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HomeMy WebLinkAbout10121 Adams Ave - CofO4 CERTIFICATE OF OCCUPANCY CITY Or HUNTINGTON BEACH Date Address 10121 A D'a I -IS _ District _. Business Name tsI�NRi;L E:itnAN FONDA' illy t i i't'ta'tICUC Tel. 7".ti 5�3a^ r:j52 — Business Type BUUTi QUE Occ. Group BUILDING OWNER OWNER/MANAC ER C&S P,RGPERTIS—, _BUSINESS Y,. ALMRUTH/Ii. CONNEE.'R Name _ Name Address ''C lox 'rat' � 4ddress` 0562 PAISLEY — Cih; 1,U1,4G LEACH Tel. 562--49C -00I 3 City till; .ItlGitiN E' HoTelme ' IA 6£?-1Jw7 2 166 Construction No. of Stories , Occupant Load Sprinklers CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT This Certificate of Occupancy SHALL BE posted in a conspicuous [;.ace on the s r rensises. nd shell not be removed except by the by Bu"ding Official. COMMUNITY DEVELOPMENT A PLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMIJUITY DEVELOPMENT fK1Nf�dGrON BEACH !PRINT OR TYPE ONLY) ATE Address — i Q 1�� �1 l 1 -�� �' t7� I District- RosinessName Business Type 9u'z_ Occ. Group_ BUILDING OWNER BUSINESS OWNERIMANAGER Name— ���-- �CO� K"�'��c Name )L-k Address '0� �:�aL 9 09 3(A Address City :—1e1.5a)ec City S Rra$aoS? J . Home Tel. THIS USE WOULD BE DESCRIBED AS: rr 1� NEWLY CONSTRUCTED BLDG. LJ ';HANGE OF OWNER �❑ CHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE Lrl ADDITIONAL OCCUPANT Indicate former use, if any r.�+�Qr:ch Occupancy Gr- _Div._ SQUARE FT. OF BUILDING TO BE OCCUPIED ' 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 t r any existing building until the service has been inspected and certified safa. 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 hake inspection of a building or premises in order to determine if a ch<,nge may be made in the characterof occupancy or use of the building or premises which would place the building in a different division of file same group of occupancy or in a different croup 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 bu'!ding numbers must be a minimum of four (0) inches in height with one hall (/) inch stroke, and of a --ontrastinc color fr.; the background. Thee numbers must be posted on your building in a location that is visible from the street. _. Huntington Beach Eire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 1,0 (see reverse side). TRAFFIC IMPACT FEE��_ DATE PAID —o•q1 /° AMOUNTRECEIVED NAME (FOR OFFICE USE ONLY) SUPRR.EMENTAL INFORMATION OG4:UPANCY GROUP PLAN CHECK NO — OCCUPANT LOAD PERMIT NO, NO. OF STORISS ADMX ACTION Fi° z ZGNING_ NO PARKING SPACES — HEALTH DEPT. APPROVAL UTILITIES RELEASED — �� . '� �[q.zy•gj CERTIFICATE OF OCCUPANCY FEE S APPR V DATE CI iANGE OF USE OR OCCUPANCY FEE $ �, TOTAL :"o _ 75-33s.Rev.1/97 COMMUNITY DEVELOPMENT C:D SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS ?. Person to contict in case of emergency - Telephone number: r 3. Does the ouilding in q•,jestion have electricity? itYY�es ` E' ❑ No (a) If No, ars you requesting that the electricity be ❑ ;es turned on? No 4. The building is sprinklered? G � f C�Yes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes Er -No %. Operations will involve the repair or replacement of ❑ Yes automobile parts? "o If Yes: i (a) Describe the components repaired or replaced, t (b) Does the operation involve the uce of are open flame? ❑ Yes D--N-'o 7. The business is drinking, dining or assembly use that will result In an occupant load of more than 50 persons. ❑ Yes 9 8. The fallowing best describes my operation; Office Only aI. Warehouse Manufacturing / Distribution (describe process and end product) Restaurant/Take Out Fond Medical / Dental Other (describe) i I s SUPPLEMENTAL INFORMATION i i i IiI SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? ❑ Yes �No If Yes, indicate quantities: Material Quantity 1. Flammable ;iquids Class !-A Class 1-8 Class i-C 2. Combustib;e liquids Class II Class 111-A 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Flammable solids 9. Unstable materials 10. Corrosive liquids 11. Oxiuizing material - gases 12. Oxidizing material - liquids 13. Oxidizing materi - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 18. High!y toxic material and poisonous gas 19. Smokeless powder 20. Black sporting powder I hereby certify that the above information is true and correct to the best of my k wledge. 