HomeMy WebLinkAbout15053 GOLDEN WEST - CofOCERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 0/0c/C''c
Date
Address iff. lk District
Business Name CL LY'w K1rLLL PARLGii Tel. 't 14 e—C1"t 1'
Business Type 1 EI GnUU1.11IN 1 Occ. Group
BUILDING OWNER BUSINESS'OWNER/MANAGER
Lls�, z•;I � � I�G Fh t t<F'UDDY P.. njICF EL
Name Name '
Horne
Address Address F4 1 C:AETTLIAN FT
City Tel. City kib CIA Te me
Construction No. of Stories Occupant Load Sprinklers
CONDITIONS OF APPROVAL
1 1
4
DEPARTMENT OF COMMUNITYDEVELOPMENT
This Certificate of Occupancy
SHALL BE posted in a conspicuous place on the
premises and shall not be removed except by the by
Building Official. 4.
COMMUNITY DEVELOPMENT
A" b I
r .
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT A IPV I L :)3, 095
rwrmNcrore OFACH DATE
(PRINT OR TYPE ONLY)
Address IIsC� [
5 G7[_ 6G � fq tki 5 i AA
District
BusinessName C_ (0 R C S P00 b LE f 1A K L- 0 K Tel,&@ <3C);L— o I r7 j
Business Type i � R Ob V Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name 5 SiNGS<� UP'F—RTie_s Name Mrz-L ODV P�_ V4(C6jEL_Home %
Address Address
L iq) :) _
City Tel _ City _IkIUN1 TE6-r} Home Tel.
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ,CHANGE OF OWNER . CHANGE OF OCCUPANT
tEXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any a Occupancy Gr. Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED 9 4' ��
NOTICE: 1. 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.
2. 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.
3, 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 may be made in the character of occupancy or use of the building
or premises which wouldplace 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.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in height with one half (1/2) 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.
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selectionanddistribution per the
National Fire Protection Association pamphlet 10 (see reverse s'de).
III
(FOR OFFICE USE ONLY) r�J`
ZONINa 1ATION � 3QSUPPLEMENTAL INFORM
OCCUPANCY GROUP PLAN CHECK NO NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO. HEALTH DE,PT APPROVAL
NO. OF STORIES ADMIN. ACTION_ UTILITIES RELEASED
ERTIFiCATE OF OCCUPANCY FEE $Gj
OVE�rt DAT CHANGE OF USE OR OCCUPANCY FEE
TOTAL
I
-i5-639 Aev 61H6 COMMUNITY DEVELP
`—
SUPKEMENTAL INFORMATION
1.
t 5 o 5 ,'A" - of t� S r
BUSINESS ADDRESS Z (\U.N1-• `"
2.
Person to contact in case of emergency: RSI-Db� t1:E��--
Telephone number: 9(,a--74%S- l-m-rne CP, 0;14t5-F- �3
3.
Does the building in question have electricity?
p`Yes
:.. ..
13 No
a. If No, are you requesting that the electricity be
13Yes
turned on?
ONo
4.
The building is sprinklered?
OYes
'
ONo
5.
Operations will produce dust/wood shavings or similar
material?
OYes
JANo
5.
Operations will involve the repair or replacement of
3Yes
automobile parts?
ONO
If yes.
®'
(a) Describe the components repaired or replaced.
(b) Does t.re operation involve the use of an oWn flast?
OYes
-
ONO
?. The business is drinking, dining or assembly use that will
result in an occupant load of more than .50 persons. Oyes
ONo
r ® S. The following best describes my operations
Office Only
Retail Sales
warehouse
Manufacturing/Distribution (describe process and end
product)
estauran a e ME Fo5d
Medical/Dental
Other (describe) SEn..vtGE- 8US fVt-�
(,0562D) (12/8/89`)
SUPPLEMENTAL INFORMATION (Continued) 4 'T-i
Does
the operation involve any of the following materials? OYes
�Nn
TE Yes,
n ica a quant ties:
Material
Quantity
1.
Flammable liquids
Class I -A
Class I-B
Class I-C
2.
Combustible liquids
Class II
-
Class III -A
3.
Combination flammable liquids
4.
Flammable gases
5.
Liquefied flammable gases
6.
Flammable fibers —loose
7.
Flammable fibers -_baled
8.
Flammable solids
--b
9.
-
Unstable materials
10.
Corrosive liquids
---
11.
Oxidizing material - gases
12.
Oxidizing material - li uids
13.
Oxidizing material -- solids
-_
14.
organi,c_peroxides
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
®
by weight
j 18.
Highly toxic material and
poisonous gas
E
19.
smokeless powder
-
20.
Black sporting powder
I hereby certify that the above information
is true and correct to
the
-/d hest of my knowledge.
CA N
—2j'—d' J& �' 0" C � �' 24
-S-° nature
/ Date
(0562D)