. 4. If air permits are not required, the applicant will obtain a written release from AQMD. 5. If air permits are required, the applicant must submit the - , ?cessary permit applications before the release can be issued. Because of the time it may take for AQMD to go through the above procedures, the applicant is advised to contact AQMD immediately after applying for building permits. ADDITIONAL SUPPLIMENTAL INFORMATION ,, SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT / (Nonresidential Buildings Only) �J Location of Subject Property:f Property Owner flame ! '• �s?� %i �' C'o�. _— Ft-..ne Name of the person preparing this form in print and signature: NameLJ2p-�/J - Signat,ir�-!' The person preparing this form must be the same person applying for building permits. Please answer the following questions regarding vour 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 than 50HP? 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings? 3. Does your facility create an¢ dusts or smoke? 4. Does your facility ref j any liquids or solids or reclaim any metals? _ 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment (i.e. boiler, furnaces, i broiler, baking ovens. etc.) rating greater than 2,000,000 BTU/HR? 7. Does your facility Pia die or store solvents or motor fuel? S. Do you use or store any acids? 9. Do you use any chemical process? W. Do you use any solvents for clean-up? 11, Are you a dry cleaner, restaurant with a charbroiler, body shop, gasoline .v station, printer, or part coater? 12. Is the subject building located within one thousand (1,000) feet of any school? PROP _RTY LINE TO PROPERTY LINE. GRADES K-12.If you have marke6 `00" in all columns, you do not need an Air Quality permit at this time. If you have marked any questions in th, "YES" column you must contact the South Coast Air Quality Management District located at: 21865 E. Copley Drive Diamond Bar, CA 91765-4182 Please cali: Plan Check (909) 398-2000 mg� �la$� 39G26_33 '',Z6�" "N. CERTIFICATE OF OCCUPpFICY CITY OF HUNTINGMN BEACH r_ /eq/94 Date Address 1 C 12 4 f., DA KS District Business Name hE I.XCEM.CF Tel f14—;at4_1 1 Business Type HttELRY, CIF7.. iJIL !;hFP,1E Occ. Group BUILDING OWNER B,, ;INESS OWNER/MANAGER l I' z �I�. i. �, vo.l�.�!?Iti Name Name Address 17+, = 1 F I CE Home Address 1 ; JAVIl RD Address _ . City 1 kVII�;L Tel. _ f 1!l_4 (t;_Ci��;{` City C[ L•1t F1F.:-,l: Home y Construction No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL This Certificate of Occupancy SHALL BE posted in a cciispicuous place on the premises and shall not be removed except by the Builc Ong Official. ;IEPARTMENT OF COMMUNITY DEVELOPMENT by COMMUNITY DEVELOPMENT -------------------------------------------------------------------------- A APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT WINTIM 70N grg6I (PRINT OR TYPE ONLY) DATE Business Business Type District Telly9i5 4V-042--$ (� BUSINESS OWNERIMANAGER Name ..J "no olsJ�'� �'� �.9-A/ Home Address 3 d l:? THIS USE WOULD BE DESCRIBED AS: J ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT 9 EXISTING BUILDING �^ ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any 10/e —X�41 0* _Occupancy Gr. Div. SQUARE FT. OF BUILDING TJ BE OCCUPIED.C�'26od NOTICE: 1. Occupancy of any building is prohibited and a business license will not be iSSL;eJ until the building has been 1 inspected and a certificate of occupancy is issued. 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 exiz-ti.,g build ng are required to schedule an electrical 'fuse up' inspection in the Department of Community Deve:opment at the time this application is filed. 03. 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 c' occupancy or use of the building or premises which would place the Luilding in a different division of the same -,,,,)up 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 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 �U 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 distributiar per the National Fire Protection Association pamphlet 10 (see reverse side). J-(011 U SE�.