HomeMy WebLinkAbout10172 Adams Ave - CofO (2)CER f t; I ATE OF OCCUPANCY
CTY C ri HUNTINGTON BEACH FeAr2a6 1 9II3
DEPARTMENT OF DEVELOPMENT SERVICES Date
I1UNT114GTON BEACH
Addrz>s 111172 Ae"A= Ave. Districi
Eusiness Name I'11V71 CITY 13r'3NK, N.A1 (Its Tel.
Business Type OZ" ?Icii`iIOLit SX1 T, C;,:'FIC Occ. Group 3-2
BUILDING OWNER BUSINESS OWNER/MANAGER
Name ri. TEi Is�1c Si i &*ua 13Y. Name Za:rteC i 6KX��,1»# EY.e3act SSL
Address Address 2b@8I U�!. �.ao Drive
City Tel. City Calif- _11,rne Te3O^8402
Construction— No. of Stories Occupant Load -11 Sprinklered
Notice:
This Certificate of Occupancy DEPARTMEWT OF DEVELOPMENT SERVICES
SPALL BE posted in a conspicuous place on
the premises and shall not be removed except
by the Building Official. by —
DEVELOPMENT SP-RVICi=S
�a APPLICATION FOR CERTIFICATE OF OCCUPANCYR4 CITY CF HUNTNGTON BEACH _
DEPARTMENT OF DEVELOPMENT SERVICES
HUNTINGTON BEACH (PRINT OR TYPE ONLY) DATE _.
Address �� �7,7, j
BLsiness Name ' 3'"
Busine,s Type
"'! . l 01
Di=. `ict
Tee,
Occ. Group Lam'
r
,4q @UILDING OWNER OWNER/MANAG.R /
Name %o� Gmv� �ik Name
Address Address
City Tel. City % Yam° Tel.
THIS USE WOULD ESE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. n CHANGE OF OWNER
1-1 EXISTING BUILDING CHANGE OF USE
Indicate former use, if any /G _Occupancy Gr
r`
71� CHAN' -OF OCCUPANT
ADDI tIONAL OCCUPANT
Div.
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until tie building
i�,ls been inspected and a certificate of occupancy ' : 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 Development Servic :: at the time this applica-
tion is filed.
3. Change of occupancy cr 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 1. jilding in a different division of the same group
1 of occupancy or in a different group of occupancy, a change of Occupancy inspection fee of $30.00
shall be paid to the city.
O� 4. Huntington Beach Fire Code Section 10.208 requires that building numbers mug* be a minimum
of four (4) inches in height with one half ('Y) inch stroke, and of a contrasting color from the back-
ground. These numbers must be posted on your building in F location that is visible from the street.
5. Huntington Beach Fire Code Se(.tion 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
SQUARE FT. OF BUILDING PLAN CHECK NO.
OCCUPANCY GROUP PERMIT 110.
OCCUPANT LOAD — ADMIN. ACTIOV
NO. OF STORIES
CERTIFICATE OF OCCUPANCY FEE
APPROVED BY DATE CHANGE OF OCCUPANCY FEE
TOTAL
75-039 REV. DEVEL10-i"i "i[ENT SERVICES
NO. PARKING SPACES
HEALTH DEPT. APPROVAL _
UTILITIES RELEASED-2t✓�o✓j
FeJJBO
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH March 6t 19v7
DEPARTMENT OF DEVELOPMENT SERVICES Date
HUNTINGTON EFACH
Address 1 f1 ] '17 "Arl i�+n�c �� District
Business Name I-e-se;,LL — _, la"11^a r'g+^z 2� D ��,�r _ Tel..`jt--o-1 r` 7
Business Type :pan?;, C aryigo compal4y Occ. Grc ,;_g;
BUILDING OWNER BUSINESS OWNERWANAGER
Name T ilc 'inOSS Name Vona l cl n _ Morton _
Address 17 611 171t ch Home
Address P - !, - 7;Q',
City Tr-Nri nn Te1474—'11; 0 City Diesurzart Beach Home Te! IL 130
Construction No. F Stories Occupant Load 5 O Sprinklered _
This Certificate W Occupancy
SHALL BE posted in a conspicuous place on
the premises and shall not be removed ex-
cept by the Building Official.
