HomeMy WebLinkAbout10156 Adams Ave - CofO (3)APPLICATION FCR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
H1,NTISKJON BEACH ., ',PE c:.l,
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/THIS USE WOULD BE DESCRIBED AS:
4 TINS
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ISO
CD °-7--.<4.R206 ti, r.,51l�-t �
�I �riC�r C:(:UPAfd?
NOTICE: ; Occupancy of any building is prchibited 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 eleased for any existing building until the service has been inspected and
certified safe. All applicants for occupancy in an existing huilding are required to schedule an electrical
Muse 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 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 S -___ _ .._ shall
to 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 halt (12) inch stroke, and of a contrasting color from the background. These
numbers must be posted on your building in a locaitcn 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) //����
SUPPLEMENTAL INFORM---—=ATIOn C --------
OCCUPANCY GROUP
OCCUPANT LOAD
NO OF STORIES —
- _ - _ ----
�OldB��Y—�-
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75-039 Rev. 11,190 CCMt^i'JNf 1'r
SUPPLEMENTAL INFORMATION
1. BUSIf4ESS ADDRESS
/015- 6 lrtdf!-lnS
ALLP, /V it;, / tee
' � -�? '
LL-n CLr4�-w 1) � ?
2. Person to contact in
case of emergency-
Telophone number:
J
o l [ice- 7`2
Yes
3. Does the building in
question have
electricity?
❑� No
(a) If No, are you
requesting that
the electricity be
Q\ es
turned on?
❑ No
4. The huilding is sprinklered? ❑ Yes
❑ No
5. OUefationS will produce (lust/wood shavings or similar
material? ❑ Ye
No
6. Operations will `nvolve the repair or replacement of ❑ Yes
automobile parts? E�-o
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operatioi, involve the use of an open flame?' ❑ Yes
7. The business is drinking, dining or assembly use that will
result in an occupant load .)f more than 50 persons. ❑ Yes
8. The following best describes my operation;
Off' _ Or LLY
Retail Sale_,
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
( SUPPLiMENTAL INFOP%IATION
Z.,
APPLICATION FCR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNTIWJON BEACH
01;z
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Etc, - .
SEE- Lmci�-)A-4 •/N;i M
P-\4 111
_CAq2�2�,-j-n" T,,s�VL4641
/THIS USE WOULD BE DESCRIBED AS:
NEVITY
TING RU!LD!r,k1 L—
SO,j'411F F- O� R':,, I%
NOTICE: i Occupancy of any building is prohibited and business license will not be issued until the building has been
inspected and -3 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 ele-trical
'fuse up' inspection in the Department of Community Development at the time this application is filed.
3m Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a budding or
premises n 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 S shall
to paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum or four i4)
inches in height with one hair ('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).
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP
OCCUPANT LOAD
NO O: S70RIES
C
P�0�rEV BY
4
T� )T
75-039 Rev. 11190
SUPPLEMENTAL INFORMATION
1. BUS114ESS ADDRESS
10156 FtCIYa1,1 S
41 /V A
z
2. Person to contact in
case of emergency ck
Telephone number:
3. Does the building in
question have
electricity?
Yes
❑ No
(a) If No, are you
requesting that
the electricity be
Q\I-e—s
turned on?
❑ No
4. The building is sprinklered? ❑ Yes
❑ No
5. Oper«tions will produce dust / wood shavings or similar
material? ❑ pjs
No
6. Operations will 'evolve the repair or replacement of ❑ Yes
automobile parts? �No'
If Yes:
(a) ,Describe the components repaired or replaced.
(b) Does the operatio;, involve the use of an open flame? ❑ Yes
7. The 'business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
fj-H-6_
8. The following best describes my operation;
Off' Or I -y
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
SUPPLIMENTAL lNFUMATioN
`0% v
i hereby certify that the abooc Irlfortrsation is trtle and correct to
the best of my knowledge.
