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HomeMy WebLinkAbout10121 Adams Ave - CofO (2)�, I CERTIFICATE OF '3CCUPANOY r C(TY OF HUNTINGTON BFACHF P 4 I 't ! Date l 1 n ,1 P. n A ht <_ ,__ _ District I�Address Business Name sr E n v r TT S C er ^ T r. ,.; _: T v n; r Tel. Business Type r.r[*T ccnr x �r.Trr?r ny -pnrtm�., Oca.Group BUILDING OWNER BUSINESS OWNER/MANAGER i r REALITY ?NVEST Name L MORGAN Name •ERI+' _`PERRY 4' Address Fig. r _ Hone Address-c _^— =•:?I ."-N-- -.� r _ Home City >r _— Tel. City T g V -I '- --g n Tel. -- —p= r%,) 0;2 Construction No. of Stories I Occupant Load 1 - 1 Sprinklers I CONDITIONS OF APPROVAL • r { ) Comments: RETAIL $: WHOLESALE DEPAFTFMEN7 OF COMMUNITY DEVEL I PMENT"---" - "- "- i This Certificate of Occupancy 4 SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by r Building Official. gg J6 COMMUNITY DEVELOPN'IENT 9 4 FOBlt F1UNr,%ZTON IIWk ✓ Address __ 10121/ t/ Business Name He C Business Type Awj APPLICATION E OFi'CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH % DEPARTMENT OF COMMUNITY DEVELOPMENT 2/ ,3/L? 7 (PRINT OR TYPE ONLY) DATE Adarrls HwgL OWNERBUILDING f"Nar /Ada M &LWh ! 26,46 District Tel. 5 5t, - 4 WQ Occ. Group _ /BUSrn114ESS OWNERIMANAGFA Tej Home 2ress—4 ,� fvt, , �Ovine) R27� /�r�� I! ity_ __r,�me Tel.2 CJG 1 0 u / THIS USE WOULD BC DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT EXISTING BUILDING CHANGE GE OF USE ❑ADDITIONAL OCCUPANT Indicate rormer use, if any �� ---- �� Occupancy Gr. Div._ i UARE FT. OF BUILDING TO BE OCCUPIED��rox�SOOn (15e0 y� O�t4t-) l E NOTICE: 1 Occupancy ur any ounamc; Is pre: +Ditecl and a business license will not be issued until the building has been inspected and a certificate of occ..oancy is issued. 2. No electrical service will be released for any existing building until the service has bee'T inspected a,.d r •., tifled safe. All applicants for occupancy in an existing building are requ;red to schedule an e!ectrical fuse up' inspection in the Department of Community Development at the time this application is filed. 3. Cha lge of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or h 1�7 premises in order to determind if a change may be made in the chat acter of cccupancy or use ofthe building or premises which would 7(ace the building in a different division ,)f the sarne group Of occupancy or a different group of occupancy, a change of occupancy inspection fee of $ _ shall be raid to the city. 4. Hu.itington Be-,.;h Fiaz code Section 10.208 requires that: i uilding 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 n•.,mbers must be posted on your building in a loca'lion 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,. lc ar �F a 3�C.� 372s��F7 : eC�t dJ�G, Q -7 r (FOR OFFICE USE ONLY) �_ _ f SUPPLEMENTAL INFORMATION ZONING OCCUPANCY GROUP kY",f� PLAN CHECK NO. NO. PARKING SPACES OCCU ANT LOAD PERMIT NO. HEALTH DEPT. APPROVAL NO. OF STORIES —_ ADMIN. ACTION UTILITIES RELEASED • w l/ •CERTIFICATE r F OCCUPANCY FEE J" APPR� �' $ I D ATE CHANGE " :oE OR OCCUPANCY FEE $ TOTAL fe+' Gr $ 1 75.039 Rev. 11,190 COMMUNITY DEVELOPMENT r i 04� APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMiUNiTY DEVELOPMENT HU rON BEACH (PRINT OR TYPE ONLY) ✓Address (or<2l 1�darn.5 K{(v-8a "/ q'(74Ga V Business Namc ✓Business Type. z/3 /0 7 DATE District._ // ��hh1tt� Tel. �in ".i WD Occ. Group 1� �.%.� �� BUILDING OWNER , BUSINESS OWNER/MANAGER }-�.- ✓Name W ej yC Yet n fnn f1�J . %�-4 LEI Il-Y Name T� P" 0, y 7vy� Home 2.�4',3 r1� �13 ��Addressf ijAddress n /yam „���` `/_t7%� �©C) l/ Tel �ity �iC V l i� % 2715 Home Tel. 252- - 2 THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER 1�f CHANGG OF OCCUPANT EXISTING BUILDING %CHANGE OF USE ❑ ADDi.,ONAL OCCUPANT f r — I- ndicate former use, if any Occupancy Gr.—Div.— 3@UL RE FT. OF BUILDING TO BE OCCUPIED SCJT>r% (' ✓moo+ O IG NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been inspected and a cesdficate of occupancy is issued. 