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Home My WebLink About10178 Adams Ave - CofO (2)�J HUNTINGTON BEACF CERTIFICATE OF OCCUPANCY 020 L�P- CITY OF HUNTINGTON BEACH - DEPT. OF COMMUNITY DEVELOPMENT APPLICATION Business Address /!f -Fy i Business Owners Name lt40 5 kA- Business Name u 174 0 X, Business Type o Name LQu. i-1 e, _ 1)O tit — Address /703/ r/Ych City 1y-o'he- State/Zip �p92 Telephone No. /�Di?i/� � bpaf"cC (3rd Floor — The Applicant Must Apply In -Person) 442% S14 Date ,-co Zip Code 92(5 tl JG _ Telephone No3 i D • $p (4• 22-S-8 Bus. Phone / • S_S 90(/ Tenant mer enc Contact equired Name o H Home Address 5 eci _City IrOt "" C State/Zip G� ffelephone No. 6�& • (o • 5_172- THIS USE WOULD BE DESCRIBED AS: Newly Constructed Building or Existing Building IS THIS BUILDING FIRE SPRINKLERED? OYes ONo CHECK ALL THAT APPLY: Q Change of Business Owner OChange of Occupant OChange of Use RIAdditional Occupant ■ Indicate former type of business toff ■ Are you requesting that the electricity be turned on? Oyes No • Will operations produce dust/wood shavings or similar material? EYes @No ■ Will operations involve the repair or replacement of automobile parts? OYes E)No If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? 0 Yes eNo ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? OYes (&No ■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? OYes IoNo ■ The following best describes my operation: OOfficeOnly ORetail Sales Medical/Dental Warehouse /Manufacturing/Distribution ORestaurant/Take-Out Food Other C 0-7Re_d i d 0 ■ Will any meat products including beef, poultry, and/or fish bee cooked or fried onsite? Oyes (DNo 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: 0Yes 0 No For Official Use Onl Occ Group: E w- I Occ Group: Occ Group: Total Sq Ft Occupied: Bldg. Permit # Planning Initials: Date: 21 Conditions of Approval or Other Notes: Area: 1:2- VQ Area: Area: 1 No. of Stories: Entitlement #: T Occ Load: l� Occ Load: Occ Load: TIF Revie(,}� Y/�N� Zoning: A Building Reviewed By Initials�Date: a/'<-7VG South Coast �4 Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182 rkrW,y (909) 396-3529 • http:// www.aqmd.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: /1'lo�rc �.- Property Address: /O/-78 AAOi ,I-t Av�� City: Ah 77 Ct C Zip Code: ZC/ Contact Person: 41JSItATitle:rA Type of of Business: �� f f"�� Telephone: 310 gOL/• 2,7-S-8 Fax Number: e-mail address: CA fC td%. - /tto sly Applicant (print name): A!oa 4 r' Signatur Date: � Z / (i • Will the facility have any of the following equipment? Yes ❑ No M 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[:] 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- 01990-000214 jYes 01991-000215 jYes 01993-000216 IYes 01998-000217 IYes Entered By Date Entered 05/1911998 Default Inspector Status . Issued _.W. Permit Type Certificate of Occupancy Issue Permit? Date 06/01/1998 Origin^� Issued By ^� Building Use - City j Planner Bullring Use - County— V New Building? Plan Checker Description Internal Notes r - • ® .. CofO Number C01998-000217 Choose PrintAll CofO Type I Fees and Payments ,Sheets to Issue Inspections' Issued By Ortega, Robin Single C/O CofO Status Issued rt CofO Date Issued 06I0111998 Temp, CofO Issued -Date Printed Utility Release Date Temp. G0F0 Expiration License Number Click the << button to copy the Business License _ information into the Certificate of Occupancy, Business Name MAMA'S BAKERY Business Licenses Business Name Business Type BAKERY A124412 WATER SOURCE Al80558 WATER SOURCE Business Phone (714) 593-9004 A222042 LIVING WATER A119122 MAIL BOXES ETC Proposed Use Approved Occupied Area {Sq F 1,200.00 Former Use BAKERY # of S o es 1 Conditions I CHANGE OF OCCUPANT (PREY. BAKERY)