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Home My WebLink About10104 Adams Ave - CofO (2)2M • JI HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 020 CITY OF HUNTINGTON BEACH — DEPT. OF PLANNING & BUILDING APPLICATION 714/536-5241 (3'd Floor — Must Apply In -Person) Business License # A I F, j �2 Date J q/ l 2 Business Address /Q I (�/1 n'IS Zip Code �2 Business Owners Name kl OferU Telephone No.(-7jq).373-5_7d1D Business Name r6-' n I I I ed �jj nc al k Sf rVi ce--s, j nG • Bus. Phone (�/4)37 —r`�"JOG Business Type M n &4"C pker Pro et Owne nformation required) Tenant/Emergency Contact (required) Name ( (f�PS ( Cy Namero Address 12031 Elc:h Home Address GL S City ! V i n -e- State/Zip 012-& City g ( State/Zip Telephone No.(q4:G3) qj]4 -- N66 Telephone No. � -7 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or [Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner XChange of Occupant ❑Change of Use ❑Additional Occupant ■ Indicate former type of business Offf re r P, ■ Are you requesting that the electricity be turned on. Yes[] NOX ■ Is the building sprinklered? Yes❑ NoK ■ Will operations produce dust/wood shavings or similar material? Yes❑ NC`X ■ Will operations involve the repair or replacement of automobile parts Yes[] Nox If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? Yes[] Nod, ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes QNo i ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes ONo ■ The following best describes my operation: X Office Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) Other (describe) For Official Use Onl Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Area: Area: Area: No. of Stories: Entitlement #: Occ Load: Occ Load: Occ Load: TIF Review: Y Zoning: CAr Plnr Initials: Date: D4 10111, Plan Chkr Initials: Date: Insp Initials: Date: Conditions of Approval or Other Notes: DPFIf,G-zv•-pFYtt�G', �W G. of D. Y.iE,(,�'VJ n,Nvy_ Inspection Date: South Coast Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 .. P Y (90�-) 396-3529 • http:// www.agmd.gov Air Quality Permit Checklist California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to a business without clearance from the local air quality agency. This checklist will determine if you need to obtain clearance from the South Coast Air Quality Management District (AQMD). Company Name: Fi rsi A LLi2Gr F7 fzanc a� V i ce5, Inc, Property Address: 10104 6da-MS Ae City: 60 Zip Code: Contact Person: jge[50PJ e -0 Type of Business: M or+opq-e iY Fax Number: (- I1 ) 374 5 Applicant (print name): NE�t� Signature: C °- ' o Date: Title: �J filfA Telephone:tj r e-mail address: NLd+ -O &--- Rrs+AtL(�� c+c»vre.+.a Cr+-�wp-� Lei 2 - 9, Will the facility have any of the following equipment? Yes ❑ No Charbroiler Dry cleaning machine Spray booth Printing press (screen/lithographic/flexographic) Internal combustion engine greater than 50 HP (excluding motor vehicles) Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input) Abrasive blasting cabinet/room Baghouse/cartridge-type dust filter/scrubber Motor fuel storage and dispensing equipment Will any of the following operations be performed? Yes❑ NON Application of paints or adhesives Etching, plating, casting, or melting of metals Molding, extruding, or curing of plastics Mixing and blending of liquids and/or powders Storage of acids, solvents, organic liquids, or fuels Production of fumes, dust, smoke, or strong odors If you answered "No" to both questions, this checklist is your clearance from AQMD. If you answered "Yes" to either question, you must contact AQMD to determine if air quality permits are required. If permits are needed, AQMD will assist you in submitting permit application(s) and then provide you with a clearance letter. You can call AQMD at their Small Business Assistance Office at 1-800-CUT-SMOG (1-800-288-7664). -2- HUNTINGTON BEACH FIRE DEPARTMENT F-B HAZARDOUS MATERIALS DISCLOSURE OFFICE 2000 MAIN STREET • HUNTINGTON BEACH, CA 92648 (714) 536-5676 • FAX (714) 374-1551 HAZARDOUS MATERIALS DISCLOSURE INFORMATION PLEASE PRINT MANDATORY REPLY REQUIRED PRIOR TO ISSUANCE OF BUSINESS LICENSE Complete and return to the Business License Division RD#: Business Name: Fj r� 14LI'l-ed harla"a,l �, eryI 5, (nC. Phone: (-- 14- 73-:B -53iU Business Address: Number Street Owner/Manager: LLOL Nero Description of Business: 447�-nafpr) bffld), 0 (-12(o4V Unit Zip Code Date Business Will Start Operation: Z(p 2 California's emergency response network requires all businesses to notify their local emergency response agency if they store or use hazardous