The URL can be used to link to this page

Home My WebLink About10142 Adams Ave - CofO (4)CERTIFICATE OF OCCUPANCY y CITY OF HUNTINGTON BEACHGgSi DEPARTMENT OF DEVELOPMENT SERVICES Date HUNTINGTON BEACH Address 10142 Adains Ave. District_ Bu-inessName^.—� faN R. 7-MMEF;PR SESo INC. :zbel ! 'a�i"�Ts't� ,-e1. 963--'82) Busiriss Type"5'i ALiF'xaY1'�' Occ. (=roue A"3 BviLDINGOWNER BUSIF "SSOWNER'PdANAGER Name L Xs1_iness prope cties Name J01Y1 R. Nc Lti:Vx' k't Address 17631 F' tch' _ HoAddress 203 rhve: oii ('rc�5""Cruz e City— lry i ne$ CA Tel. 979-88 (� ity Cr_res a del 'Karp Cam? Home Tel ?>' 0 -90 i 4 Construction No. of Stories Occupant Load-1 --3 Sprinklered Notice: This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be rernoved except by the Building Official. DEPARTMENT OF DEVELOPMENT SERVICES by v c.�Gl.�vrm C�`E I .'l6.iZV i'.»Gt7 • rr 611M APPLICATION FORS ^ERTIFICATE OF C'1CCUPANCY CITV OF HUNTINGTON BEACH DEPARTMENT OF DEVELOPMENT SERVICES _ 6-29. 83 HUNTINGTON SEACK (PRINT OR TYPR ONLYl DATE Address 10142 Adams Ave. Huntington Beach, CA 92646 District Business Name —John R. Enterprises, Inc. Jba Moochie' s Tel. 363=7$29 Business T Restaurant Type Occ. Group_ _ BUILDING OWNER BUSINESS OWNER/MANAGER Name BusiVess Properties Name John R. McIntosh Address 17631 Fitch Home /Adress 20_ ��L1 �kCJ CanvollRd, City Irvine, CA Tel, 979-880OCity . Corona del 'Mar. CA Home Tel.760-9034 THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTtD BLDG. ',HANGE <- OWNER CHANGE OF OCCUPANT (1I EXISTING BUILDING CHANGE OF USE ADDITIONAL OCCUPANT Indicate former use, if any—Rs3staT,rA nt Occupancy Gr. _ Div. SQUARE FT. OF BUILDING TO BE OCCUPIED 6; QLIfl NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been insp cted and a certificate of occupancy is issued. 2. No electrical service will be releasei 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 Deparl,nent of Development Services at the time this applica- tion is filed. 1 3. Change of occupancy or use inspe; :ion fee Whenever it is necessary to make inspection of a, buil6- �r' ing or premises in order to determine if a change may be made in the character of occupancy or use ,of the buildin6 or premises which would plate 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 $ shall be pain to the city. 4, Huntington Beach Fire Code Section 10.2Cq requires that building numbers murt be a minimum of four (4) inches in he'ght with one half ('/zi inch stroke, and of a contrasting culor from the back - Around. These number; musi 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 distribution per the National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) � r SUPPLEMENTAL INFORMATION /ai 3 �� ZONING_ OCCUPANCY GROUP —_�_3 PLAN CHECK NO. �1""'— NO. PARKING SPACES OCCUPANT LOAD #�� •3 PERMIT NO. 6i HEA_ .1 DEPT. APPROVAI_ NO. OF STORIES ADMIN. ACTION 6<14 UTILITIES RELEASED _ .ems CERTIFICATE OF OCCUPANCY FEE S APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ �- 75-09 REV. �d CERTIFICATE OF OCCUPANCY CITY OF HUN"INGTON PEACH - Ja233aaLy a V DEPARTMENT OF COMMUNITY DEVELOPMENT Date rtuNnw,.`<ca. tx.ACH t �Address 10142 Adds s Ave. _ � District Business blame— TARA RRrINC.elSTAT3RM;TS INCj --- Ii Business Type RRBTAUPUMT — Ccc. Group A-3 BUILDING OWNER BUSINESS OWNERWANAGER Name Business Properties _ Name Anthony J. Tarantino 17631 Fitch Home Address Address 4161 Ironwood Ave. __ Irvine CA 92714 Seal Beach 213-430-0752 City s 4 Tel, City Home Tel Construction_ No, of Stories Occupant Load _2:2 _Sprinklered This Certificate of Occupancy DEPARTMENT OF COMMUNITY DEVELOPMENT SHALL BE posted in a conspicuous place on the premises and shall not be removed ex- cept by the Building Official. by—--- APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF DEVELOPMENT SERVICES HUNnNGTON BEACH ,PRINT OR TYPE ONLY) DATE A idress /a/ ya 141AMs dye' Disir;ct _ Business Business Type esS au Rct_r. i Occ. Group__ BUILDING OWNER L BUSINESS OWNERIMANAG/ER Name S_S 20aP1Q 'f`P�S Name✓ Address%lv 31 �I �Gh _ _— Address fy%6 1 city!