HomeMy WebLinkAbout15121 Graham St - CofO (13)HAe
t�CERTIFICATE OF OCCUPANCYCITY OF HUNTtNGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES gate
HUNT114MON BEACH
Address
District
Business Name d a F a t*.:ItiECd : e� kda :r° s 3.sii( Tel.39Z' y
Business Type 7i3. S c :isµ. t .OLa, ` a a test Of bathQwLt .�: x—z;.urcls
YP — Occ. Group s
BUILDING OWNER BURINESS OWNER/MANAGER
Name Ya1d 5 ti'_y$ z_s > Lite. jel :silact to
Name
Address s 43 ',afayoti?.Q Park 4214Home 17782 Altamirano Ln.
Address
City i.cg" 7lT 4L. ,I C-YrTel: L ? A1 0 City T"T int ] E3`aof i_ on_.B(!a b "Y
Home Tel. a �117 kid cG
F:
Construction- No: of Stores_ Occupant Load � Sprinklered
This Certificate of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on
the premises and shall not be removed ex-
cept by the Building Official by--r'
DEVELOPMENT SErVIC€W
MAPt,Ll0A1I'JN ! 011 C.L j111HUATE, OF 0(XUPANC:Y
CITY ()F WjNtINOTON BE,'WH
LlEPAHIM�.NT OF `.)E\111OPMENT SERVICIFti
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THIS USE WOULD BE DESCRIBED AS-, CONI I PAN
r 1 61, L 1, L J 0 iA%,
S — I
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Ut 0INvI
Bk
TO 0,t
q,jnj�,� of wv will not! --
NIL) I IL;tl 0c, .1,
i
k�iOl 0n,
No electrical SOTvice Wk 01' it
I, 'Itijj�,tj �tte All �- JI ATI !1100
ltlt -,. it
tion fee. V.how,—f 0 flt'� t"!,
t Change of occupancy or ure InSpec I'l "fj�, %,• kit jjjt�
Of pfellw,t—, III to Jt1-1i-!1tt!;I,- 11 1 ;
bwMillk - 1kit Vvhi,
(�l ilk .l (Illit'lool ipollp 11
Iti, pslld to Itit, illy t1untinglon Beach Fire Code SeC,!On 10 ''wwtwr. fliti'A Itiolilowlt kl IAAI
i 1I11kvOld 14 't i onifx,11kil t oiol twm ,1,atq;owlil
VI) lncho�In hettlH with o1w l!,111 I
V, I btItAInq '11 I 1,t llwtIll't" I ire Code SectitAn 10 i0l Im.
5. Huntington Beach F
10 1
46, YCI
[Z7 (Ion OFFICL uSL ONLY) 'I, :)d4
SUPPLEMENTAL INFORMATION
H Ah
(11 1 IMI I tit 1
OCCUPANT I (.)AD - -'�s
140 OF SIUMFII-t
h 111 It lit
A
4()VL ti
It Ohl
SUPPLEMENTAL INFORMATION
1., BUSINESS ADDRESS jz. l z _�C, �e ^ e� ^•`i �� 9i . �5 •_ ` 2 �• `�`f
2. Person to contact in case of emergency:~
Telephone number:'y-1
p s
Ye
3. Does the building in question have electricity? oYe
O'Yes
a. If No, are you requesting that the electricity be ONo
turned on?
--Yes
4. The building is sprinklered? ONo
5. Operations wil produce dust/wood shavings or similar Oyes
material? OfNo
s
6. Operations will involve the repair or replacement of OYeOYe
ONo
automobile parts?
If yes:
(a) describe the components repaired or replaced.
(b) Does c .,2 operation involve the use of an open flame? 0Nos
7. The business is drinking, dining or assembly use that will OYes
result in an occupant load of more than 50 persons. ZNo
8. The follojWn��__b�eest describes my operation:
�6frice-Swp✓-�
Retail_Sales
are ous
Manufacturing/Distribut4on (describe process and end
product)
Restaurant Ta e Out Food
Medical/Dental
Other (describe)
(12/8/86)
(0562D)
SUPPLEMENTAL INFORMA°LION (Continued)
Does the operation involve any of the following
materials? .E(Yes
❑No
If
_i
Yes, indicate quantities
Material
Quantity
1.
Flammable liquids
r � Class ;:-A c�> �l-. - C f c 81.1 i
Class I-B
Class I-C W
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 �z
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 weight
18.
Highly toxic material and
Poisonous gas
19.
Smokeless powder
20.
Blacksporting powder
I hereby certify that the above information is true and correct to the
best of my knowledge.
�( Signature Dace
(0562D) (12/8/86)