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CERTIFICATE OF OCCUPANCY 12 / 0 9 / 9 6
CITY OF HUNTINGTON BEACH
Date
Address 7561 CENTER #10 District —
1 Business Name ADVENTURE GRAPHICS Tel. 714-899^4289
Business Type
ART GALLERY Occ. Group B
BUILDING OWNER BUSINESS OWNERIMANAGER
MONTIGELLO PROP MGMT. :lARY MARSHALL
Name Name
Home 10
Address LA PALMS ST _ Address 7561 CENTER
' iiB. CA Tome 714-899-4289
City ANAHEIM _ Tel. City
Construction No. of Stories 2 G.cupant Load 30 Sprinklers
I CONDITIONS OF APPROVAL
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the
Building Official.
DEPARTMENT OF COMMUNITY DEVELOPMENT
by
COMMUNITY DEVELOPMENT
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGT06V BEACH /
J DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNTRCTON 9EA0i (PRINT OR TYPE ONLY) DATE
Address District n�
Business Name_,Imin/�1}/�%/1?� C1"fL�C Tel
Business Type �' Occ. Group_
% BUILDING OWNER" �1[ BUSINESS OWNER/MA.JAGER
I Name. �` a►-f--�..�'— �;4' — --� ame/ A!/ f
Iy10.vf00_46z -[���vS Q�.r<<s—/!�40Wt 1� // Home +K
Address Ce�l`,CLfs► ,S Z• �dddressf�Zf'4L ld-�S.c/P�42/J CTel, y #ll,J, ,Vr- ,r6!2 %�i� Home TeL%L 'g''
THIS USE WOULD BE Ci ;CRIBED AS: j
El
CHANGE CONSTRUCTED BLDG. ❑ CHANGE OF OWNER �I CHANGE OF OCCUPANT
ZZ EXISTING RI)ILr)ING El CHANGE OF USE / El ADDITIONAL OCCUPANT
Indicate former use. ` anY F _ 7 &_4r��/ Occupancy Gr Div.
UARE FT. OF BUILDING TO BE OCCUPIED foo
NOTICE: 1
2.
Q
t ,���3.
�D
4.
5.
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.
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 required to schedule an electrical
'fuse up' inspection in the Department of Community Development at the time this application is filed.
Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
premises in order to determine if a change maybe made in the character of occupancy or use of the building
or premises which would place the building in a different division of the same group of occupancy or in a
different group of occupancy, a change of occupancy inspection fee of $ shall
be paid to the city.
Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in height with one half (Yz) 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.
Huntington Beach Fire Coda S%;• tion 10.301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
TRAFFIC IMPACT FEE
DATE PAID
AMOUNT RECEIVED _
NAME
SUPPLEMENTAL I ORMATION
(FOR OFFICE USE ONLY) ZONING 5Rt;C' ?LN0 *'
OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD _ PEPIAIT NO. HEALTH DEPT APPROVAL
NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED —
/t-2-6'"91FCFRTIFICATE OF OCCUPANCY FEE
APPROVE BY DATE CHANGE OF USE OR OC UPANCY FEE $
TOTAL `rtQ $ ;
U —�
f r
75.039 Rev. 11/90 COMMUEVELOPAENT
SUPPLEMENTAL INFORMATION
Ae
C�+'�Lti?'��?n�`i�
1.
BUSINESS ADDRESS _7s�—�fy
2.
Person to contact in case of emergency* �'�lS✓ u
Telephone number: 765� 4trzY2��!
i
3.
Does the building in question have electricity?
C�Yes
❑ No 1
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
U"Yes I
4.
The building is sprinklered?
❑ No
5.
Operations will produce dust/wood shavings or similar
material?
Yes
ET'Nli
6.
Operations will involve the repair or replacement of
❑ Yes
autornobile parts?
ON o
If Yes:
(a) Describe the components raapaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ Yes
DIG
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
0--No
3. The following best describes my operation;
Office Only
Detail Sales ,
Warehous
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
SUPPLEMENTAL INFORMATION
allPPLEMENTAL INFORMA' iON (Continued)
i
Does the operation involve any of the following materials? ❑ Yes
o -
If Yes, indicate quantities• s
Material Quantity
1. Flammable liquids
Class I -A
Class I-3
Class I-C
2.
Combustible liquids
Class II
Class III -A
3.
Comt-'nation flammable liquids
4.
FlPtnmable gases
5.
Liquefied flammable gases
6.
Flammable fibers •- Ic,ose
7.
Flammable fibers - baled
a.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids
11. Oxidizing material - gases
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
15. Nitro methane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrite compound mixtures
containing more than 60% nitrate
by weight
18. High!y toxic material and
poisonous gas i
19. Smokeless powder
20. Black sporting powder
y
}
I hereby certify that the above information its true and correct o
the best of my knowledge.
Signature Date
k
I
i
b
South Coast
AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar. CA 91765-4182 (909) 396.2000
AIR QU-A.= PERN= CHECKLIST
for nonresidential buildings only
Company Nave:
Location `off Proper*•: 2-9946V.
City: &,14aA.I ,5u.- Zip Code:
Contact Person: _�j 97 �06 �� Title: 0 4(11/C--A—
Telephone Number: 5/�J- Fax Numb"r:
Type of industry/Business: lg/Lr
To apply for a nor -residential building pe7mt, you mus complete this checklist. If you have any
questions about completing this check -HSL- please call (800) 388-2121.
YES NO
1. Will the facility have a charbroiler?
2. Will any i-:ternal combustion engine xiz� greater than 50 horsepower
operate at the facility (excluding motor vehicles)?
3. Will operations at the facility involve �-xing, blending, or processing of
solvents, adhesives, paints or coatings?
4, Will dust or smoke be generated at the fsility?
5. Will rennlne of any liquids or solids be done at the facility?
6. Will any plating or coating of material be done at the facility?
7. Will any combustion equipment rated geater than 2,000,000 BT-J/hr be
operated at the facility?
8. Will any acids, solvents, or motor fuel be used or stored at the farliry?
9. Will any organic liquids or uses be reacted or produced?
10. Will any ovens be used to drJ or cure product at the facility?
11. Will any C FC (Freon) recycling machines operate at the fa ' 'ry7
Applicant: /�f��-leg/Lf�f�L— /' Signature:
(Print name clearly) C
If you have marked 'NO" in gll the boxes, an air quality permit is = needed at this time,
and this checklist is your written release.
If you m2rked "YES" in any of the boxes, you must contact the South Coast Air Quality
Management District (AQMD). Please read the requirement on the back of the checklist.
(800) 388-2121