- ity U/ 1E aI y Tel._ City Home Qt!3y�o o7sa THIS JSE W'JULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANc.E OF OWNER LJ CHANGE OF OCCUPANT ® EXISTING PUILnING ^ _1 LJ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any �;�25 TAU r'RG.,vt _Occupancy Gi. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED ��yD MOTICE: 1. Occupancy of any building is prohib"!ed and a business license will not be issued until the building has been hnsrected and a certificate of occupancy i^ issued. 2. No electrical service will be released for any existing building until the service has been mc,,-ected and certified safe. All applicants for occupancy in an existing building are required to schedule an electrical ,,use up' inspection in the Department of Development Services at the time this application is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make ;nspect=on of a building or premises in order to determine if a change may be made in the character of occupancy or use of th-, building or prem: ses 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 nepection fee of shall be paid to the city 4. Huntington Efeach Fire Code Section 10.208 requires :hat building r.urribers must be. a r,, rornum of tour (4) inches in Height with one half (Ya) inch stroke, and of a contrasting color from the' background. Thas� numbers must bo posted on your building in a location that is viciNe from the stiee r. Huntington Betich Fire Code Section 10.301 requires fire extingu,sner selection : id distribution per the National Fire Protection Association pamphlet 10 (see reverse side) SUPPLFMFNTAL INFORMATION. OCCUPANCY GROUP_ "S OCCUPANT LOAD — t0 NO. OF STnRIES — APR J BY GATE (FOR OFFICE USE ONLY) PLAN CHECK NO. NO. PARKING SPACES --__ f ERMIT NO HEALTH DEPT APPROVAL ADMIN. ACTION _ UTILITIES RELEASED CERTIFICATE OF OCCUPANOY+FEE $ CHANT=r r1F USE OR G 1C PANCY FEE $ , s — TOTAL $ 75•039 RE,/ DEVELOPMENT qF RV f CES 9 CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Date Addres. 6 District Bij-'-)ess Name Tel. Z C Business Type Occ. Group BUILDING OWNER BUSINESS OWNERIMANAGER 1, , I .tme Name Address Home Address L 'I L 1 1 h C D, 1 012i F, City Tel. 14 — (r T L i L i, C Home City Tel. Construction No. of Stories Occupant Load Sprinklers CONDITIONS )F APPROVAL LC L.11 DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by' ie by LBuiir+ing Official. Em COMMUNITY DEVELOPMENT a. j fflo AF3�L.J; iIOP! FORCERTIFICATE OF OCCUP�,NCY CITY OF HUNTINGTORi BEACH j DEPARTMEN'r OF COMMUNITY DEVELOPMENT / � -�`�� HUNrINcrON aEnM DATE (PRINT OR TYPE ONLY) Address 10142 Adams Avenue, Huntington Beach, California 92646 District _ Business Name Ting Financial Group, Tor,., DBA Bi T-arantine's Tel. �-711. A 3 Business Type —, I;� l l ;4 � X�P r s Occ. Group BUILDING OWNER Name Business Properties Andress 17631 Fitch Ciry .I:rvine, Ca. 92714 THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. 171 EXISTING BUILDING BUSINESS OWNERIMANAGER b Name y=-� i Y l �� Sri 1 r _ Home i Address _ ✓ ` T��y Tel. 474-89D0 City—Homelel`� S0 sdi !�). 7X CHANGE OF OWNER ❑ CHANGE OF OCCUPANT J CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any Restaurant Occupancy Gr. A - 3 Div. SQUARE FT. OF BUILDING TO BE OCCUPIED 6,368 NOTICE' 1. Occupancy of any building is prohibited: nd a business linense will not be issued until the building has L men inspected and a certificate of occupanc s issued. 