DEPARTMENT OF DEVELOPMENT SERVICES
by
APPLICATION' FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNYINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
HUNTINGTON 0F401 'PRINT OR TYPE ONLY) C.-.TE
Address 10172 Adams Avenue
BL_'ness Name LeaseBy Systewz Corporation
Business Type Bank Service Company _ _ Occ. Group_
BUSINESS OWNERRMANAGER
RI ill r)lf Ir_ rOAIAIF❑
District Huntington Beach
Tel. 7:i4-760-1000 _
Name Business Properties Name Ronald O. Norto,^
Address Address
Fitch Home post Office Box 9785
Address_ _. _ _
City T=i n , CA 92713 1 eI. 714-474- City._—piez 92658 Home Tel. 714-760-
8900 6500.
THIC USE WOULD BE DESCRIBED AS:
E ❑ NEWLY CONSTRUCTED BLD3. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
® EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Bank Occupancy Gr. Div.
SQUARE FT OF BUILDING TO BE OCCUPIED 2800
NOTICE: 1, Occupancy of any building is prohibited and a business license will not be issued until the building has
peen inspected and a certificate of occupancy i� issued.
2. No efewtrical service will be released for an; existing building until the service has b•?en inspected and
certified safe. All applicants for occupancy in an existing building are required to schedule an electrical
'fuse up' insp? !ion in the Department of Development Services 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 determina 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 tc the city.
4. Huntington Beach Fire Code Section 10,208 requires that building numbers must be a minimum of four
lj, t 0 (4) inches in height with one half ('h) inch stroke, and of a contrasting color from the backgrrund. 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 requi es fire extinguisher selection and distribution p9I
the National Fire Protecilon Association pamphlet 1C (see reverse side).
SUPFL-MENTAL IN
OCCUPAI`'.)Y GROUP
OCCUPANT LOAD
NO OF STORIES _
(FOR OFFICE USE ONLY)
PLAN CHECK NO
PERMIT NO.
ADMIN ACTIQP._
'yam, _ CERTIFICATE OF OCCUPANCY FEE
APMOVED BY ATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL
75-039REV DEVELOPMENT SERVICES
ZONING C� � �Z.� ^caml�
NO. PARKING SPACE
HEALTH DEPT APPROVAL
UTILITIES RELE/ ,ED
SUPPLEMENTAL INFORMATION
MAILING Id / -I,)-
BUSINESS ADDRESS Post office Box 8400, Newport Beach, CA 92658
2. Person to contact in case of emergency: Ronald 0. il,)rton
Telephone number: 714••760-6300 �-
3. Does the building in question have electricity? C3Yes
ONO
a. If No, are you requesting that the electricity be OYes
turned on? ®No
4. Th- building is sprinklered? OYes
<> f3 No
5. Operations will produce dust/wood shavings or similar
material? ❑ Yes
13 No
l 6. Operations will involve the repair or replacement of OYes
automobile parts? ONO
If yes:
M (a) Describe the .;omponents repaired or replaced.
(b) Does the op=ration involve the use of an open flame? OYes
0.No
7. The business is drinking, dininc; or assembly use that will
result in an occupant load of more than 50 persons. Ones
IDNo
8. The following best describes my operation:
Office only X
Retail Sales
Warehouse
Manufacturing/Distribution (describe process and end
product)
Restaurant Za e Out Food-
-Medical/Dental
Other (describe)
(0562D) (12/8/86)
SUPPLEMENTAL INFORMATION (Continued)
Does the operation invo..ve ony of the following materials? Oyes
®No
If Yes, 1I1, d1C ate quantities;
Material Quantity
1. Flammable liquids
Class I
Class I-B
Class I-C ,
2. Combustible liquids
Class II
Class III -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
12. Oxidizing matera.al - gases _
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
15 Nitrome.hane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compourd mixtures
containing more than 6G% nitrate
by weight M
18. Highly +.oxi.c material and
poisonous gas
19. Smokeless powder
2C. Black sporting powder
I hereby certify _hat the above information is true and correct to the
best of my knowledge.
r�
Signature
1X05 62D) Ronald 0. Norton, President
Date
(12/8/86)
I 'III-,
1 0
CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
Date
Address :2 District
ie:iT� fib;Hhz'�
Business Name —4-.L!,�, 64- Y-46fibA Tel. ry F 717
Business Type Occ. Group r.
