HomeMy WebLinkAbout15121 Graham St - CofO (16)10
APPLICATION FOR CERTIFI ATE OF OCCUPANCY
ITN O RF DEV LOPM E AT
S 8! ,_
DEPARTMENT OIN DEVELOPMENT SERVICES 117/24 DATE
HU"NUON BEAM
Address
15121 Graham St dki__: 02 Htl�tinaton_U._,A 9�649 District------ - --
Business Name Gk-aphic ProDortions Inc dba Specialized Graphics , Tel. 714 261-7EU
Ccc. Group —
Business Type Mfg.
BUSINESS OWNERIMANAGER
BUILQING CWMER
Name GBW Partners: Name.
Susan M Smyth/Scott R'Bailey
Home
Address 520 S Lafayette Park Place_ #21:4Address NIA. ---
Los Angeles, Ca 9005Z Te1,213 388 City HdmeTel.
City 2610
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED 6LDG El CHANGE OF OWNER
❑ CHANGE OF OCCUPANT
t'
EXISTING BUILDING❑ CHANCE OF USE ❑ADDITIONAL OCCUPANT
_...Occupa cy Gr.,_.---.----•Div
Indicate former use, if IN
SQUARE FT OF BUILDING C0 BE OCCUPIED— 20:79 --
NOTICE: Occupancy of any buiiding is prohibited and a ousiness license will not oe issued until the budding h.:
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 Bare. All applicants for Occupancy in an existing building are required to schedule is n electlrical
'fuse up' i Ispection M the Department of Development Services at the time this application
3 Change of occupancy or use inspection fee. Whenever it is necessary to make nspectton 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 different group of Occupancy, a change of occupancy inspection fee of
shall be paid to the city. that building numbers must k e a minimum of four,
1a(6 ��'� 4, Huntington Beach Fire Code Sect - on situ requires
( (4) inchesn. in height With one half (?/i} inchh stroke, and of a contrasting color from the background. These
numbers must be posted on your building in a location that IS visible from electtion ion ,
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher seland distribution per
the National Fire Protection Association pamphlet 10 (see reverse side),
(FOR OFFICE USE ONLY) ZONING lI � L�� 29-` 7
"SUPPLEMENTAL INFORMATION
7 !!! PLAN GHECV NO. NO. PARKING SPACES -- --
OCCUPANCY GROUP..-- --� ------ PERMIT NO — HEALTH DEPT.APPROVAL
OCCUPANT LOAD ADMIN-ACTION UTILITIES RELEASED
�AP
. OF TORIES
�fj .� CERTIFICATE OF OCCUPANCY FEE
DATE CHANGE OF USE OR OCCUPANCY FEE $ _--
P ED BY TOTAL
7"39 aEv DEVELOPMENT SERVICES
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS l Z f*116
zo
?C� 2. Person to contact in case of emergenC cc,Z
Telephone number: t 7L
3. Does the building in question have electricity?
❑ Yes
Mo
a. If No are you requesting that the electricity be
turned on?
� ❑ No
4. The building is sprinklered?
5. Operations will produce dust/wood shavings or similar
k material? ar ONo
C3Yes
( 6. Operations will involve the repair. or replacement
automobile parts: of Oyes
i If yes:
(a) Describe the components repaired or _replaced.
(b) Does the operation involve the use of an open flame? ❑Yes
7 The business is drinking, dining or assembly use that will
result in an, occupant load of more than 50 persons.
_ OYes
8. The following bestdescribes my operation:
Office Only
Retail Sale
Warehouse
',Mi nufacturing Distribution (describe process and end
product)
Restaurant fia e Out Foo ���
Medical/Dental
other (describe)
--
(05620) (12,/8/86)
i
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? ❑YP,,s
If
Yes, indicate quantities:
Material
Quantity
1.
Flammable liquids
Glass I -A
Class I-B
Class I-C
2.
Combustible liquids
Class IA
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
14.
Organic peroxides
—
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
by wei hg t
18.
Highly toxic material and
poisonous . as
19.
Smokeless powder
20.
B1acP; sporting powder
I here certify that the above information
bes m�
is true and correct to the
of knowle ge.
lwws/
t Q�7 f
L 1 r
Date
(0562D)
(12i8/86)