HomeMy WebLinkAbout111 1/2 Main St - CofO (2)COMMUNITY DEVELOPMENT
a jr
Rtt'der 01,s to i hom .Sant) 0,)I1,ir 1114, 84;) 1148 ` 0631 5.8
7 31)J
APPLICATION FOR CERTIFICATE OF OCCUPANC
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HWNMNGTON RFAQi (PRINT OR TYPE ONLY). DATE
f/ L
�ddress / l / 2 � 1/1 District
4usineSS Name A (1D a— J ' � C' Tel.
Business Type SIY�Gce; G _�r�t ('oC Occ. Group
,gBILDING OWNER / BUSINESS OWNE ANAGER
Name,'r`—'~'�jvt t7T me- �""I✓'
Home b 3 7- l' c/r'
Address �. ddress
City Tel.ty, ? t' C `�% Home Tel3 $46 71�-
THIS USE WOULD BE DESCRIBED AS:
El NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER M CHANGE OF OCCUPANT '
LJ- EXISTING BUILDING ❑ CHANGE OF USE ADDITIONAL OCCUPANT
Indicate former use, if any fGcP� il "ePct w- / a�`�O�
s �cupancy Gr.Div.
SOUARE FT. OF BUILDING TO BE OCCUPIED- LC70 r'
1
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
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 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 SQction 10.301 requires fire extinguisher selection and distribution per the
Q National Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONINGS
® OCCUPANCY GROUPPECHANGE
CK NO NO, PARKING SPACES
OCCUPANT LOADO, HEALTH DER OV
NO. OF STORIES CTION UTILIT RELEASED
�v0
TE OF OCCUPANCYFEE'APPROVE Y` F USE OR OCCUPANCY E
$
75-039 Rev. 6/88
COMMUNITv DEVELP.
_--
a
SUPPL MENTAL INFORMATION
1.
BUSINESS ADDRESS
2.
Person to contact in ease of emergency; r/
Telephone number: & V"a `7/ _ Z
3.
Does the building in question have electricity?
pies
ONO
aP If No, are you requesting that the electricity 4a
OYes
turned ors?
ONO
4.
The building is sprinklered?
15Yes
ONO
5.
operations will produce dust/wood shavings or similar
material?
OYes
0*6
6.
operations will involve the repair or replacement of
QYes
amtomobile parts?
allo
If yes:
1_
(a) Describe the components repaired or replaced.
OYes-
(b) Does the operation involve the use of an " fl"e?
ONO
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
OYes
ONO
8.
The following best describes my operation:
Office Qnly
Eal
Ware --se
Manufacturing/DistribAt-ion %describe process and end
product)
estauran a e ut Ao
Medical/Dental
Other (describe)
(0562D)
A,
a
SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials? aYes
Chi
TF
Yes, 101cate quart yes
Material
-- - - Quantity
1. Flammable liquids
Class I-X
Class I-B
Class I-C
2. Combustible liquid's
Class II
Class III -A
ji
3. Combination flammable liquids
4 Flammable gases
,I
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. Ox'idizinq 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 Lt
18. Highly toxic material and
Poisonous gas
19. Smokeless powder
° 20.
Blae k s
in ow der
I hereby certify that the above informati
on is true and correct to the best of my know ge,
Si attire date
(0562D)
(a2/8/86,