materials above certain threshold quantities. In the City of Huntington Beach, the emergency response agency is the Fire Department, and the method of notification is by filing a Hazardous Materials Disclosure Package with the Fire Department's Hazardous Materials Disclosure Program office. Types of hazardous materials that must be disclosed include: oils, solvents, paints and coating materials, gases (compressed or cryogenic), fuels, and hazardous wastes. You are required to submit a Hazardous Materials Disclosure Package if you store or use hazardous materials in quantities equal to or greater than the following amounts: ➢ 500 pounds of a hazardous solid ➢ 55 gallons of a hazardous liquid ➢ 200 cubic feet of a gas (or the compressed or liquefied equivalent) ➢ Extremely hazardous materials that exceed the threshold amounts listed in 40 CFR 355 Appendix A ➢ Radioactive materials that exceed the amounts listed in 10 CFR sections 30, 40 or 70 ➢ Hazardous wastes that exceed any of the thresholds amounts listed above ➢ Other materials determined to pose a significant hazard to human health and safety, or the environment Disclosure is NOT required for the following types of hazardous materials: ➢ When contained in a food, drug, cosmetic or tobacco product. ➢ When packaged for direct distribution to consumers (retail products). ➢ When the materials are stored, used, or handled at a facility for less than 30 days. ➢ Infectious waste generated by health care facilities. Please indicate which category most appropriately describes your business: No hazardous materials are, or will be, used, handled or stored at the above location. ❑ Hazardous materials are present, but in quantities less that the amounts listed above. ❑ Hazardous materials are used, handled, and/or stored at or above the amounts listed above. A Fire Department representative will contact you at a later date to verify the above information and determine if you need to file a Hazardous Materials Disclosure Package. If you have any questions about the Hazardous Materials Disclosure Program, please call (714) 536-5469 or (714) 536-5676. You can also obtain additional information on the City's website at www.surfcity-hb.org in the Fire Department page udder the section Fire Prevention. I certify, under th ;penalty of perjury, that the above information is true and correct to the best of my knowledge. 6-tt:: F� � i-r N I � �% ) Signature: vr s Trje-• v Home Phone: ? /4- 83 2' 6.7 G 4- Date: --2 Q % 3- -3- i Department of Planning & Building 2000 Main Street - Huntington Beach, CA 92648`' Phone (714) 536-5241 Fax (714) 374-1647 Occupancy Application 4 i! 100a4' _]Adams ° ��syypp10 Apvr6 e ao' fi. 10044 p APN 155-'I81 L9 `a Tea Ap { \ • 9 t > e �% � � a x \ xi ( a 4 Application Binder -�NUM 3 � �5tmet_ �. Unilt, Bid t Job Addres 10104 " Adams Ave �� APN 155-181-28 RD 3920' -Xon+cig CO Lot Tract `Block �; , _ �File Number CofOZ a ) i t v 02002-010794 Yes 02004-012548 Yes 01994-000176 Yes 02001-009951 Yes 01989-000177 Yes 01992-000178 Yes 01997-000179 " Yes 01999-008705 Yes 02003-011600 Yes 02004-012578 Yes 01994-000181, Yes 02002-010708 Yes Sin .'Entered By Date Entered 05/03/2002 s� Default tnspeefpn Status Issued � permit Type' Certificate of Occupancy Issue Permit? date 05/12/2002 r Qrij► Issued By Building � � Planner Talleh, Rami t Building Ue-County New Building? Plan Checker ,,Description ,wy Anternal Notes= Wzmmu'o CofO Number„ 902002-010708 Cho6se Print All _ CofO Type I Fc's "n) me nts ` Sheets to Issue Issued By' SingleC/ CofOStatus Issued in��ections Cof0 Date Issued 06/12i2002 TempMCof0 Issued C—� [date Printed Utility Release Date,, Temp COFO Upuation o Click the « button to copy t'r Business Licence License Number 3 h,, information into the Certific,' , of Occupancy a r{ iESCROW''Lii s Lic nsns Busw r' ' Business Name COAST CiT1ES � � � 6 � _ �a u � - - - f Business Type` ESCROW (OFFICE)',,,A121412_ WAl , ' `�OURCf , A1B0559 WATE ` OURCL Business Phone (714)3789000�` A222042 LIVIN r'ATER A119122 MAIL ^xES ETC & Proposed u3e' Approved OCCVt I ' Area (Fq Ft) 1 56 00 Former Use BICYCLE SALES # of stones l 'Conditions OFFICE ONLY b� i Change of Owner?' , ` D Elec Avadabi,,o M Change of else?, ° a � � Want Electric', � Change of Occupant? Spnnklered? = Additional Occupant? �', Dust / Woody ni��n P,a is D11c t s Group` Aea ��`Construction TypeOccupIcyI id r B A 1� mp 17 17 Group Definitie A budding or structure, or a portion thereof, for office, prcfe records and accounts, eating and drinking establishmer is nking / I ninq ' r)ccupants? "oldr- ,�per�I r i,1em (' a 1 i