1 S n u re Date South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91'65-4182 (909) 396-2000 AIi2 QUALITY PERMIT CBECIMIST for nonresidential buildings only Company Name: Location of Prop City: w 6T' 2 ck Zip Code: �.6 � Contact Person: �,1 I/T�,�71� Title: Telephone Number: / � ` �I � ` Fax Number: � Type of Industry/Business: 7�FoLe) �= To apply for a nonresidential building pe 't, you must complete this checklist. if you have any questions about completing this checklist, please call (800) 388-2121. 1. YES Will the facility have a charbroiler? [ ] NO [ 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 refining of any liquids or solids be done at the facility? [ ] [ 6. Will any plating or coating of materials be done at the facility? ( ] [ 7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be operated at the facility? [ ] [ 8. Will any acids, solvents, or motor fuel be used or stored at the facility? [ ] [ 9. Will any organic liquids or gases be reacted or produced? [ ] [ 10. Will any ovens be used to dry or cure products at the facility? [ ] [ 11. Will any CFC (Freon) recycling machines operate at the facility? ] [ Applicant: Q..Signature: 7 rin; name clearly) i If you have marked "NO" in all the boxes, an air quality permit is not needed at this time: and this checklist is your written release. If you marked "YES" in any of the boxes, you must contact the Soutli Coast Air Quality Management District (AQM.D). Please read the requirements on thia b checklist. (800) 388-2121 ADDITIONAL SUPPLEMENTAL INFORMATION CERTIFICATE OF OCCUPANCY ;rlj,r98 CITY OF HUNTINGTON BEACH Address 10121 ADAMS District VILLA BELLA Business Nave Tel. FURNITURE STORE M Business Type Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER WESTERN REALTY BRENDA JOYCE Name Name Address 2760 E SPRING 2'00 Home 10121 ADA14S Address LONG BEACH HUIiT BCH Home 714—:45-4906 City _ Tel. City Tel. 1 230 Construction No. of St&gs Occupant Load Sprinklers CONDITIONS OF APPROVAL Comments: FIRE PERMIT REQ'D FOR 11IGh PILE STORAGE DEPARTMENT OF OOMMUNITY DEVELOPMENT This Certificate of Occupancy j �( SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the by Building Official r t - COMMUNITY DEVELOPMENT. tlj'�o APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTr!ENT OF COMMUNITY DEVELO ?MENT ON ar„a, (PRINT OR TYPE ONLY) Address 14 /�2 / rt c&4-ram d5F ©-r'i D Business Name lz/ , A c y P. _ Ti Business Type Name_.[ ' u c C-t o i t. Name /,(/C5T: Home Address - S _� J _� AddresI Of City THIS USE WOULD RE DESCRIBED AS: Ow n-C L lb t Z( ❑ NEWL', CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ EXISTING BUILDING ❑ CHANGE OF USE Indicate former use, if any oUoa7—C Occupancy Gr.- SQUARE FT. OF BUILDING TO BE OCCUPIED 610-0 cT_ -9F DATE Occ, Group E-BS. OW N ER/MANAGER rT7 —A �— 4 Home el. ❑ CHANGE OF OCCUPANT ❑ ADDITIONAL OCCUPANT Div 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 OCCLI lCy in an existing building are required to schedule an electrical 'fuse up' inspection in the DepartmE Community Development at the time this application is filed. 3. Change of occupancy or use inspect, 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 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 -ne half ('/a) 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 the L National Fire Protection Association pamphlet 10 (see rever.,e side). `� T� JUo 5�ac /i/�vz iZ� c�.�k+�,1} 1�--� 74I 1 TRAFF`M�PACT FEE GAfEPAID 6�$ All — AMOUNT RECEIV IT NAME (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION OCCUPANCY GROUP �i — PLAN CHECK NO. _ OCCUPANT LOAD �'� PERMIT NO NO, OF STORIES �-- ADMIN. ACTION ? CERTIFICATE OF OCCUPANCY FEE APPROV D Y �— DATE CHANGE OF USE OR OCCUPANCY FEE TOTAL 75-039 Rev.1/97 COMMUNITY DEVELOPMENT ZONING NO PARKING SPACES HEALTH DEPT APPROVAL UTILITIES RELEASED SUPPLEMENTAL INFORMATION 1. BUSINESS !ADDRESS lain/ e �,� r0 2. Person to contact in case of emergency- AlU Telephone number: 1 s-o �. Does the budding in question have electricity? Ul-'Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinkleres? Yes ❑ No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes art N o 6. Operations will involve the repair or replacement of Ci Yes automobile parts? fqo If Yes: (a) Describe the components tapaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes 9 No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes 0,No 8. The follolivir - best describes my operation; Offir Reta Ware, Manutz __ ,ing / Distribution (describe process and end product) Restaurant / Take Out Food Medical / Dental Other (describe) �— SUPPLEMENTAL INFORMATION SUPPLEMENTAL INFORMATION (Continued) Does the ooaration involve any of the following materials? ❑ Yes .R No If Yes, indicate quantities: Mate -al Quantity 1. F ar:,�mable liquids Class I -A Class I-B Class I-C 2. Combustible liquids Class II 3. Class III -A Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases 6. Flammable fibers - loose 7. Flammable fibers - baled 8. Flammable solids 9. 