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HomeMy WebLinkAbout10122 Adams Ave - CofOCERTIFICATE OF OCCUPANCY 020 - 6L 0 CITY OF HUNTINGTON BEACH - DEPT. OF PLANNING & BUILDING APPLICATION HUNflNCrON REACF Business Address 10122 Adams Blvd Business Owners Name Liberty coin, LLC Business Name Huntington Beach Coin Exchange Business Type Retail (3`d Floor — The Applicant Must Apply In -Person) Date 1/28/2016 Zip Code 92646 Telephone No.800-400-0824 Bus. Phone 800-400-0824 Property Owner Information (required) Tenant/Emergency Contact (required) Name Business Properties Partnership #15 Name James Foster. Address 17631 Fitch Home Address 18941 Clearview Ln City Irvine State/Zip CA 92614 City Huntington Beach State/Zip CA 92648 Telephone No.949-470-8900 Telephone No. 562-400-7116 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or 0 Existing Building IS THIS BUILDING FIRE SPRINKLERED? ❑ Yes NNo CHECK ALL THAT APPLY: X Change of Business Owner ■❑ Change of Occupant ❑ Change of Use ❑ Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity .be turned on? ❑Yes ❑■ No ■ Will operations produce dust/wood shavings or similar material? ❑Yes ❑■ No ■ Will operations involve the repair or replacement of automobile parts? ❑Yes ❑■ No 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 9 No ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? ❑Yes N No ■ The following best describes my operation: ❑ Office Only ❑■ Retail Sales ❑Medical/Dental ❑Warehouse /Manufacturing/Distribution ❑ Restagrant/Take-Out Food [:]Other ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? ❑ Yes ❑■ No If you answered yes, please proceed to the next question. • Does your facility currently have a grease control device (i.e. grease trap or grease interceptor)? Check one: ❑ Yes ■❑ No ' For Official Use Only (� Occ Group: Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: I f`k Date: IMP Conditions of Approval or Other Notes: Area: Area: IOcc Load: ✓ Area: _ No. of Stories: Entitlement #: Occ Load: Occ Load: TIF Review: Y/ Zoning: Building Reviewed By Initials: Date: I Grease Interceptor Verified Inspected By Initials: Date: a South Coast— Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 • t" (909) 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: Huntington Beach Coin Exchange Property Address: 10122 Adams Ave City: Huntington Beach Contact Person: James Foster Type of Business: Retail Zip Code: 92646 Title: President Telephone: Fax Number: 562-988-8777 e-mail address: ord!er,@Iibertycoin.com Applicant (print name): James Foster Signatu� ���-- Date: 1 /28/2016 • Will the facility have any of the following eq 'pment? 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 l 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❑ No* 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- M 46 M 45 . g Group Definiti A building ar structure, or a portion thereof, for the display and sale of merchandise, and involving stacks of goods wares or merchandise, incidental to such purposes and accessible to the public,