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Home My WebLink About10130 Adams Ave - CofO (2)I0 1 CERTIFICATE. OF OCCUPANCY A1 CITY OF HUNTINGTON BEACH DE?ARTMEW OF uEUELOFirl11 NT SERVICES Hwn%cTo� s:a.tt Address Business Name District Tel. 41 uusinessTyoe Occ. Group - BUILD �-4 OWNED. oWNER/MANAGER _ 1 Name Name Address _ Address- City,_.._ _ _ Tel. city - _ Tel. Construction No, of Stories...,_ Occupant Load.Sprinklered r Notice: ThisGoe-tificate of occupancy DEPARTMENT OF DEVELOPMENT SERVICES I 1 SHALL BE posted in a conspicuous place on the premises and stiall not be removed except by the Building Official. 0 HUNTINGTON UACti APPLICATION "FOR CERTIAN"ATE OF COCCUPAWCy Cr ry of HUNnNGTON BEACH DEPARTMENT OF DEVEI.`r'PMENTSERVIUS, (PRINT OR TYPE ONLY) l�l~TE Address L _ vfV� ___) ��°"4�uG _ District _ �,�f �9 Business Nama �^��tk.�s '� ` �``"� ti� --- — Tel. y .;� t%'',� _ Business Type �J ��`��"`� 1 "� Occ. Group" BUILDING OWNER gWrjER,MANAGER L� L+� �t..1`C-�2.tss��t �c�`�C �� 1 ��G niA��,p �t.�-.. 1...:-,.ri�'..a9•�.i' Address \ddress Cl ay Tel, �_. C it- ,..,tea.. f 4i: t THIS USE WOULD BE DESCRIBED AS, NEWLY CONSTRUCTED ED BLDG. u CHANGE OF OWNER CHANGE OF OCCUPAN i EXISTING BLIP -DING CHANGE OF USE ADDITIONAL OCCUi-ANT Indicate fort'nee use, if any _ _ ---Occupancy , �, -� _ Occupancy Gr. _ (,> Div. f NOTICE. 1A 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 ser-.rice will be released for any existing building until the service has been inspected and certified safe, Ali applicants for occupancy in an existing building, are required to schedule art electrical 'fuse up' 'inspection in the Department of Developrinent Services at the time this applica- tion is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a build- ing 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 d different division of the same group of occupancy or In a different group of occupancy, a change of occupancy inspection fee of $30.00 shall be paid to tho city, ^4. Huntington Beach Fire Code Section 10.208 requires that building nurnbers ,oust be a minimurn e of four (4) inches in height with one half (%) inch stroke, and of a contrasting color from the back- ground. These numbers 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 el tion and distribution ,- _ per the National Fire Protection Association pamphlet 10 (see revarse AVY (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMAT10N SQUARE FT, OF BUILDING _ _ PLAN CHECK NO. NO. PARKING SPACES OCCUPANCY GROUP t 2 `?r PERMIT NO. HEALTH DEPI. APPROVAL OCCUPANT LOAD _ ADMIN. ACTION _ UT1L1 )EELE D 3 NO. OFSTORIt�� t�� ,�,,"t l ' " 1L_ CERTIFICATE OF OCCUPANCY FEE APPROVED BY DATE CHANGE OF OCCUPANCY FEE TOTAL _ 75-03'<. . J. DEVELOPMENT SERVICES ffl APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF PUILDING & SAFETY WACH (PRiNr OR TYPE OFT DATE rr 3 ,"ddress l D 2 0 ! 4-711 S E �s�-'N US/1"'f'N � r �7 C District Business Name .�S 1/ G j= T& A t IL° r1 R� C_c' R P r )634 41), L r1_1A 1L` Tel. '" Business Type V T1-— 1),1 fy C- L i t\ i I c-- _ Occ. Group-5 BUILDING OWNER BUSINESS OWNERIMANAGER Name f,S �f^� , t/ !X Cip� /� P E � Name t2U .N1 ,o 0 r� � � (�: � _y � Address_ 1-1-6 � 1 _ E f -, cm Address -..1 2C'CI C-%S 7_L-T/\-A .+i L L- . d r(: '�f7' 1 56 CityTR ± _ t, Tel. LCC' City C' (J c' c, !� �Q�2-Home Tel. 't) THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG. �CHA`-IGE OF OWNER ❑ CHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any " Occercricy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED 12- 0 ,_ 13bc> 7, r-.,_ - NOTICE: 1. Occupa -,y of any building is prohibited and a business license will not be issued unlit 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 electrica! 'fuse up' inspection n 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 n r emises 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 e 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 (1/2) 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 the National Fire Protection Association pamphlet 10 (see reverse side). t // -rP 17rtD ArLDUNT A_! a E:D_. Pt __.... _ (FOR OFFICE USE ONLY) ZONING " OCCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT APPROVAL NO,UST RIES — ADMIN. ACTION UT!LITIES RELEASED ,; 0�la CERTIFICATE OF OCCUPANCY FEE $ V C/ f APA VED NY JDATjE CHANGE OF LIFE OR OCCUPANCY FEE t -- TOTAL $ 1 FORK 75-039. REV. 2102 REORDER: SAND DOLLAR 714-842-1148 SUPPLEMENTAL INFOe'.RAATIOH i. � � ;j��" s �i,'t� BUSINESS ADDRESS 1 ��2�� 2. Person to e .,ntact in case of emergency - Telephone number. SS A — F 9-2- -Z 5 3. ',aoe!F the building in question have e:ectricity? Lp"Yes ❑ No (a) If No, are you requesting that the electr'.city be ❑ Yes turned on? !7 No 4. The building is sprinklered':e Ces No 5. Operations will produce dust/wood shavings or similar material? 