10. 11. Unstable materials Corro ,ve liquids Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nit;ate 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 certify that the above information is true and correct to the est of my knowledge. Signature Date (D South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamo: id Bar, CA 91765-4182 (909) 396-2000 AIR QUALITY PERMIT CHECKLIST for nonresidential buildings only Company Name: 0,! z-A —6 /_t _o' Location of Property: ZO AR / d,� /r L City: „ ' Zip Code: �a6 % 490-b Contact Person: F D-K o /Cs- Title: Telephone Number: Fax Number: 7/��5 O 3 zc Type of IndustryBu,,:iiess: R��5A44- To apply for a nonresidential building permit, you must complete this checklist. Tf you have any questions about completing this checklist, please call (800) 388-2121. YES NO 1. Will the facility have a cha.:broiler? [ ]] 2. Will any internal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? [ ] [yLJ 3. WiIl operations at the facility involve mixing, blending, or processing of solvents, adhesives, paints or coatings? [ J [X] 4. Will dust or smoke be generated at the facility? [ J] 5. WiIl refining of any liquids or solids be done at the facility? 6. Will any plating or coating of materials be donee at the facility? [ ] 7. Will any combu0ion equipment rated greater than 2,000,000 BTU/hr be operated at the facility? 8. Will any acids, solvents, or motor fuel be used or stored at the facility? 9. Will any organic liquids or gases be reacted or produced? 10. Will any ovens be used to dry or cure products at the facility? [ ] 11. Will any CFC (Freon) recycling machines operate at the fac? [ ] Applicant: Signature: (Print name e zeeded If you have marked "NO" in all the boxes, an air quality permitnat this time, and this checklist is your written release. I°you marked "YES" in any of the boxes, 'yeu must contact the South Coast Air Quality Management District (AQMD). Please read the requirements on the back of the checklist. (800) 388-2121 k ADDMONAL SUPPLEWNTAL iNFORMAT1014 . v }iUNiNGT�i MACH APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT C f 3J-- (PRiNT OR TYPE ONLY) ATE_ \0 \ So Address !� r +� �. r1. « t a_ r District_ etssinessName RoY`cIS l ln:c, Tel fir`_ Business Type���_� `yd� Occ Group BUILDING OWNER BUSINESS OWNEPWANAGER Name � cuc e. L_ + �A; 1 r. ' cA Ct1r\0r=.� �r'�"�' � Name_ i {, 7r" Home tul£ ` Address - _�� _._. _ Address .�.__..9_X,9 ltcz City !mot try c; t 5f `� k G _ TPI r ityIL ----Home Te°W 1 fi �3S THIS 115E WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER R11 CHANGE OF OCCUPANT EXISTiNG BUILDING ❑CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use. if any�ja, Dl�&3pClt`rt rwincy Gr _ Div SQUARE FT. OF BUILDING TO BE OCCUPIED _::_i�_:) `�•cr^:� �' �r�tr X.� i sr ��orhs,r z; � 5�-ry�.t�- �.�<.:T�Sy � 2 �-�'~ _C-a r, .._�i e�� � �w� l , "CiTtCE: 1. Occupancy of any building is prohibited and a businoss license will,iot 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 applicatic , a 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 ;hange maybe made in the character of occupancy or use of the building or premises which would place tr,a 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 fare Code Section 10.208 requires that building numbers must be a minimum of four(4) inches in height with one hall (1,2) inch stroke, and of a contrasting color from the background. These numbers must be posted or, your building in a location that is visible from the street. 5, Huntington Beach Eire Corte Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protectio Association pamphlet 10 (see reverse side). 'rl // -7 (FOR OFFICE 115E ONLY) 00CUPANCY GROUP _ _ `CLAN CHECK NO OCCUPANT LOAD _._ _, _ Ft:RMJT NO _-.