HomeMy WebLinkAbout15121 Graham St - CofO (26)CERTIFICATE OF OCCUPANCY March 2, 1988
CITY OF HUNTRJGTON BEACH Date
DEPARTMENT OF COMMUNITY DEVELOPMENT
'i District
tiuNni iGTON qqw
15121 Gra"ha-M St., #107 213-591-0501
Address Tel - --
B0,KERq Co%,IpANIES EXt. 242
Business Name Occ. Group---B-2
DISTRIBUTION OF MDICAL EQUIPMENT
'1 Y Business Type BJSINE� NERth :�,NAGER
ButLDIN E� ROBERT L. B070TEf:S
{ G.B-.W- DEVELOPMENT _ Name
Name 4 3963 ;:icm�aoldt
520 S. Lafayette Park P1, #7�- Address— - o.40--0774
Address 3n--2610 H.B. HomeT _------
L.A. Tel,__ -- Gity
City_ Sprinklered
Gonst naction ._.------
No of Stories _-----Occupant Load _..--- ---
DEPARTMENT OF COMMUNITY DEVELOPMENT
� This Certificate of Occupancy
in a conspicuous pl ace on
SHALL BE posted
the premises and shall not be Temoved ex- by
cep, by the Building Official.
tli APPLICATION FOR CERTIFICATE OF OCCUPANCY
,¢� CITY OF HUNTINGTON BEACH 2 -2 f _ l; e
DEPARTMENT OF DEVELOPMENT SERVICES DATE
NUMWGTON BU01
1' >z ` / 2 District
Addres, 7
o � %_.____�r� rr+ /u �.✓ � �� Tet 213 s91 - tr �r r
Business Nama Ekh• 2y2-
,.c /,'�•y p I t iG ( �,��fi'•L' R; F^ 00c Group
Business Type •
BUSINESS C�JVNER:h1ANAGER
BUILDING OWNER p�
Name___L` �ei7rn ��•z J
Name_- C✓ �EUG=Lv,o,a,c-� Home
�-� S � •�� r/c'�� ��nk .+�/. �1 iY Address 3 16
Address__,_------� - Home Tel. �`�2� 07 7 �
Gity Tei.21-26!tity ---
THIS USE WOULD BE DESCRIBED AS: lJ II��ttOWNERNEWLY CONSTRUCTED BLDG CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
PI CHANGE OF USE El ADDITIONAL OCCUPANT
El EXISTING BUILDING
Occupancy Gr--�------Div.
indicate former useif and" .._-.—
SC`.UARE FT OF BUILDING TO BE OCCUPIED 30.0 c'
NOTICE: 1. Occu— A any building is prohibited and a businf -s Iicerise will not be issued intil the building has
been inspected and a certificate Of Occ PancY -issued
0. No electrical service waill be released for lv + x ,sting building until the ser, jct- ,gas been inspected and
certified safe. Ali applicants for occupancy , an exl ling buildin are required to schedule an electrical
1 Muse up' inspection in the Department of Development Services at the time th • application is fled.
I t Change of occupancy or use inspection fee. Wi,enever it is necessary to- tT akn inspection of a building
�1 or premises in order to determine if a change may be made in the character Of occupancy or use of the
�V building or premise> ovhich tivcuici place the building in a different division of the same group of occupancy
or in a different group of ocxupancy. a change of occupancy inspection fee of S.
�7 �( shall be paid to the city -
1 i u 4. Huntington Beach Fire Code Section 10.20 requires that ntrai tnumbers Mast be a minimum of four
y l ` (4) innhe s in height with one half C ,1 inct� stroke, and of a contrasting color from the background. These
numbers must be posted on your build,`Ig in a iocation that is visible from ti-,e street.
/J 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per
the National Fire Protection Asseciatior. pannphiet it) (see reverse side).
Ab
'. (FOR OFFICE USE O6 LY) t`ONING •- ' �"
SUPPLEMENTAL INFORMATION NO. PARKING SPACES
PLAN CHECK NO--
OCCUPANCY GROUP— MIT NO HEALTH r7EPT. APPROVAL
PER
OCCUPANT LOAD ADMIN.MIT ACTION UTILITIES RELEASED
NO. OF STORIES -- --
CERTIFi ;ATE OF OCCUPANCY FEE J --
APPR V D BY f DATE CHANGE OF USE OR OCCUPANCY FEE $
APPR V D �BY _
'Z
TOTAL $
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS
2. Person to contact in case of emergency: ---
Telephone number: V. - a7-7 y"
3. Does the building in question have electricity? OYes
10 No
a., If No, are you requesting that the electricity be ®Yes
turned on? ❑No
4. The building is sprinklered? ®Yes
ONO
5. Operations will produce dust/wood shavings or similar
material? OYes
13 No
6. Operations will ins—lve the repair or replacement of OYes
automobile parts? EKNo
If yes;
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? OYes
®No
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. OYes
®No
8. The following best describes my operation.
Office Only
Retail Sales
Wareham I,
Manufacturing/Distribution (describe process and end
product)
Restaurant Take Out Food
Medical/Dental
Other (describe) /1%/Q
(0562D) (12/8/86)
I
i
i
SJPp?.t,un �-A"� TN ORMATION (Continued)
Does the operation involve any of the following materials? )ZNe os
It Yes, 1n icate quantities: 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 liquids
4. Fiammaba.e qases
5 Liquefied flammable gases ------
6. Flammable fibers loose_______ — --
7. Flammable fibers - baled r
B. Flammable solids _
9. Unc._able materials
10 Corrosive liquids _
11. Oxidizing material - rases
12. Oxidizin material - liquids
13, Oxidizin material - solids
14. Organic eroxides _—
15. Nitromethane (unstable materials)
6. xwmenium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
_ by weight
18. Highly toxic material and
pO1SOnolls�_ _
19. ,Smokele;;s owder --
20. itlack s qr
I hereby certify that the above information is true and correct to the
best of my knowled^.
Date
signature
(12/8/86)
(0562D)