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Home My WebLink About10172 Adams Ave - CofO (5)t CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH ; 9/01/96 Date 10172 ADAMC Address District _ RICHARD G7. LONG INC. r1l4-�965-5997 Business Name Tel. Ci1FICE (MAIL ORDER) B Business Type Occ. Group BUILDING OWNER BUSINESS OWNER/MANAGER BUSINESS PROP'n_ t � TONY FOttobhhg Name F Name 17631 FITCH '� Home 9122 ADAMS AVE Address" Address IRVINE 714-474--8' 00 H.B. Home 965-5997 City Tel. City Tel. 24 Construction No. of,Stories Occupant Load _ Sprinklers _ coNbITIONS OF APPROVAL o _ k: 1 1 y This Certificate of Occupancy, SHALL BE posted in a conspicuous place on the premises and shall not be removed except by the Building Official. t DEPARTMENT OF COMMUNITY DEVELOPMENT by i COMMUNITY DEVFLOPMENT A 10�j APPLICATION FOR CERTIFICATE OF 0 ZUP Y CITY OF HUNTINGTON BEACH DEPARTMENT OF'�OMMUNITY DEVEL PMENT HUNTINGTON KAQ1 (PPMT OR TYPE ONLY) Address _L }Z Business Name 1CW41Z0 6-- Business Type �Q9etoc - BUILDING OWNER DATE District Tel.?&. Z5. -57cl';L Occ. Group 45 BUSINESS CWNERIMANAGER Name 622 Nam- Home G/f Add,ess�i�tf ! Addre�sss q, city—/ � Tel. ' CityYr-05• Home Tel. ;5L - THIS USE WOULD BE DESCRIBED AS: VW LY CONSTRUCTED BLDG. 1-1CHANGE OF OWNER CHANGE OF OCCUPANT TING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any�G� Occupancy Gr. /5 Div. _ SQUARE FT OF BUILDING TO BE OCCUPIED -:>1T 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 occupancy in an existing building are regjired to schedule an electrical 'fuse up' inspection in the Department of Community Development at the time this application is filed. 3. G;hange of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order tc determine if a change maybe madein the characterof occupancy or use of the building or premises which would place the building to a different division of the same group of occupancy or in a Different group of occupancy, a change of occupancy inspection fee of $ shall b�- 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). ( (FOR OFFICE USE ONLY) - p � SUPPLEMENTAL INFORMATION OCCUPANCY GROUP / � PLAN CHECK N : �/� ZONING i-"T r I NO. PARKING SPACES OCCUPANT LOAD PERMIT NO. HEALTH DEPT APPROVAL NO. OF STORIES ADMIN ACTION UTILITIES RF EASED , T!�6 - , 1 CERTIFICATE OF OCCUPANCY FEE $ APPROVED BY DATE CHANGE OF USE OR OCCUPANG 'r FEE $ TOTAL $ _ 75-039 Rev. 11/90 COMMUNITY DEVELOPMENT (D South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AM Q-UALITY PERMIT CHECKLIST for nonresidential buildings only Company Name: lzl C/,mm fa . L0 Location of Property: _ Zip Code:<Zo r)[.,� City:jiF ' Contac; Person: �. �� 'Tit1P:— Telephone Number: � j�' �' ' Fax Nu-nber: Type oflndust y/Business: To apply for a nonresidential building permit, you must complete this checklist. If you have any questions about completing this checklist, please call (900) 388-2121. YES NO 1. Will the facility have a charbroiier: [ ]r 2. Will any internal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? [ ] [x] 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? [ ] D4 8. Will any acids, solvents, or motor fuel be used or stored at the facility? r ] r �] 9. Will any organic liquids or gases be reacted or produced? [ ] Del 10. Will any ovens be used to dry or cure products at the facility? [ ] [xf 11. Will any CFC (Freon) recycling inachines operate at th7711� Al pplicant: 11GU4 _ Signature:7 (Print name clearly 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 &c South Coast Air Quality Management District (AQIliD). Please read the requirements on the back of the checklist. (800) 388-2121 ADDPTIONAL SUPPLEMENTAL INFORMATION SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS / D / 2--2 Ap4,�J,S^A'�. 2. Person to contact in case of er,tergency*!J`>''� Telephone number: 3. Does the building in question have electricKy ? NYes No (a) if No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes No 5. Operations will produce dust/wood shavings or similar material? ❑ Yes Pg�No f. 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? f No If Yes: (a) Describe the ep sec or 're i4z;c (b) Dues the operation involve the use of an open flame? ❑ 'yes ❑ No 7. The business is drinking, :dining or assembly use that will result in an occupant load of more thap 50 persons. ❑ Yas No 8. The foilo best describes my operation; Office Only Retai ales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant ``iaKe Out Food Medical / Dental Other (describe) SUPPLIMENTAL INFORMATION SUPPLEMENTAL INFORMATION (Continued) r Does the operation involve any of the foll.:)wing materials? Yes No If Yes, indicate quantities: Material Quantity _ 1. Flammable liquids Class !