HomeMy WebLinkAbout119 1/2 Main St - CofO (3).4E.
�a APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES I
HUNVNid TON BEACH td t , , . , F i , r DATE
Atldrv„s - _
Business Name � a� t� 5 c F 2 � �T � Tei
t
Business Type—�F t7cc. Group_
BUILOMG OWNER � + 1 y <. BUSINESS O)PNERtMANAGER
Name
�= �sC �s fi� f t 3dd'._ u• #Qdm fCie' £�<'.,tc
7
Address Home i t l� #�' ra4'f� 1 - CAI]tdyt_e--_-_y
s'
:
_Horne TLi.��.'�-.
THIS USE WOULD BE DESCRIBED AS'
NEWLY CONSTRUCTFE, BLDG � I CHANGE: OF CD'v` NER -�} CHANGE OF OCCUPANT
DrEXISTtN6 BUILDING � C HANi!E OF t_K1 � ADDITIONAL OCCUPANT
Indicate former use. J any t, r . Dj';
SQUARE FT, O� BUILDING TO BE 0;.C..I,IP.ED_-_1
NOTICE: 1. Oc;up ancv of any buiijing is .r(,r and abu_tr,r , ,I .nr ,e will not IN, i,,.;ueJ until 'he building has
teen inspected and a { ertsficat, )f OCc parcy , r3..uec9
2. No electrical Serifice ,&iR e relo as, 'J to any existvo the sere;,.e has been ipspecled and
crtrfter9 safe. All applicanis foi Orx,,rP nr.y i an F X ::??lliy` boildirc are C:,q' fired tfi schedule an electticat
'fu.,e up' inspect, Ion in thۥ Department Cf Dave v)pr e-nt ai the time this, applicatict. is fried.
3 Change of occupancy or use inspection fee. `!!, . fie-.vF•r if I ; r; : c..� ,ary t� Cri tke inspecldrn of a tiuifdirtg
or Ort; raise-s ir, order to c'oli-irrnln,: if c,, i',ha aver m li Le tnado iri Vie C,t,::3racter 6f.00CUpdtlCy Or Ut; e Of III,(!
bud6ng f i farerxii�t,;; tiff is `NO'.,ld { taco the k't'!'dm tr 3 (,f the Arno Cgrai.m ofoccupancy
or in a qr:?;,p c,r c e:Ct�par,c.�, a f ` �c fig t,f �cct. p<an y � ,e.tit)n fie of
i shai, be paid to the city
! 1. Huntington Beach Fire Cade Section 1 G 2- i8 rpa ,; es that t.uild g numl E-rs mist n a a minirrurn of four
% A {d) Inches in n- jht with pink! ha'i n" t iac�l� ;,'rzat+eu� of a contra i;tig color fron-l'.he background. The:,e
number; must be postcd on yi-ur bui!eing in a iuc,,ition Tha, is svi,i"a'a `Ygm the street.
S. Huntington Reach Fire Code) Section ti3."a�, roq- ir+; fire extir�g;."she, see ertign and dis.nbuficr per
the National Fire f rt)t€y;fiorl As3oci 3tion pamphlet 10 (see Se�,,'rmo
( � (FOR OFFICE USE ONI:,) .}..,�
SUPPLEMENTAL INFORM TION
ilCCt7PANGY GROUP. Pi AN C` 4Ek K hi,C _ .-_ d "v(1, PARKING SPACEti
- - _
OCCUPANT LOAD ___ fH:RMI ,\110 --------- _____ __... HEALTH DEPr APPRO\IAL ._._.:..__,_.—:—_.
NO oI, S S .S �.. ._., :. __ Ar%`1111 A-:T+r,N IF _:. _.__ _r __ (IT ILITIES
X)
;E l<1IEIci�_ OF c c c:i.irAr cr Fri.
APPROVED BYJ E CHANGE OF '3SF OR 0 UPAN Y F L � n
TOTAL
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS
2. Person to contact in case of emergency:;t� j_ t
Telephone number:
3., Does the building in question have electricity? , Yes
ONo
a. If No, are you requesting that the electricity be Oyes
turned ran? C3No
4,. The building is sprinklered? OYes
-&No
5. Operations will produce dust/wood shavings or similar.
material? Oyes
6. Operations will involve the repair or replacement of Dyes
automobile parts? aato
If yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an -open flame? ❑Yes
INo
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. C3Yes
,E�IJ o
8. The following best describca my operation.
Ofce✓_Qi113'..
Retail Sates'
Warehouse
Manufacturing/Distribution (describe process and end
_ product)
Res tau rant.Take out tool
Medical/Dental
Other (describe)
(0562D) (12/8/86)
SUPPLEMENTAL INFORMATION (Concinued)
1 Does the operation involve any of the following materials? Oyes
;moo
I Yes, inazcate quantM'F
-
Material 4uauti
1. Flammable liquids
Class I --A
Class I-g ..�
Class I-C
2. Combustible liquids
„ Class II
Class III -A
3. Combination flammable li uidr� _
--
: 4. Flammable stases
5. Liquefied flammable gas.a
_6. Flammable fibers - loose
--
7. Flammable fibers - baled
—
8. Flammable solids
9.`Unstable materials
10. Corrosive liquids
r
11. oxidizing material - gases
12. Oxidizinq material - liquids
13. oxidizing material - solids
organic peroxides
` 15. Nitromethane (unstable materials)
--
16. Ammonium nitrate
17. hmmonium nitrate_ compound mixtures
containing more than 60% nitrate
by weight
18. Highly toxic material and
poisonous gas
19. Smokeless powder w
—
20. Blacksorting powder _
I hereby certify that the above information is true and
correct to the
best of my knowledge.
/
Signa 'ure bate
(12/8/86)
(0562D)