HomeMy WebLinkAbout15062 Bolsa Chica St - CofO (2)i
® CERTIFICATE OF OCCUPANCY9 :C7
CITY OF HUNTNgGTON BEACH Date
DEPARTMENT OF DEVELOPMENT SERVICES
NUNtrr MON ab—' i
District -
Rud;ess �u
Bu inoss Name
Fv`£t'txt i ' i ✓ 1`I a a . S .
Tel. 4rf�",��ti
3d ,gym 1c' a...0 pi3�»2
Occ. Grou ¢
Business Type_ �` � -�
BUILDING OWNNER BUSINESS OWNER/MANAGER
Name jr Name
ert "
Home { f_- -'va t iw
Addre� " Adoress rl
7 y l ?.3 f. � n a`Cit T a-1 � ;Oaci'c, ,. a9 _ Home Tel.
City i.3 c , ,ia, ..� �_Tet. City
Construction lNo, of Stories_..__ Occupant Load Sprinklered
DEPARTMENT OF DEVELOPMENT SERVICES
This Certificate of Occupancy
SHALL BE posted in a conspicuous Ilace on
the prerrr es and shall not be removed ex by
cept by the Building Official,
L
DEVELOPMENT SERVICES
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 6/11 / 87 —
�3' DEPARTMENT OF DEVELOPMENT SERVICES
HU?�Tnl TON BE40i ,nRINT oR TYPE ONLY� DATE
Address 15062 Bolsa Chica Road, Huntington Beach, CA 92649 _ Distict
Business Name Potpourri Foundry Inc. _ Tei. 714/895-2069
Business Type Manuf c ring/Assembly Occ. Group,
BUILDING OWNER BUSINESS OWNERINIANAGER
Name Robert E. Winbigler Name t, & J Fanning
Home
Address _2702- JntvCod - AVea e Address
121 Geneva Wal k
_ Address �.—
City Santa Ana, CA 9Z7`tl ___�_Te 4542-8688 City Lang Beach, CA 90803 Home T ll434-33Q4
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER � CHANGE OF OCCUPANT
EXISTING BUILDING U CHANGE OF USE ❑ ADDITIONAL OCCUPANT
indicate to ... ter use, if any _ Occupancy Gr. Dw.
s,7JA-iE FT. OF BUILDING TO BE OCCUPIED 4a
NOTICE: 1. Occupancy of any building is prohibited and a business license wil! not be issued until the bulidin, has
been inspected and a certificate of occupancy is issued.
2. No electrical service will be released for any existing building until the sc.vice has been inspected and
certified safe. All applicants for occupancy in an existing handing are required .a schedule an electrical
'fu, e up' inspection in the Department of Deveiopr .ernt Services at the time this application is filed.
3. Cha ige of occupancy or use inspection fee. Whenever it is necessary to mako -rlspection of a building
cr premises in order to determine if a Change may be: made in the character of c ccupancy or use of the
ll building or premises which wouid place the building in a different diviosion of the same. group of occupancy
or in a different group of occupancy. a change of occupancy inspection fez of
shall be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four
/ ff / (4) inches in height with one half (b"z) inch stroke. and of a contrasting color from the background. These
numbers must be posted on your building in a location Chet is visible from the street.
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per
the National Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY) (1J
SUPPLEMENTAL INFO P/-%TION � ZONING
`)CCUPANCY GROUP _ PLAN CHECK NO. _ NO. PARKING SPACES --
OCCUPANT L^AD PERMIT NO. ------- HEALTH DEPT APPROVAL
ADMIN ACTION UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE $
APPROVED BY DA E CHANCE OF USE OR OCCUPANCY FEE $
TOTAL $
039REV DEVELOPMENT SERV! C4 a
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS 15062 $olsa Chica Rd., Huntington Beach, CA 92649
2. Person to contact in case of emergency:_ Micheal Fanning
Telephone number: ?13/434-3304
W. ?'roes the building in question have electricity? es
0 ONo
if No, are you requesting that the electrimity be Oyes
turned on? ❑ No
building is sprinklered? 0yes
O No
5, s.:rations will produce dust/wood shavings or similar
.aterial? O �S
0
G. Operations will involve the repair or replacement of 0yes—
auton:obile parts?
If yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? OYe,,..s-
_0
7. The business is drinking, dining or assembly use that will
result in an occupant load of mor;. than 50 persons. O
0
8. The following best describes my operation:
officeonly
Retail Sales
Warehouse
Manufacturing]/Distri>tion (describe process and end
product)
Res aarant Take Cat Food
Medical/Dental
Other (describe)
(0562D)
SUPPLEMENTAL INFORMATION (Continued)
Does
the operation involve any of the following
materials? clyes
I: Yes, indicate quantxtzes:
Quantity
Material ---
1.
Flammable liquids
Class I -A
Class I-B
Class I-C
2.
Combustible liquids
Class II
'--
Class III -A
3
Combination flammable iicruids
4.
Flammable gases - -
5
Liquefied flammable gases__
6.
Flammable fibers --loose
7.
Flammable fi.bers_- baled
8.
Flammable solids
9.
Unstable materials
10.
C_arrosive liquids� -_
11.
Oxidizing material - gases�
12..Cixidizing
material - liquids
13.
Oxidizing material - solids _
1.4.
Organic peroxides --._
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
-
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight--
r
18.
_
Highly toxic material and
�
Poisonous qas - r.---
--
19.
Smokeless owder
----
20.
Black seorting powder
'-
I hereby certify that the above information is
true and correct to the
best of my knowledge.
G
�� ~ Signature_
Date
t12/8/86)
(0562D)