2. No electricGd service will be released for �-?y existing building until the service has been inspected and cer`ified safe. Al: applicants for Occupancy In an existing building are required to schedL0e an electrical 'fuse up' inspection in the Dgparfmf.nt of Community Development at the time this application is filed. 3. Change of )ccul 3ncy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to determine if a charge may be made in the character Of OccLipancy 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 inspectiait fee of $ shall be paid to the c,fy. 4. Huntington Beacia Fire Cr ae Section 10.208 requires that build ng numbers mist 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 n•nnbers must be posted on your building in a location that is visible from the street. 5. 11-luntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection As6ociation pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATIO OCCUPANCY GROUP -/ PLAN CHECK NO. OCCUPANT LOAD PERMIT NO NO. OF STORIES ) ADNIIN. ACTION �K ��i' `r RTiFICATE OF OCCUPANCY FE ,0�15�(2 ROVED ATF� "CHANGE OF USE OR OCCJPAN(-; TOTAL ZONING C dE NO PARKING St?Af ES, HEALTH-15_EFT APPROVAL. ILITIES RELEASED — o FEE $ 75.039 Rev.6188 COrIM41JIrNITY DEVELP. a BUILDING PERMIT/CERTIFICATE OF OCCUPANCY SUPPLEMENT'.. SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT PERMITTING CHECKLIST COMMERCIAL BUILDINGS Ot4LY Y N 1. DOES YOUR FACILITY USE ANY INTERNAL COMBUSTION ENGINES GREATER THAN 50 HP? 2. DOES YOUR FACILITY INVOLVE MIXING, BLENDING, OR X PROCESSING ANY SOLVENTS, ADHESIVES, PAINTS, OR COATINGS? 3. DOES YOUR FACILITY CREATE ANY DUSTS OR SMOKE? h 4. DOES YOUR FACILITY REFINE ANY LIQUIDS OR x SOLIDS? RECLAIM ANY METALS? 5. DOES YOUR FACILITY PLATE OR COAT ANYTHING? X 6. DOES YOUR FACILITY HAVE ANY COMBUSTION EQUIPMENT (I..E., BOILERS, FURNACES, BROILERS, BAKING OVENS, ETC). 7. DOES YOUR FACILITY HANDLE OR STORE SOLVENTS OR MOTOR FUELS? 8. DO YOU USE OR STORE ANY ACIDS': 9. DO YOU USE ANY CHEMICAL PROCESSES? 10. DO YOU USE ANY SOLVENTS FOR CLFNAN UP? X 11. ARE YOU A DRY CLEANER, RESTAURANT, BODY SHOP, X, M,- GASOLINE STATION, PRINTER, OR PART COATER? IF YOU DO NOT KNOW THE ANSWER T:, A QUESTION, MARK IN THE "Y" ® COLUMN. IF YOU HAVE MARKED ANY QUESTIONS IN THE "Y" COLUriN YOU MUST CONTACT THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT LOCATED 1 AT 9150 FLAIR DRIVE, EL MONTE CA, 91731. PLEASE CALL PUBLIC ff j IrIFORMATION AT (818 ) 572-6283 OR CUSTOMER SERVICE AT (813) 572- 1 63,17 . JOB ADDRESS : f Q j�� cZ S J9Ye /fwv)l 9 d; ,I JNO �/�sc�rGl3� ✓%2CJGffj i%.�C. DATE: SIGNATURE: lrc� meet —. I CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Address q,. 't !. � Date District LAil Business Name t,- Tel. Business Type 7 C I Occ. Group A - BUILDING OWNER -BUSINESS OWNER/MANAGER Name L Name f, ( i L I C 1, Home Address-,,,. AddreSSr,-.,j,_,Z Yj,7=j� -,7 cr. =. , - ;-ome City Tel. City '_ - P = �C�,L,4 - 'Tel. ti,211; L4LIJ Construction No. of Stories s Occupant Load L`&JSprinklers CONDITIONS OF APPROVAL This Certificate: of Occupancy SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the Building Official. DEPARTMENT OF COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT J loin APPUCAi ION FOR CERTIFICATEF OF OCC ANCY CITY OF IIUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HuNTWGTON BFA(]i (PRINT OR TYPE ONLY) DATE Address 0k 41L Dist, c' Tel ` " � Busrness Name °sARLS'p — Business Type � �+ 04�t> L-00 r4 ►46 _ Occ. Group BUILDING OWNER ,BUSINES'a OWNER/MANAGER Name�,ffes Name t�fo 4 F1"ru+ Home moo"iSyeje'L �°'� Address Address a.