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HomeMy WebLinkAbout10126 Adams Ave - CofO104 iCERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPAR WENT OF DEVELOPMEN i SERVICES Date HUNrINGTON BEMN Address 'v ` ,i ljlj -' `W ° _ _ District Business Name �u£c Y r '« -' ' Tel. Business Type i a_t e., aC.r': Occ. Group:.,. BUILDING OWNER BUSINESS OWNERIMANAGER Name 3 a. Jr� L r yr a i ai Name C,;�:Ro Home Address Address— �' Jr' City_ C I.Tel City Home Tel Construction No. of Stories Occupant Load _ Sf' inklered _ This Certificate of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES SHALL BE posted in a conspicuous,_ ace on the premises and shall not be removed ex- cept by the Building Official. by P APPLICATION FOR CERTIFICATE OF OCCUPANr:Y CITY OF HUNTINGTON BEACH DEPARTMENT OF DEVELOPMENT SERVICES HUNTR4GTON 8EAci (PRINT OR TYPE OIJLY� DATE Address 3� District Business Name �� �_!- (ice '` - iel,__ Business Type �y � 1 h ! d wFQ Swap _ Occ. Group _ BUILDING CTVNER BUSINESS OWNERIMANAGER Name_ �lJ✓°PNF�SS f r� 5 { ,l J Name L/TosEP kll-z D?$V� L�r J1Gs Address r '�� FIECP Home Address, City 'W Tel.-4�4`o `eOCity VftLW,` e� Home Tel. ! 644.1-V�Z THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNERCHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any;;!♦ �_L� Occupancy Gr.--Div.- SQUARE FT. OF BUILDING TO BE OCCUrIEU 2/-, d 0 — NOTICE: 1. Occupancy of any building is prohibited and a business license will rot 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 unt.. the service has been inspected and certifiec safe. All applicants for occupancy in an exlstir g building are required to schedule an electrical 'fuse up' inspection in the Department of Development Services at the time this application is filed. 3. Change o. occupancy or use inspection tee. Whenevr-, it is necessary to make inspection of a building or premises in order to determine if a change may be made in the character of occupancy or use of the building or premises which would place the building in a different division of the same group of occupancy of In a different group of occupancy. a change of occupancy inspection fee of shall be paid to the city. 4. Huntington Reach Fire Code Seaton 10.208 requires that building numbers must be a minimum of four (4) inches in height with one half (Jh) inch stroke, and of a contrasting color from the background. These % numbers m.st be ported on your building n a location that is visible from the street. 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher Felection and distribution per the National Fire Protection Association pamr;,,Iet 10 (see reverse side). 2 a C 23.3 (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION OCCUPANCY GROUP_ _ PLAN CHECK NO. OCCUPANT LOAD (/2 _ PERMIT NO, NO. OF STORIES f� ADMIN. ACTION CERTIFICATE OF OCCUPANCY FEE APPROVED DATE CHANGE OF USE OR OCCUPANCY FEE TOTAL 75-039REv. DEVELOPMENT SERVICES �O,dING�'FP2 i© /4 NO. PARKING SPACES HEALTH DEPT. APPROVAL UTILITI' "3F LEASED g SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? OYes Io If Yes, in icate quart.ities: Material Quan:A ty 1. Flammable liquids Class I -A Class I-B Claw I-C 2. Combustible 1Wqu'.ds Class II Class I II- 'i 3. Combination flammable liquids 4. Flammable gases 5. Liquefiee flammable gases 6. Flammab'e fibers -.loose 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material cases 12. oxidizing materia' - liquids 13. Oxidizing material - solids 1. . Organic peroxides — 15. Nitromethane (unstable materials) 16. Ammonium nitrate _ 17. Ammonium nitrate compound mixtures containing more than 601. nitrate by weight- 18. High'v toxic material and _ poisonous gas v _ 19. Smog_= -.less powder _ 20. Black sporting powder I hereby certify that the above information is true and correct to the best of my knowledge. Signature Date (0562D) (121; 8186) SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS jo ,S-A AVF- 2. Person to contact -n case of emergency: Z7V5PJc D9VV-DoV1Z?3 Telephone number: 7,6 'f-=?,�:2, 3. Does the building in question have electricity? X-Yes 0 ONo a. If No, are you requesting that the electricity be C3Yes turned on? ❑ No 4. The building is sprinklered. ❑Yes ❑ No 5. Operations will prcauce dust/wood shavings or similar material? ❑ Yes XNo 6. Operations will involve the repair or replacement of Oyes automobile parts? gNo If yes: (a) Lescribe the components repaired or replaced. (b) Does the operation involve the use of aii open flame? ❑Yes XNo 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. OYes ANo 8. The following best describes my operation: �-ffa n '-leE_ai 1 S�a-hes'°. Warehouse Manufacturing/'Distribution (describe process and end product)_ _ Restaurant. Take Out Food Medical/Dental Other (describe) (0562D) (121(8/86)