0 Yes ODINo 6. Operations will involve the repair or replacement of ❑ Yes automobile partz? V11 No If Yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? ❑ Yes' L,allo 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes L,,B'N o 8. The following best describes my creration; Office Only Retail Sales Warehouse Manufacturing / Distribution (describe proc:ss and end product) t C� G t 9 V L , '; Restaurant / Take Out Food Medical / Dental i Other (describe) SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following, materials? Yes No If Yes, indicate quantities: Matzrial Quantity 1. Flammable liquid: Ciass 1-A Class {_,B .—...r. Class I-C 2. Combustible liquids -- Olass 11 Class Ill -A 6. C_.-.-,b{nation flammable liquids 4. Flammable gases S. Liquefied flammable gases 6. Flammable 'lbers - loose 7. Flammable fibers - baled 8. Flammable solids - - - g. unstable materials 16. Corrosive liquids 11. Oxidizing material - gases y 12. Oxidizing miter;al - i{auids - 13. Oxidizing materfai solids 14. organic peroxides - 15. Nitromethane (unstable rnatprials)- 16. Ammonium nitrate a 17. Ammonium nitrate compound mixtures r;ontaining more than 60% nitrate by weight 18. Highly toxic material and r pt°sonous gad 1y. Smokeless powder _ f 20. Black sp rting powder I nereby certify that the above information is true and correct to th6 hf:st of mar knowledge_ Signature Date South Coast :AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, GA 91765-4182 (90J) 396-2.000 Aft QUALITY PERMIT CHECKLIST for nonresidential buildings only Company Name: S t �` �L Fl 1 ��' ' %. r t_ ? L t nl Location of Property: City: plc �4i i�i� 7c>�1t7 �i C-�`1 Zip Code: ` 6 �%r Contact Person: Tine: ( E' ( Telephone Number: � (�4 ' � � 1 �� ` X �l S Fax Number: Type of lndustryfBusiness: '� e i ��a r'' ', t e_.. _ c, 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. 1. YES NO Will the facility have a charbroiler % [ ] (vi, 2. Will any internal combustion~ engine with greater than 50 horsepower operate at the facility (excluding motor vEhicles)? 3. Will operations aE +he facility :.nvolve mixing, bleeding, or processing of solvents, adhesives, paints or coatings? 4. Will dust or smoke be generated at the facility? [ ] (Vf 5. Will refining of any liquids or solids be done at the facility? E. Will any plating or coating ^fmaterials Le done at the facility? 7. Will any corrbustion equipment rated greater than 2,000,000 ETU/hr be operated at the facility? j, j✓� 8• Will any acids, solvents, or motcr fuel be used or stored at the faciliry•? 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? [ ] [v] 11. ;'ill any Cf C tr reon) recycling machines operate at the facility? 1, Applicant: -c-C, 14`d'-, Signature: c' (Print name clearly) ,1- 1� f� U N t r.! D L= If you have marked "NO" in all the boxes, an air quality permit is n9t needed at this dime, and this checklist is your written release. If you marked "YES" in any of th, boxes, you must contact the South Coast Air Quality Management District (AQMD). Please read the rec,*ements on the back of the checklist. (800) 338-2121 NOTICE OP REQUIREMENTS GOVE .."TENT CODE SECTION 65850.2 (AB3205) California State Law (Gover,...ent Code 6585C,2) prohibits the Building Departments from issuing a final certificate of occupancy unless all rec: uiremenls of the local air quality agency are met. All applicants are required to complete the air quality permit checklist. The checklist is designed to aid the applicant for a nonresidential buiidinc, permit only. If the answer to any of the questions is "YES," the Building Department must obtain a written release from the local air quality agenci• verifying that the applicant is in compliance. 1. All nonresidential building permit applicants must complete this checklist. 2. If the answers to all questions are "NO." the Building; Department can accept the checklist as the written release. 3. If any questions are answered "ITS," the applicant must contact the AQIVID by calling (800) 388-2121 to determine whether air quality vermits are required for any equipment which may be operated at the site. If the AQ0 determines mat air quality permits are not required or that all requirements have been met, a written release will tic issued. 4. If air quality permits are required and applications have not been submitted, the applicant .must submit the necessary permit application(s) and appropriate fees before a written release will be issued. A Q--M D is committed to expediting all clearance letter requests. However, it may take several weeks to verify compliance with all requirements. Therefore, you are advised to contact AQMI D immediately after aup,ying for building permit` (800) 388-2121 revised $ Q;