�c't AIL ^f � City Tell City �`'� "� _—Home Tel. THIS USE WOULD BE DESCRIBED AS: El NEWLY CONSTRUCTED BLDG. V,4-,HANGE OF OWNER $rbt,114- CHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ pC�H,ANGE OF USE ❑ ADDITIONAL OCCUPANT V dicate former use, if any AOQA1` T If WQ 007 _Occupy cy Gr � Div — SQUARE FT. OF BUILDING - jE OCCUPIED (00W 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 ary 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 ita 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 )ccupancy or in a different group of occupancy, a change of occupancy inspection fee of $ _ — shall be paid to the city. �1 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. 5, Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per he National Fire Protection Association pamphlet 10 (see reverse side). �� t F� j�� 1ST /) (FOR OFFICE USE Ot :. SUPPLEMENTAL INFORMATION ZONING OCCUPANCY GROUP ' PLAN CHECK NO. NJ PARKING SPACES _ OCCUPANT LOAD —�} PERMIT NO. HEALTH DEPT APPROVAL NO. OF STQRIES �T ADMIN. ACTION UTILITIES RELEASED ff/j CERTIFICATE OF OCCUPANCY FEE $ TE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL C. E 75-039 Rev. 11190 COMMUNITY DEVELOPMENT t ... .-. .....-..... ., . �.�. _gin,.-..-..__.—.._.�;.,..�..- .....' _ �--. - .:�'. SUPPLEMENTAL INFORMATIU.v 1. BUSINESS ADDRESS 2. Person t�, contact in case of emergency'R-614 Telephone number: 1" —.��" 1 Does the building in question have electricity? ."Yes Ci No (a) If No, are you requesting that the electricity be ❑ Yes turned on? )4,No 4. The building is sprinklered? %Yes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes -..N o -)perations will involve the repa;r or replacement of ❑ Yes automobile parts? 13' No If YeG: (a) Describe the components repaired or replaced. (b) Doos the operation involve the use of an open Vame? ❑ Yes W'N o 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. >-KYes ❑ No 8. The following best describes any operation; Office Only Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant / ke Out Food Medical / Dental Other (describe) AR 6 r SUPPLIMENTAL INFORMATION oJPPL-EMENTAL INFORMATION TION (Continued) Does the operation invbIve any ` off"" tote foll'olwing : materials? ❑ Yes o If Yes, ind cate`,-. qu rttrties " - _ m4t4faP Quantity 1. Flammable liquids -.Class I -A Class I-B Class l-C 2. for bustible liquids Class II ` `'Class III -A. — I 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases: - — 6. Flammable fibers - loose `— '. Flammable fibers - baled 8. Flaminabie solids 9. Unsteb e -natL�rials 10. Corresive liquids 11. Oxidising material - gases -� 12. OxidiAng material - liquids 13. Oxidizing material solids _ - 14. Organic peroxides 15. Nitrornethane (;instable materials) 16. ` a Ammonium nitrate 17. Ammonium nitrate compour• ixtures containing more than 60% ze ite 1 by weight 18. highly toxic material and poisonous gas 19. Smokeless powder 20. Black sporting oowder V ce by I he eby that the above information is true and correct to "he est r'm "now d e. -W 1A , _� ..Signature _____ ate SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Lob4t ion of Subject; Proper ty : 161 �� _ m s AN t Property Owner name : wt,, i fi � s. T r°,{ ? wvrs _Phone #�9 � Name o the Person Preparing this form in p int n{d� s' ure Name Wwbtl Signatur mil. The person preparing this form must be the same person applying for building permits. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT TKNOW THE ANSWER TO A QUESTION MIRK IN THE "YES" COLUMN: SCAQMD PERMITTING, CHECKLTST YES NO 1. Does your facility use any internal combustion rwz�,_.., engines greater than 50-HP? 2. Does your facility involve blending, or processing any solvents, adhesives paints or coatir,,gs? 3. Does your facility create any dusts or smoke? 4. Does your facility refine: aby liquids or solids? Reclaim any metals? �-- 5. Does your facility plate or coat anything?