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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