HomeMy WebLinkAbout116 1/2 Main St - CofO (6)APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
HUNT:PlLTpd BEACHDEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ONLY) DATE
I
ress % �2 l ��l�ci�l iiy t�r•1 ! 6 GEC
District
iness Name ' U r Q 1-- Z ,d= z R &S Tel.
Business Type l l:27 !1 t / L�= Oco Group
BUILDING OWNER BUSINESS OWNER/MANAGER
lame
ress 3 l V I;4 1� 1n t� 0% 'Address
c� -� .
City t�4f F—i4 O-A Tel ter ity-�v�t7i..: -to Home Tel
i' HIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. ❑ CHANC:�F OF OWNER ® CHANGE OF OCCUPANT
k EXISTING BUILDING ElCHANGE OF USE ElADDITIONAL OCCUPANT
'• ndicate former use, if anyE [ Occupancy Gr. Div.
f SQUARE FT. OFBUILDINGTO BE OCCUPIED
NOTICE: 1. Occupancy of any building is prohibited and a business license will sot be issued until the building has been
inspected and a certificate of occupancy is issued.
2. No electrical service will be released for any exist ,g-building until the service has been inspected and
certified safe. All, applicants for occupancy in an er:, sting 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 ofthe 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 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).
IFo LA
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION}� ZONING; �' t
OCCUPANCY GROUP PLAN CHECK NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO, HEALTH DEPT. APPROVAL
NO. OF STORIES ADMIN. ACTION UTILITIE 3 RELEASED
Ila y
CS'�?3 CERTIFICATE OF OCCUPA Y FEE $ U116
M PROVey
4Y DA E CHANGE OF USE OR OC PANCY FEE
TOTAL
OA Cf
75-039 Rev. 1.1190 COMM DEV LOP T r:
SUPPLEMENTAL INFORM,lATION
�� f�2 /414/'L( ` 7- A,*rf:ter
1.
BUSINESS ADDRESS y
taN2.r
2.
Person to contact in cane of emergency
Telephone number: '- - £s7?2.
3.
Does the building in question have e0ectricity?
Yes
0 No
(a) If No, are you requesting that the electricity be
C Yes
turned on?
Ll No
4.
The building is sprinklered?
0 Yes
No
5.
Operation.s will produce dust/wood shavings or similar
material?
C7 Yes
No
6.
Operations will involve the repair or replacement of
El Yes
automobile parts?
No
,l
11 . Yes
(a) Desc�'be the components repaired or replaced.
CJ Yes
(b) Does the operation involve the use of an open flame?
No
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
❑Yes
Ea No
8.
The following best describes 'my operation;
Office Only
f -
I
CR-e-t Wi F Sales 7<
Warehouse
Manufacturing / Distribution (describe process and end product)
Re:�taurant / Take Out Food
Medical / Dental
Other' (describe)'
3,
r
i
t
SUPPLIMENTAL INFORMATION
v
:t
SUPPLEMENTAL, INV,011MATION
(Continued)
Does
the operation anvolve any of the following materiWS? Yes
No
If Yes, . indicate quantities: .
Quar►,ity
Material
1. Flammable
liquids
Class I -A
Crass l-B
- Class I=C
_
2. �` Combustible liquids
Class It
-.Class IlI-A
3.
Combiriatiora flammable liquids
4.
Flammable gases
5.
Liquefied flammable gases
E;
Flammable fibers- - lo`o'se
7 '
'Flammable fibers - baled
Ftammabl-es olids
l3.
UnstablP. materials
10.
Corrosive liquid;
11.
Oxidizing material -gases-..
2..
Oxidizing material - liquids
1 Oxidizing mate.ri�] - solids v
_
14.
- Organic peroxides
15.
N tromethane `' (unstable Materials)
.Ammonium nitrate
17.
Ammonium nitrate compound . mixtures
containing more 60�nitrate
a
by weight
-
18.
H ghl}, toxic material and
.
poisonous gas
19.
Smokeless powder
20.
Brack sporting powder
I hereby certify that the above information is
true and correct to
the best of my knowle ge.
Aft
®,,,
Date