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15121 Graham St - CofO (37)
f 1 I CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH �y DatE J Address i• i ' s'-. #' .:�a District Business Name L _ i. Tel. Z ° Business Type ! t't. ` M t '9 f E'1 Occ. Group r BUILDING OWNER 7 4BUSINESS OWNER/MANAGER Name Name t Home I a r x,,C;T r t Address " x.t a�F, rl a Address r�w �- a i.ds.Y izP L I =c,<:. Tel. r 1 "t. City Al r Ck Home �' �� 4 'C City `' ` ` Construction No. of Stories Occupant Load 4Sprinklers CONDITIONS OF APPROVAL DEPARTMENT OF COMMUNITY DEVELOPMENT 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. COMMUNITY DEVELOPMENT I i a APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH fiLlf',TINGTON nor' DEPARTMENT OF COMMUNITY DEVELOPMENT /A/ 1PRINT OR TYPE ONLY) DATE Address � �J � ! l � �G �c,�'1 �-E'. � � (� j District Business Name G /�'� f%Js.aia _ .._ _ Tel Business Type r"— Occ. Group !n, BUILDING OWNEP BUSINESS OWNER)MANAUER Name_ 5a I'117Pt�Q� Namer— u Address— .` Z 4-C of Yr ff"--' Address Ott II�rst.rca�,r. City L J I 2f TeI D3P, 8-=s/ZbIty �i G' Home Tel.214_6_-8o co THIS USE WOULD BE DESCRIBED AS: -X ❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER ElCHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ® ADDITIONAL OCCUPANT Indicate former useif any_ t!, i t-5 Occupancy Gr. -Div SQUARE FT OF BUILDING TO BE OCCUPIED. � 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 would place the building in a different division of the same group of occupancy or in a JIY different group of occupancy, a change of occupancy inspection fee of shall /� be paid to the city. 4 G / . 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 selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION 2 ZONING/ SPACES OCCUPANCY GROUP `" PLAN CHECK NO — NO PARKING OCCUPANT LOAD _'— PERMIT NO _ HEAt.TH DEPT APPROVAL NO OF STORIES ADMIN ACTION UTIi_ITIES RELEASED CERTIFICATE OF OCCUPANCY FEE S APPROV7 BY DATE CHANGE OF USE OR OCCUPANCY FEE TOTAL 50�4flev6;e6 COMP41UNITY DEVELP. i .i SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (Nonresidential Buildings Only) Location of Subject Property: /619 15;/ Property Owner name: Phone # Name of the Person Preparing this for; in print and signature Name Name Jv[<�� L;",�^lloc ��f Signature The person preparing this form must be the same person applying for building permits. Please answer the following questions regarding your proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER TO A QUESTION MARK IN THE "YES" COLUMN: SCAQMD PERMITTING CHECKLIST YES NO 1. Does your facility use any internal combustion engines greater than 50-HP? 2. Does your facility involve mixing, blending, or processing any solvents, adhesives, paints or coatings? 3. Does your facility create any dusts or smoke. 4. Does your facility refine any liquids or solids? Reclaim any metals? 5. Does your facility plate or coat anything? 6. Does your facility have any combustion equipment n i.e. boiler, furnaces, broiler, baking ovens, etc.) rated greater than 2,000,000 BTU/HR? B 7. Does your facility handle or store solvents or motor fuel? 8. Igo you use or store any acids? 9. Do you use any chemical process? 10. Do you use any solvents for clean-up? 11. Are you a dry cleaner, restaurant with a charbroiler, �. body shop, gasoline station, printer, or part coater? 12. Is the subject building located within one thousand (1,000) feat of any school? PROPERTY LINE TO PROPERTY LINE. GRADES K-12. If you have marked "NO" in all columns, you do not need an Air Quality permit at this time. If you have marked any questions in the "YES" Column you must contact the. South Coast Air Quality Management District located at: 9150 FLAIR DRIVE, EL MONTE, CA 91731 Please call these offices: Plan Check (818) 572-6406 (818) 572-6111, (818) 572-6261 D:AL00603 SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS lif Z.O -Vv�/D1 '5"'J'q rc, of 2. Person to contact in case of emergency: ;70j"-c Telephone number: 3. Does the building in question have electricity? p Yes f ONO a. If No, are you requesting that the electricity be Oyes turned on? ONO 4. This building is sprinklered? Oyes ONO 5. Operations will produce dust/wood shavings or similar material? O Yes ,SNO 6. Operations will involve the repair or replacement of ©Yes automobile parts? ;No If yes: (a) Describes the components repaired or replaced. (b) Does the operation involve the use of an n fly? OYes ONO 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. Oyes Ito 8. The following best describes my operation: Office Only Retail Sales warehouse Manufacturing/Distribution (describe process and end product)� _} �Lre r'' ,� xJ e tauran Take out rooc Medical/Dental Other (describe) (Os62D) (12/8/86) L SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? 0Yes I O if Yes, in ica a quantities: 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 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material - gases 12. Oxidizing material - liquids 13. Oxidizing material solids ~r 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures containing more than 60% nitrate by weight 18. Highly toxic material and —poisonous gas 19. smokeleas owder 20. Black Sporting powder I hereby certify that the above information is true and correct to the best of my knowledge. i Signature Date (0562D)