` 6. Does your facility have any combustion equipment i.e. boiler, furnaces, broiler., baking ovens, etc.) -aced greater than 2,000,000 BTU/HR? � 7. Does your facility handle or stone solvents or motoryL-,; f :1e' ? S. ")o you use or stone any acids? 9. Do you use any chemical process? 10.. Do you use any solvents for clean-up? I.I. Are you a dry cleaner, restaurant with a charbroi.ler, body shop, gasoline station, printer, or part coater? 12. Is the subject Luilding located within one thousand (10,000) feet of any school? PPOPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked "NO" in all columns, yuu 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 Quality Management District located at 9150 FLAIR DRIVE, EL MONTE, CA 91731 Please call these offices: Plan Check (81R) 572-6406 D:rAL00603 (87.8) 572--6111, (818) 572-6261 0 { jt CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH Date Add.ass 1 I. District " Business Name 0 I V Businep-. type E, T It I' V A r. T Coo. Group BUILDING OWNER SUGINESS OWNER/MANAGER Iii li i- L 1"' L Name Name Home Address 17E,4(, F4111K LL�,L. Address City -Tivild" 1,. Home rel. City Tel. Construction No. of Stories Occupant Load Sprinklers CONDITIONS OF APPROVAL RECEIVED I "-, P FIRE DEPARTMENIT DEPARTMENT OF COMMUNITY DEVELOPMENT This Cerlificrie of Occupancy SHALL BE posted it, a co, spicuous place an the premises and shall not be removed except by the Building Official. COMMUNITY DEVELOPMENT ------------- -- � — 1--1 � ------------------ ------------------------- APPLICATION FOR CERTIFICATE OF OCCUPANCY f ! i CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT 0?A a rsurmrGTON BFAr++ ATE (PRINT OR TYPE ONLY) District y , bsiness Name,�� _ "' /NCLS' lit?✓t .�S' —_ Tel �� Sil7 3 it3usinessType �9-5 �4 � /❑` _ Occ Group BUILDING OWNER BUSINESS OWNERWANAGER rTie /�,d,d s,_l f�f Ub —_d ess�/0�:fl�—�sC/ A&✓_ 1 ' Ito 1.f�7 �1 Tel __ CdYy __F ! me tel. ( IHiS USE WOULD BE DESCRIBED AS: I❑ NEWLY CONSTRUCTED BLDG CHANGE OF OWNER CHANCE OF OCCUPANT I` EXISTING BUILDING ❑ CHANGE C F JSF ❑ ADDITIONAL OCCUPANT h Ind ate former use, if any_ —___Occupancy Gr Div SOUR EFT OF BUILDING TO BE OCCUPIED_"� NOTICE: 1. Occupancyof any building is prohibited and a business license will not be Issued until the building has Len 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 'fusc- up' inspection in the Department of Community Development at the time this app(ic., on 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 may La made in the character of occupancy or use of the building or premises which would place the buil ig in a different division of the same group of occupancy or in a different group of occupancy, a change of occupancy inspection Lae of S _.__ small 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 r•ne 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 irom the street. t 5. Huntington Beach Fire Code Section 10,301 requires fire extinguisher selection and distribution per the National Fire Protection Associ0ion pamphlet 10 (see reverse side). -ox --Vte SUPPLEMENTAL INFORMATIt,I;J (FOR OFFICE USE ONLY) ZGNING_� OCCUPA,+CY GROUP ^� PLAN CHECK NO _ NO PARKING SPACES OCCUPANT LOAD t ERMIT NO _ HEALTH DE, 7 APPROVAL NO OF STORIES �� ADMIN ACI ION _ UTILITIES RELEASED � CERTIFICATE OF O';CUPANC`. FEE g DATE yPT�OVE Y CHANGE OF USE OR OCCUPANCY FEE S TOTAL $_ lo 75.0S9 Rev. 11/90 COMMUNITY DEVELOPMENT SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS A�f✓c/% 2. Person to contact in case of emergency Telephone number: 3. Does the building in question have electricity? (a) 'f No, are you requesting that the electricity be turned on? 4. ''he building is sprinklered? 