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Home My WebLink About10176 Adams Ave - CofO (5)^ � ' . CERTIFICATE OF OCCUPANCY 8/�6,94 ' onvoF*uwrwanOwasm� l Date Address 1 b AD' &�—' District Business Name CCQTIN'A Tel. Business Type 8L�T&U8A0? - %�Kh 0b? B-� ��______ BUILDING OWNER auaINsanoWmsmmAwAGsn � DOLINES�� F8 --'--- J8�� --'--'' ------- ' ^ ` Name Name Address 17631 FITCh HomeAddress cityI6�lN� m�� ?�-474-698C �Tel City *mm« 714-5CS-OF68 Construction w).mStories Occupant Load 15 __---__ onnomomCONDITIONS ' ^ OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupwicy SHALL BE posted in a conspicuous place on the premises and shall riot be iamoved except by the by Building Official. � COMMUNITY DEVELOPMENT _- ---_--_-_-_--_--_-----_-_-__~---_---------_-_-_-_---_-'-----_-_-_--_------_---_ � K � " APPLICATION FOR CERTIFICATE OF OCCUPANCY , CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT T— HUNTINGTON BEACH (PRINT OR TYPE ONLY) DATE r -"Address 10176 �`,'f dr� sjj —District—_ Business Name Goy r'r Ci 0"1'r V1 CS, llatll /Business Type R c ��`^� _ "T�ke - n'-A+ _ f'12, 140cc Group ((2�, BU—ILDq OWNER' BUSINESS OWNERiMANAGER / me IJG) 013SS N&5 �t7✓ Q Ad remiss_ `� 1� ___TPIL. -arum"City ' !-w Home TeIg9_%91?dU _ �iy Spy USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDIrIONAL OCCUFANF ndicale former use, ifany mac' _. O, L_jA_ lOci�upancy Gr —Div 3OUARE FT. OF BU''_•DING TO BE OCCUPIED__ NOTICE:: 2. Occupancy of any building is prohibited and business license will not be issued until the building has been inspected and a certificate of occupancy is issued. No electrical service will be released for any existing b-jilding until the service has been inspected -QJ certified safe. All applicants for occupancy in a^ existing building are required to sche,!u:e an el- ' • al 'fuse up' inspection in the Department of Community Development at the time this appfic a,: a d. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to determine if achange maybemade in the charactero, occupancy or use of the building or premises which would place the building in a different division of the Game group of occupancy or in a different croup of occupancy, a change of occupancy inspection fee of 1; shall be paid to the city. 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/z) inch stroke, .and of a contrasting ccior from the background. These numbers must be posted on your building in a location that is visible from the street. Huntington Beach Fire Code Section 10.301 requires tire extinguisher selection and diZ.ribut;on per the National Fire Protection AGsociation pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) rA E- 7� SUPPLEMENTAL 1NFGRMATION ZONING.— -LS OCCUPANCi ,RCUP 9 . 7 PLAN CHECK NO - NO PARKING SPACES — OCCUPANT LOAD I-S PERMIT NO HEALTH DEPT APPROVAL—__ NO. OF STORIES I ADMIN. ACTION__ UTILITIES RELEASEDCo — d� _D°C�J IC&TIFICATE OF OCCUPANCY FEE g ^_ APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL g------/� 75.039 9ev. 11/90 COWPAUNf FY DEVELOPMENT s SUPPLEMENTAL INFORMATION .1. BUSINESS -ADDRESS _ 10176 A4Q v— S 2. Person to contact in case of emergency- J �P-� Cow,a-�n�i Telephone number: 7/N - LI'-667U 1PU,.e✓' 71 N - SS 9 - 0S'S'6 VF7 +40V---e- 3. Does 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? •I -'/es ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes ENO E. Operations will invo! c the repair or replacement of ❑ Yes autor•nobira parts? -2'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 or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes AR�'No 8. The following best describes my operation; QfPce Only I I Warehouse Manufacturing / Distribution (describe process and end product) i l Restaurant/ Take ^ut Fno� `i Medical / Dental Other (describe) SUPPLIMENTA_ INFORMATION City of Huntingtoi Beach ° 2000 MAIN STREET CALIFORNIA 92648 DEPARTMENT Or COMMUNITY DEVELOPMENT Building 536-5241 Planning 536-5271 Housing 536-5271 Government code Section 65850.2(b) requires the City of Huntington Beach Building Division not to issue the final certifir_at% 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 division to meet these requirements. 1. The applicant (the same Person who applies for permits from the Building Division) must complete the check list which --can be obtained either at the Building Division or at AQMD. :Z. If all boxes in the list are checked "no", the Building Division can accept 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 ai_ permits are not required, 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 ma} take for AQMD to go through the above -: .. ..c...._..- e uCt.__,. .. ,, _z to i. via i.d.. i. .'a \[a•lu i11 LLIICUlaI.0 yy after applying for Building permits. (1360D) 4 SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings � Only) Location of Subject Property: 18176 f1�r_wi5 7,'f Property Owner Name: RAC,( C9_"S �Vo-e�7�� S Phone Name of the Person Preparing this form in print andi signature �Jer(� Name: The person preparing this form ,mu` st ber-t`he same person applyira for building permits. Please answer the following questions regariing your proposed occupancy of the subject building. IF YOU n0 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?�C_ 4. Does your facility refine any liquids or solids or reclaim any metals? 5. noes 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 charbroiler, body shop, gasoline station, printer, or part coater?_ \� 12. Io the subject building located within one thousand (1,000) feet of any school? l PROPERTY LINE TO PROPERTY LINE. GRADES K-12. TX_ 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" Cnlmmn wni+ m++sfi `_..tzzt tom` S:,ut : C,)a6L Ai.t uucaiiLy v� Management District located at: 21865 E. Copley Drive Diamor3 Bar, CA 91765-4182 Please call: Plan Check (714) 396-2000 (1360D-2) SUPPLEMENT'I INFORMATION (Continucd) Does the operation involve any of the folic w-,ng P 1,116 S ,MNo T Yes, indicate quantities: Material Quantity 1. Plammable liquids Class I -A Class I-D Class I-C 2. Combustible liquids Class 11 Glass il!-A 3. Combination ----flammable --liquids 5. Liqueiiecj flammable gasr-s ------- --fibers ----loose --- - Fiarnmable fibers ---baled- 9. O-n—st-ab-fe materials 11. Oxidizing material gases 12. Qxidizi��g material liquids 13. Oxidizing materi�d solids 14. Organic peroxides 5. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixture.. containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 19. F-mokeless powder 20. Black sporting powder I hereby certify that the above information is true and correct to the best of my knowledge 7- qJ n ature 14--a t 4