-----__ NO, OP $iTf IE4-_,_.._.,_r_____ A.DMiN ACT01'4 iIDS ERTIFICATE OF OvCUPAN ;1, FEE F0 BY � DATE CHANGE OF USE OR OCCUPANCY FEE TOTAL ZONiNG 4 � NO PARKING SPACES �- 1­If-ALT14 DEPT APPROVAL tt-e; I'IES RELEASED _ SUPPLEMENTAL ENTAL INFORMATION 1. BUSINESS ADDRESS 101 LA 4V-- � ai� 2. Person to contact in case of emergency, _ ti r4 r _ Telephone nun,oer; ^ _ 3. Does the building in question have electricity? i Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes No C 5. Operations will produce dust/wood shavings or similar material? ❑ Yes No 8. Operations will involve the repair or replacement of ❑ Yes j automobile parts? No f If. Yes: (a) Describe the components repaired or replaced. El Yes (b) Does the operation involve the Use of an open flame? JZI No 7. The busine3s is drinking, dining or assembly use that will result in an occupant load of more then 50 persons. ❑ Yes ,1 No 8. The following best describes my operation; Officy a �_nQ �! Ret: it Sa Warehouse Manufacturing / Distribution (describe process and end product) Restaurant/Take Out Food Medical ! Dental Other (describe) L SUPPLEMENTAL gay=oRNIAraON V `oes the aperaflop involve znv of ttt-- fool wind C1 Y' If Yes, indice-'re quantftles: tviater€ai uan! Lit Class i-A Class i-B Class I-C Gass i€ class fi-W i sejte q�€a�tais� 6. Oxidizing ti•€ne (caYbie rMaatera,s' 1A�aFia'$ot'a3$.}'rn :i'lra'e c. x�i:�p.^yo�}a� d re ix` containing more �zhcl-; by weight @�€Y��yy'o s gas i hereby ti;ertii o to e as 4»vo, i' bey. w trt' tttd?JeiG ?. R �..� .-. Date SOU i C o f AIR. QUALITY MANAGUAENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765.4182 (909) 39E-2000 AM QU —LrfY PERMIT CHECKLIST for nonresidential buildings only Company Name: i Location of Property: JL.i -1 C.,'v-y Zip Code: Contact.rerson: s7 � - Title.- Telephone Numben(p r �� `"i C nos' - Fax Number: LL Type of Tndustry/Businesa: To apply for a nonresidential building permit, you must complete this checkist. If you have any questions about completing this checklist, please call (800) 388-2121. YES NO i. Will the facility have a charbroiler? 2. Will any internal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? [ ] i 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 refining of an), liquids or solids be done at the facility? [ ] [ b. "Jill any plating or coating of materials be done at the facility? 7. Will any combustion equipment rated greater than 2,00J,000 BTT.T/.hr be operated at the facility? jrL ' 8. Will any acids, s: lvents, or motor fuel be used or stored at the facility? ] [�q 9. Will any organic liqu.,js or gases be reacted or produced? ( I V 10. Will ar y ovens be used to dry or cure products at the facility? [ I (�q 11. WiF -ny CFC (Freon) recycling machines operate at the facility? [ I P9 1 � A Applicant:) z. '�.4rr Signature; (Print nmr e clearly) If you have marked 1VO" in all the boxes, an air quality permit is not needed at this time, and this check -fist is your written release. Ifyola rnarkzd "YES" in any of the boxes, you must contact the South Coast Akr Quality Management Dist ict ( Q,,':D). Please read the requirements on the. back of the checklist. (81,10) 3W-21.5 1 NGTIC'E OF RLQU'lREMENTS G'9N77RNMF'.',qTC0DE SECTION 65850.2 (AR3205) califcrl�.a sta%, I -a-,,, i�Cowzn-nnom Cod; MCI 7n-.ilmbits the Buildinj Depawn its Yuri issuing his. oc�:upxt�;y nqtErements (-,.- the local air quMityagency -are aw im! apumms :�re rre.x,�'ed v) co `et:: th,, aquality parmit checklist The L`hecm, ist j, didgned tv aid 10 w:pli,,aw 4`or a nclrin:siicaflal bz�_Iding pemmit only. If the answor to wly of quzdhy, agency- vaWli,z 4hat tbe, i,in xxi-phalice. 1 AN nmeghnn A h4l Ing pennA e0z'nplete 11I2i5 Checklist. 2 if• Dcpxrtmont can nceqi thzchccUW;t dw Vowen, zoleaw It' an.3 qili,,­qli,,.S ;.17C mus" CCIW�a,,t the AQN In by CAdhn-g (890) 3ES012m 1 to dramms - heVxr quality peits aequ re rimi for any, cqura ipmzll ; ,�:h rnper ay oated at A W. 1, -�,e AQt-fl) detC,-rrnines that a, quait; pei-mw('are not mgWrod Qr W all met, a w6rum release �Nill be- issued, 4, If W cjuMi.!. Ire have not 1�+zerl Submitted, the applicant h N orz a w1i ten pozniit and approprive fep.4 �f - t+ rdeme WN W inueLl. AQ0 is r(mmlit'.ed to ..fearzmco letter requests. Howewr, it , rtizay take several i."eeks to , ieril%, i.omp,, ai! wo uirerracats. Thercfotq you are adviScd tai contact AQ_%ff) br (M) 38SI2121 rdwinj &Q, A