HomeMy WebLinkAbout10111 Adams Ave - CofO (16)CERTIFICATE OF OCCUPANCY 02013 -Q0 PI
CITY OF HUNTINGTON BEACH
DEPT. OF PLANNING & BUILDING APPLICATION
(3rd Floor.- Must Apply In -Person)
Business License # 14 Q S-7?UO Date kN//o
Business Address_ jok\k Ve- Zip Code _01?, tub
Business Owners Name ICej Telephone No.-j1q IqGa _ 29cU
Business Name -j,a n.1U�,rj cr, 1,aC _ Bus. Phone
Business Type v
Property Owner Information (required) Tenant/Emergency Contact (required)
Name e4 2��p�-ems Name
Address -� (p j ; Home Addr,,.,�
City_;!taie7,Lip clk _City State/Zip
Telephone No. Telephone No. r"I
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or ;Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner i khange of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? Yes ❑ ❑ Noc
■ Is the building sprinklered? Yes ❑ ❑ ❑No❑
■ Will operations produce dust/wood shavings or similar material? Yes❑ ❑ N(Al
■ Will operations involve the repair or replacement of automobile parts Yes ❑ No )4l If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes ❑ ❑No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ❑ ❑No�Z_
■ Will there by storage racks, gondolas, or shelving exceeding 5 feet 9 inches in height? Yes ANo ❑
is The following best describes my operation: ❑ Office Only P51,Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
❑ Other (describe)
For Official Use Only
Occ Group: Area:
Occ Group: Area:
Occ Group: Area:
/395
Occ Load:
Occ Load:
Occ Load:
Total Sq Ft Occupied:
No. of Stories:
TIF Review:
Y/ N
Bldg. Permit #
Entitlement #:
Zoning:
Plnr Initials: 671, Date: in- II-11
Plan Chkr Initials: A111 Date:
Insp Initials: )—'Date:
1611k[1--3
Conditions of Approval or Other Notes:
South Coast
Air Quality Management District
21865 E. Copley Drive, Diamond Bar, CA 91765-4182
(909) 396-3529 - htpp://www.agmd.gov
Air Quality Permit Checklist
California Government 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:
Property Address:
City:
Contact Person:
Type of Business:
Fax Number:
wL
Zip Code:
Title: wo-ec
y� Vim(, nt Telephone:*�� e - 2clyU
email address:
Applicant: (print name) Rtkca &, \flVb S i gnature 4gv'
Date:
Will the facility have any of the following equipment? Yes 1111 No*
Charbroiler
Dry cleaning machine
Spray Booth
Printing Press (screen/lithographic/flexographic)
Internal combustion engine greater than 50HP (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 ❑ ❑ N6f
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).
Department of Planning & Building
2000 Main Street
Huntington Beach, CA 92648
Phone: (714) 536-5241 Fax: (714) 374-1647
CERTIFICATE OF OCCUPANCY
DZ NUTRITION INC. Cert. Number CO2007-008312
NUTRISHOP HB Date Printed 10/11/2013
10111 ADAMS AVE. SUITE #109
HUNTINGTON BEACH CA 92646
Address:
10111 Adams Ave 109
Permit Number:
02007-008312
Business Name:
NUTRISHOP HB
Business Type:
Retail
Current Use:
RETAIL
Issue Date: 01/17/2008
TCofO Issue Date:
TCofO Expiration:
Approved Sq Ft.: 1,395.00
# of Stories: 1
Occupant Groups: Description: Area: Occupant Load:
M SALES 1395 47
Conditions of Approval:
****NEW BUILDING - NO PREVIOUS C OF O ON FILE FOR SUITE #109****
Contacts:
Contact Type: Name:
DZ NUTRITION INC.
Phone:
(714) 851-8814
Business Owner Address:
10111 ADAMS AVE. SUITE #109
Cell:
( ) -
City / State:
HUNTINGTON BEACH CA
Fax:
( ) -
Zip:
92646
Pager:
Contact Type: Name: BUSINESS PROPERTIES DEVELOPMENT Phone: (949) 474-8900
Property Owner Address: 17631 FITCH Cell: ( ) -
City / State: IRVINE CA Fax: ( ) -
Zip: 92614 Pager: ( ) -