Signal_ re Date --
G
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property: Jy6 Sz�
Property Owner name : -R u '�" N Yl ti ; �; �ii Cl.n o � Z �y1_� _ Phone #
Name of the Person Preparing this form in print and signature
Name_[ Signature �y
,'
-he person preparing this form must be the same person applying fo4
building permits. Please answer Lhe following questions rewarding your
proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER
TO A QUESTION MARK IN THE "YES" COLUMN:
SCAQMD PERMITTING CHECKLIST
YEE NO
1. Does your facility use any internal combustion I�
engines greater than 50-HP? J
2. Does your facility involve mixing, bending, or
processing any sol✓ents, adhesives, paints
or c-atings?
3. Does your facility create any dusts or smoke? �6
4. Does your facility refine any 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.)
rated greater than handle
or BTU/Hstore s e
7. Does your facility handle or store solvents or motor
fuel?
8. Do you use or store any aclds?
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. Is the subject building located within one thousand
k1,000) feet of any school? C�
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
I� 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.
9150 FLAIR, DRIVE, EL MONTE, CA 91731
Please call these offices: Plan Check (818) 572-6406
D:AL00603 (818) 572-6111, (81,) 572-6261
�s❑
CERTIFICATE OF OCCUPANCY
�
CITY OF HUNTINGTON BEACH
'G
Date
Address
i Cj 9 i3 U Psi S
District _
Business Name
HUNTINGTON FEACH
BEAUTY SUPPLY, ETC. IN.
Business Type
BEAUTY SUPPLES &
SALGN
Occ. ",roue L
BUILDING OWNER
BUSINESS OWNER/MANAGL-R
LUSahEUS NiOPERi°TES
BERYL t.,. KAY
Name
—.
Name
Address
F1ich
Home
Address ) r 19 LAPRADCR DR
City I�t�t le
Tel.
City COSTA INESA Te m�
� 7iz. �4�—��rll.
t,,,nstruction
No, of Stories '
Occupant Load `7 Sprinklers
CONDITIONS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted it a conspicuous place on the
premises and shall not be removed except by the
bye Building Official.
COMMUNITY DEVELOPMENT
�• APPLICATION FOR CERTIFICATE OF OC;CUPAI+ICY
j CITY OF HUNTINGTON !BEA'UH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUMMJGTON ar w+
(PRINT OR TYPE ONLY) Gat E
Address _% 1-I "� J'� yd H tn.1 1 r V- ✓ P �` District / f�
Business NameTel.
Business Type Cc. Group..i7
BUILDING OWNER j BUSINESS OWNERAANAGER n�
Name tJ� Y�.�' '�V t C� Name.11r-2i 3�� Ate ��pY f tj!LA 1
Address() �Qy?� C ��J[� f Address
City- —, U t,1� Tel. 1Tr P —t;t-1 ui�`ity Nc. ae
THIS USE WOULD BE DESCRIBED AS:
t_I NEWLY CONSTRUCTED BLDG. El CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
I-1 EXISTING BUILDING ElCHANGE OF USE I�{ DITIONAL OCCUPANT
!ndicato forme use, it any �r
O cucy Gr. VV _Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED .Val b!5IOV e, 6 TNe�7 I �t✓
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. 1
2, No electrical service will be released for any existing building until the service has been inspected and
certified sate. All applicants for occupancy fn an existing building are required to schedule an electrical
'fuse up' inspection in the Department of Commt+nity 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 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
Cb 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 7, past be a minimum of four (4)
inches in height with.. one half ('/z) inch stroke, and of a contrasting cc -:or from the background. These
numbers must be posted on your building in a location that is visible from the street.
6. Hur•".ington Beach Fire Code Section 10.301 requires fire extinguisher resection and distribution per the
National Fire Protection Association pamphlet 0 (se reverse side).
ti )
1
�
I �l
TRAFFIC .t . �`F FE
DATE 'AID
At,4 + RECEIVED
/1
t, * - (FOR OFFICE USE ONLY) �.
ZONING
CCUPANCY GROUP PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD PERMIT NO, HEALTH DEPT APPROVAL
NO OF STO IE ADMIN. ACTION UTILITIES RELEASED
I
CERTIFICATE OF OCCUPANCY FEE g
A R VEC BY DATE CHANGE OF USE OR OGCUPANCY FEE $
TOTAL g r i�
W �_ —
75-03e Rev. 1197 COMMUNITY DEVELOPMENT
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