- ! f , (FOR OFFIGL' USE ONLY) SUPPLEMENTAL. iNFORMMAT'ON ! ZONING — OCCUPANCY GROUP— �' PLAN CHECK NO, ` NO PARKING SPACES — OCCUPANT LOAD PERMIT NO U-) �40 J HEALTH DEPT APPROVAL NO. OF STORIES __rL ADMIN. ACTION UTILITIES HELE ASED — ��6(`; 't% A,1,A- 9'K t tHANGE ERTIFICATE OF OCCUPANCY FEE $ APP90VED BY DATE OF USE OR OCCUPANCY FEE $ �— TOTAL $ 75.039 Rev. 11/90 COMMUNITY DEVELOPMENT 9 J SUPPLEMENTAL INFUrMATION 1. BUSINESS ADG,9EISS%� G2 2. Person to contact in case of emergency, • �� z Telephone number: i 7 3. Doet- the building in question have electricity? ® Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes &� No 5. Ope ations will . produce dust/wood shavings or similar _ material? ❑ Yes No 6. Operations will involve the repair or replacement of ❑ Yes automobile f :arts ? ® No If Yes: (a) Describe the components repairer; or replaced. (b) Does the operation involve the use of an open flame? ® Yes ❑ No 7. The business is drinking, :lining or assembly use that will result in an occupant lead of more than 50 persons. ❑ Yes ® No 8. The following best describes my operation; O fice 'Only Retail Sales </ Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION SUPPLEMEN AL INFORMATION (Continued) Does the operation involve any of the following 'materials? ❑' Yes ❑ No I` Yes, indicate quantities: __ Material Quantity 1 Flammable liquids Class I -A ;Maas I-8 Class 2. Combustible liquids Class 11 Class 111-A 3. Combination flammable liquids �`J �C,yr Imo/ A-1,9-2-u 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 6. Flammable solids - 9. Unstable materials- 10. Corrosive liquids — 11 Oxidizing material - gases — ^� 12. Oxidizing material - liquidss�y i ' -Oxidizing material - solids- 14. Organic peroxides 15. Nitromethane (unstable materials) 6. Ammonium nitrate - - 17. Ammonium nitrate comp0L1nd mixtures containing more than 60010 nitrate by weight 18. Highly toxic material and poisonous gas '19. Smokeless powder_ J _ 20. Black sporting powder -� I hereby certify that the above information is true and correct to the best of my kno dge. Signature 6ate 4 Government Code Section 65850.2(b) requires that the City of Huntington Beach not issue the final certificate of occupancy unless the applicant has met or is meeting the requirements of the South Coast Air Quality Management District (AQMD). The Department of Community Development must obtain a written release from AQMD to show the applicant has complied with this law. The ch -ck list on the reverse side is designed to help the applicant and the building division to meet these requirements. 1. The applicant (the same person who applies for permits from the Department of Community Development) must complete the check list which can be obtained either from the Department of Community Development or at AQIV1D. 2. If all boxes in the list are checked "no", the Building Divssion can accept the check Kt as the release. 3. If there are any "yes" answers in th list, the applicant must contact an AQMD engineer by calling (714) 396-2000 to find out whether air permits are required for the proposed construction project. 4. If air permits are not requi+ed, the applicant will obtain a written release from AQMD. 5. If air permits are required, the applicant must submit the necessary permit applications before the release can be issued. Because of the time it may take for AQMD to go through the above procedures, the applicant is advived to contact AQIvID immediately after applying for building permit.-. ADDITIONAL SUPPL.IMENTAL INFORwATION S0'UTV: %C30AS U AM QUALITY MANAGEMENT DISTRICT (Nonresidential Building., Only) Location of Subject Property:--Ae/i�y --- —49-z-- __ 4 -& -L- �- �_ Property Owner Name:. —f�;/_ — ' r —J o _ . _ Phone Name of the person preparing this form in print and signature: Name:._! mQ/�- J ' / } / SignatureQ.C�C - -`! _ _ _ The person preparing this form must be the same person applying for building permits. Please an: ver the following questions regarding your proposs d occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION, MARK IN THE "YES" COLUMN: AQP40 PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion engines cheater than 50HP? _ _ _ _ _ _____r-< 2. Dogs your facility involve mixing, blending. or processing aely solvents adhesives, paints or coatings?-- ?. Does your facility create am dusts or smoke? � 4. Does your facility refine any liquids or solids or reclaim any metals? 5. Does your faeilit�r plate or coat anything? C. Does yc)x facility have any combustion equipment (i.a. boiler, furntAcr��. � broiler: bIveig ovens. etc.) rating greater thara 2,000,010 G'a U/H 1? - -__._ .. i. Does iin r,'ie o .,,ton? "Av,`L n'.F3 �!r , L"' `? �. Do tint. use or star any nods?_�__C�-..-_-.- 9. Do you us , ,ny cnar,oica; procrt--; % T 10, Do yoo use arvy solvents for c!ean-rap? I i . Are you a dry cleaner; restaw �n, With a fiur� s vir� y=od r :=acep, gas'ai r � ie on, printer, or (Dart COc'tf'r` f2. Is the subject building located NitP3in one ihr,;Lsar�d (i,00) fret of aY w school,? PROPERTY LINE TO PROPERTY LINE. t FIViDES K-12. If you have marked "NO" in all cola orris, Vcu d4 ro , = f ,i:::fir Quaiiitt� r xrn , ;7-i ti its i;air!>.N2 you ha o velar ed any questions in the "YES" column you mug t CCU' .-,r QL P r lU?a.j�:usaiont District lac.&3 :d a:: 21 ;w0 1