BUILDING OWNER BUSINESS OWNER/MANAGER
Name in; Name
Home
Addressi Address
Home
City Tel. 1. 1 City rN Tel.
Construction No. of Stories Occupan!Load i Sprinklers
CONDITIONS OF APPROVAL
DEPARTMENT OF COMMUNITY DEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the by
Building Official.
3
0
COMMUNITY DEVELOPMENT
,l
HUNTINGTON RWA
APPLICATION FOR CERTIFICATE OF (>CCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ^NLY)
DATE
Address 1 U Anam./) Aur Ht-41yrlNL�N-District
Er:r-ecTtq F
Business Name .84 &JI< 6 F 6P L 1 Alf)p Tel. �i5 - 9
Business Type ,Jf 9 m) x Occ. Group
BUILDING OWNER �� BUSINESS OWNER/MANAGER
Name a,511JE65 &Pc-*P'71�!, fA)R7N62e6_t P Name CJ0P_eTTl4 Ont.AIJn
F 1 1 �1-1 /u�Home ��_O /`' NOQ.TNFIEL
Address �7�2h: Address ( •
City % 1? V WF� OA 9a7// Tel. 47 "on City �!� �i i Ff f^fD Home Tel. 277'dM9
THIS USE WOULD BE DESCRIBED AS:
❑ NL,JLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any
SQUARE FT. OF BUILDING TO BE OCCUPIED3L�
Occupancy Gr. _Div
NOTICE: 1. Occl span-y of any building is prohibited and a business license will not be issued until the building has been
inspected and a certificate of occ�---zr"ncy is issued.
1 2. No electrical service will be releasea .,r any existing building until the service has been inspected and
' certified safe. All applicants for occupancy in an existing building schedule an electrical
F p p y g g are requiter' to sch„
'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 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
` n or premises which would place the building it a different division of the same group of occupancy or in a
C`Ul different group of occupancy, a change of occupancy inspection fee of $ �"2�45 shall
be paid to the c;i
4. Huntington Beach Fire Code Sectioo 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. Huntingtor, Beach Fire Code Fiction 10.301 requires fire extinguisher selec ' n and distributi . n per the
National Fire Protection Association pamphlet 10 r�ee reverse side).
SUPPLEMENTAL INFORMATION
® OCCUPANCY GROUP
OCCUPANT LOAD _
NO. OF_$TORTES —
(FOR OFFICE USE ONLY)
PLAN CHECK NO
PERMIT NO. —
ADMIN. ACTION_
cK jjrjGERTIFICATE OF OCCUPANCY FEE
DATIE1 CHANGE OF USE OR OCCUPANCY FEE
TOTAL
L/
r C4_ rf2__-
ZONING
NO. PARKING SPACES —
HEALTH DEPT, APPROVAL
UTILITIES RELEASED
a
I
75-i'65 Rev, 6M
COMMUNITY DEVELP.
SiIE PEbMENTA% INFORMATION
1. BUSINESS ADDRESS jr)J22 � 10T_10�)Toto aer L_.,
Person to contact in case of emergency: ET' f)
Telephone nuMber : -71 q - 7:ZI - 9
3. 1.)oc-s the building in question have electricity? 0Yes
15NO
a. If No, are you requesting t%st the electricity be 4ye:3
turned on? t-7NO
4. The building is sprinklered? )iYes
ONO
5. Operations will produce dust --'wood shavings or similar
material? Ores
No
6. Operations will involve the repair or replacement of Dyes
automobile parts? LqNo
if yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? O`!es
Io No
7. The business is drinking, dining or assembly use that will
result in an occapent load of more than 50 persons. ®Yes
® S. The following hest describes my operation:
Office Only
Retail Sales
warehouse
Manufacturing/Distribution (describe - oceaia and end
product) --
Mod ical/Dental
Other (describ*)_2QMMF,2ni,,', < /-} r!/i(l�
C>
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? Oyes
P,NO
Tf Ces— ndi-c e q u a n t i ties: -..