2. No electrical service will be released for any existing builr+ine until the service has bp ., inspected and certified safe. All applicants for occupancy in an existing building re req,,ired to scht7oule an electrical 'fuse up' inspection in the Departmert Of Community Development at the time this application is filed. j 3. Change of occupancy or use inspection fee. Whenever ifs 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 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/z) inch stroke, and of a contr,.ating color from the h %ground. These U4yb� S numbers must be posted on your building in a location that is visible from the stree 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection ar. � afribution per the National Fire Protection Association pamphlet 10 (see reverse side). .b'13r 61-7 (FOR OFFICE USE ONLY) G SUPPLEMENTAL INFORMAT ON ZONING_ _ OCCUPANCY CIROUP P72 PLAN C' IECK NO. NO. PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT-APPROVAL NO. OF STORIES ADMIN. ACTION __ UTILITIES RELEASED ' 5- CERTIFICATE OF OCCUPANCY FEE $ APPR D DATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $ 75-039 Rev, 11190 MAW SUPPLEMENTAL 16FORMATION 1. BUSINESS ADDRESS 1012 ( Pt 5 1 i7 (j Thoma ; 2. Person to contact in case of emergency Telephone number: 3. Does the building in question have electricity? (a) If No, are you requesting that the electricity be turned on? 4. The building is spri-iklered? 5. Operations ,will produce dust/wood shavings or similar material? 6. Operations will involve the repair or replacement of automobile parts? If Yes: (a) Describe the components repaired or replaced. ❑ Yes ❑ No Yes ❑ No ❑ Yes No ❑ Yes A No ❑ Yes O No (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 rrzorQ than 50 persons. ❑ Yes ,( No 8. The following best describes my operation; Office Only Re ' ales Wause Man,—acturing / Distribution (describe process and end product) Restaurant/Take Out Food Medical / Dental Other (describe) _ SUPPUMENTAL INFORM00N rt � SUPPLEMENTAL INFORMATION (Continued) Does the operation lnvoly� any of the followir!g materials? 0 Yes B[ No if . Yes, indicate quantities:,. �— Material Quantity _ 1. Flammable liquids Class I -A Class I-B Class I-C 2. Combustible liquids Class 11 Class I11-A 3. Combination flammable liquids 4. Flammable gases 5. L.igiiefied fl^mmable gases 6. Flammable fibers - loose '. Flammable fibers - baifld 3. Flammable solids 9 ^� Unstable materials 10. Corrisive liquids 11. Oxidizing material - gases 12. Oxidizing material liquids 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 18. Highly toxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder I hereby 9 ify chat the the b�� m; know Signature k va information is true and correct to Oa L i. i (D South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E Coplf:y Drive, Diamond Bar, CA 91765-41P2 (909) 396-2000 AIR QUALITv P]ERAnr CHECKLIST for nonresidential buildings only Company Name: UlGL.C,(.Uj—Q1 uuc Location of Property: 0121 d cos Cit.,=: m aze% Zip Code: W 2-&4(P Contact Person: % O%%S Cam_ Title: C� Telephone Number: 25 2! 0 27 % Fax Number: t_ 5tca — 450 (o Type of Industry/Business: I �% �'tlr� ` l LLYJ{1,1,P�t-�—L•L,_��5 To apply for a nonresidential building permit, you must complete this checklist. If you have any questions about completing this checklist, please call (800) 388-2121. YES NO ?.. Will the facility have a charbroiler? 2. Will any internal combustion engine with greater than 50 horsepower{ operate at the facility (excluding motor vehicles)? 3. Will operations at the facility involve mixing, blending, or processing of solvents, adhesives, paints or coatings? 4. Will dust or smoke be generated at the facility? 5. Will refinim of any liquids or solids be done at the facility? 6. Will any plating Gr coating of materials be done at the f3ci`:ty? 7. lVill any combustion equipment rated greater than 2,000,000 BTU/hr be operated at the facility? j ] [ S. Will any acids, solvents, or motor fuel be used or ored at the facility? [ ] [ 9. Will any organic liquids or gases be reac rr r produced? [ } [ 10. Will any ovens bZ to dry o cr,fe nrcuucts at the facility? [ 11. Will any �'_r (Ffemi) re in- machines operate at the facility?- ApplicanV- Am,:'7'S-fgnature: // t name clearly) If you ha-v. mar "NO" in all the byes, an air quality pe s not needed at this time, and thi diet is your written release. If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality Management District (AQMD). Please read the requirements on the back of the checklist. (800) 388-2121