6. Operations will produce dust/wood sh.ivings or similar material? 6. Operations will involve the repair c- replacement of automobile parts? It Yes: (a) Describe the components repaired or replaced. -ff Yes ❑ No ❑ Yes Q No & Yes ❑ No ❑ Yes No ❑ Yes No (b) Does the operat'on involve the use of an open flame? ® Yes ❑ No 7. The business is drinking, dining or assembly use that will result in an occupant load of morr than 56 persons. Yes ❑ No 8. The following best descftes my operation:; Office Only Retail Sales Warehouse Man ufacturirig / Distribution (describe process and end product) s auran Take Out Food Medical Dental Other (describe) SUPPU NE_NTAL INF oR" k1ION SUPPLEMENTAL N[^ORMATTION (Con inueci� C�ce_ l-e opb.ru;ion involve any of the following rZazurit.l,, L Yi- , No !f 7 _.,, indicate c{laar�tiiies: . Pvtatea ial Quantity 1. Flammable hquids Class l-A Class I-B Class I-C 2. t.,orr�ua=tit�3n i�grridv Y iF aY, JIn4`. i�n tlafnma,��a +Fqu��S - ,_tgL'.,f 0 am-,ible gases larimia2le =� ers - loose fsl~ers dared 8. t�:ammable � olyds Unstable rnate iai4 10. C'orrosive hquids 1i. C7<idizinn maiLrial -eases ;�-f. +3xi zing material - iiqu;ds 3. Oxidizing maternal - solids 14 t�,nanic peroxides 15. trometha►ie Wnstabie materiaisj Ammonium nitrate 17.-.,<tmonir;rn nitrate Lompound mixtures containing more than 610% nitrate _ by _weight 1.8. H,ghry.�toxic material 4nd p,)isoncus gas 19. __.. Smokeless powder — 4'va. Bla- sporting powder I hereby certify that the abcve lnfcrnistion it; "rrae and correct to the: esi of my knowledge. nature ate ` City of Huntington Beach 2000 MAIN STREET CALIFORNIA 92648 DEPARTMENT OF COMMUNITY DEVELOPPAE14T Building 536-5241 Planning 536-5271 Housing 536-5271 Government Code Section 65850.2(b) requires the City of Huntington Be4ch Building Division not to 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 Building Division 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 divisiun to meet these requirements. 1. The applicant (the same person who applies for permits fron the Building Division) must complete the check list which can be obtained either at the Building Division or at AQMD. 2. If all boxes in the list are checked "no", the Bu_lding Division can !cept the check 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 whether 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 req-Aired, 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 advised to contact AQMD immediately after applying for Building 2ermits. (1360D) SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property:f61/; �? Property Owner Name: Prone # Name ofthe Person Preparing this form in printZansignaturez // Name: l��flldly /%• .�C�� Signature: The person preparing this form must be the 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 QUESTION MARK IN THE "YES" COLUMN: AQMD PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion / engines greater than 50-HP? )/ 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings? 3. Does your facility create any dusts or smoke? 4. Does your facility refine 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, broiler, baking ovens, etc.) rated greater than 2,000,000 BTU/HR? 7. Does your facility handle or store solvents or motor fuel? 8. Do you use or store any acids? 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a eharbroiler, body shop, gasoline station, v printer, or part coaster? 12. Is the subject building located within one thousand (1,000) feet of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked "NO" in all columns, 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 Quality Management District located at: 21865 E. Copley Drive Diamond Bar, ,A 91765-4182 Please call: Plan Check (714) 396-2000 (1360D-2)'%' ..� 1,