Material Quantity
1. Flammable liquids
Class i- A
Class I - B
Class I-C
2. Combustible liquids
Class I1
Class III -A
3. Combination flammable liquids y
4 , Flai,i.. _ r _e gases
5 Liquefied flammable gases
6. Flammable fibers - loose
7. Flammable fibers - baleen
8. Flammable solids
9. Unstable materials
10. Corrosive liquids
11. Oxidizing material eases
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
Y 2oisonou,-r gars
19._Smokeless powder
20. Flack sporting ponder
I hereby certify that the above information is true and correct to the
best nP my knowledge.
p
South Coast
AIR QUALITY MANAGEMENT DISTRICT
915C FLAIR DRIVE, EL MON T E, CA 91731 (,818) 572-6200
DATE: March 8, 1990
TO: Anytown Building Department
FROM: Arthur Lawler, Air Quality Engineer
SUBJECT: BUILDING PERMITTING UNDER AB3205, WATERS BILL
Regarding PLAN CHECK #: 90-12345
LOCATION: Join. Doe Inc.
12345 Main St.
Anyt w n
S A M P L E S A M P L ES A M P L E S A M P L E
ThiS site has met or is meeting thr2 requirements of Section
42303 of the Health and Safety Code and the requirements Zor
a permit to construct and operate for the South Coast Air
Quality Management District
APPLICANT HAS .? LL REQUIRED PERMITF FROM THE SOUTH
COAST AIR QUALITY MANAGEMENT DISTRICT FOR THIS
SITE AND/OR PLAN CHECK ONLY.
APPLICANT HAS FILED FOR PER*`- - � TO CONSTRUCT
EQUIPMENT WITH T%E SOUTH AIR QUALITY
MANAGEMENT DISTRIi.'T .
APPLICANT IS EXEMPT FROM PERMIT REQUT.REMENTS AT
THIS SITE AND/OR :CLAN CHECK ONLY.
REVISEDTj 13/89
x,... ...---..V.._`__ ._....... (.
..... _•__•._ .,
l:..::.. _.... ..
.fix 'w�.+ "emu. _.
FC`
Assembly Bill 3205 requires the Building Departments not to
issue the final certificate of occupancy unless the
applicant has met or is meeting the requirements of the
District, The Building Department must obtain a written
release from the District to show the applicant has complied
with this law. The attached check list is designed to help
thu applicant and the building departments to meet these
requirements.
1. The applicant ( the same person applies permits from the
Building DepartmenW mast fill the check list w`aich can
be obtained either at the Building Department or at the
District.
2. If all boxes i4i the list are checked "no", the Building
Department can accept the check list as the release.
3. If, there are any "yes" answers in the list, the
applicant must contact a District en_J-zaeer by calling
(818-•572 6406, 818--572 6111, .818--572 6261 ) to find out
whether air permits are required for the proposed
construction project.
4. If air permits :are not required, the applicant will
obtain a written release from the District engineer.
5. If air permits are required, the applicant must submit
the necFssary permit applications before the release can
be issued A sample copy of the release is att•--ched.
Because of the time it may take kor the District engineer to
go through above procedures, the applicant is advised to
contact the District immediately after applying for Building
—N permits.
n
myl/al AB320SID
2
0
SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subject Property:
Property Owner name:
a
Name of the Person Preparing this form in print and signature
Name_ Signature __ _
Phone #
The person ).) apa:>ring this form must be the same person applying for
building pe7..,-ts. Please answer the following questions regarding 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
YES NO
1. Does your facility use any internal combustion
engines greater thax: 50 -HP?
2. Does your facility involve mixing, blending, or F 1
processing any solvents, adhesives, paints
or coatings?
3. Does your facility create any dusts or smcke?
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 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. Is the subject building located within one thousand
(1,000) feet of any sehoel? C�
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all columns, you do not need an 21.ir Q,,zality
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) S72-61.11, (818) 572-6261