-A Class I-B Class I-C 2. Combustible liquids Class II Class Ili -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 materia . 10. Corrosive n liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material -solids 14. Crjanic 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 poisonous gas 19. Smokeless powder _ 20. Black sporting powder _ I hereby certify that the above information is true and correct to the b of my knowledge. Signature Date r '�`�) � � � �.�� ter- � �E✓V � - � �� .�,; , ,, � APPLICATION FOR CERTIFICATE OF rOCUPANCY CITY 'N. HUNITINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT (PRINT OR TYPE ONLY) /� 079 QTE Address ®� 7? /,j vim J _ •", %f i /" 7jgislrict Business Name_. f�dS . �,p r.� f[/ 12� �/ �-S �� Tel t/PV 17�¢51-57'100 Business Type e��i� -•6 Occ Group BUh y6'6WjJER / BUSINESS OWNER/MANAGER Name Name ✓�s�10�✓✓`J"� Home Address Address City<�P�6'�9 �� ,TPI City Home w* HomeTely�� THIS USE WOULD BE DESCRIBED AS: ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT ❑ EXISTING BUILDING ❑ CHANGE OF USE ADDITIONAL OCCUPANT Indicate former use, if any_ _ Occupancy Gr Div SQUARE FT. OF BUiLDINC BE OCCUPIED zoo sa 4i" NOTICE. 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 Nil) be released for a -1y 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 application is filed. 3. Change of occupancy or use inspection fee. WI•enever it is necessary to make inspection of a building or premises in order to determire if a change may be made in the character of occupancy or use ofthe building or premises which would place the building in a different division of the same group ut 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 it height with one half (1/2) inch stroke, and of a contrasting color from file background. Thee number ,nest be posted on your building in a location that is vi3ible from the street. 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher se!ection and distribution per th-- National Fire Protection Association pamphlet 10 (see reverse side). OCCUPANCY GROUP_—�__�_ OCCUPANT LOAD_—.__---__ _ NO OF GTORIES A ,1 VED EY DATE 75-039 Rev. 1/97 (FOR OFFICE USE ONLY) PLAN CHECK NO PERMIT NG _ ADMIN ACTION_ ZONING NO PARKING SPACES — HEALTH DEPT APPROVAI LITILiTIES RELEASED __ CERTIFICATE OF OCCUPANCY FEE $��—_ CHANGE OF USE OR OCCUPANCY FEE $ T01AL $ SUPPLEMENTAL INFORMATION ION i �. BUSINESS ADDRESS 5�6 �Cv 2. Person to contact in case of emergency - Telephone number: 7� ��-5��.Z_. 3. Does the building in question have electricity? 1Yes ❑ No (a) If No, are you requesting that the electricity be ❑ Yes turned on? ❑ No 4. The building is sprinklered? ❑ Yes No 5. Operation. will prouuce dust/wood shavings or similar material? ❑ Yes No 6. Operations will invoivE the repair or replacement of ❑ Yes automobile parts? J9NN0 If Yes: (a) Describe the components rapaired or replaced. (b) Does the operation involve the use oll an open flaerie? ❑ Ye.3 ❑ i�`o 7. The business is drinking, dining or assembly use that will result in an occuant load of more than 50 persons. ❑ Yes g No 8. The following best describes my operation; 51psales Only Warohouse Manufacturing / Distribution (describe; process aria end product) Restaurant / Take Out Food Medical i Dental Other (describe) �� — 1� 4) �") D ID 11, CE U E t-FF A I aPAMATMN Does thr- - Ff-ye-c-- mc Ite OuavlVtv RsF 2, 3. -3iammab;e lquidS cllilma.L "-3aseas 'x i d �.7 i rf liauids f. OxIoji,ing jjjalr'rjjj soj, s 14, O-Irc,,,;,tc rrure:han b,,,. weight S. Highly t(-,;c ;,nattern! are: poisonous gas 20. Biacil," 6portz?,,,g '�erouy o-ftify uo" Lhe best al. krlovvll'- e- Signa,ure drive and correct to D e Yes No South Coast AIR QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALITY PERMIT CHECKLIST for nonresidential buildings only / Company Name: /% I , '9<—; 1&1'j'1/ ff- Location of Property: City: Zip Code: `I`Z6 Contact Person: .1,*,4lt--,- Title: Telephone Number: t„� �u� `�� % �D Fax Number: C7/y) F6 4/' Type of IndustryBusiness: To apply for a nonresidential building permit, you must complete this checklist. It you have any questions about completing this checklist, please call (800) 318-2121. YES NO 1. Will the facility have a charbroiler? [ ] 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 refming 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, [ ] [ p ,.f E ,G Ap1,..cant: _ �w lam" � �✓' S Signature: �- (Print name clearly) If you have ma aced "NO" in all the boxes, an air quality permit is not needed at this time, and this checHist is your written release. If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality MCanagem err t District (AQ.MD). Please read the requirements on the back of the checklist. (8V) 358-2121