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120 Main St - CofO (2)
I f CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH i Date Address r District Business Name Tel. I (� G—Hh EAL COINT ACTCiS Business Type — � Occ. Group ^, BUILDING OWNER f }� BUSINESS OWNER/MANAGER i±`_,.3.I'�.e�,i III �4�,n,:,CRM Ci'd a ZJIL d�:�.hz rt —` Name Name i Address 2�7� 5Th STREET Home 155 E. 4ThE ST EET Address ^ _ 1 LtMEC; fah "t' FIE F?h I S Home City Tel. City Tel. C Construction No. of Stories Occmaht Load Sprinklers CONDITIONS OF APPROVAL t - a , r � i s t f DEPARTMENT OF COMMUNITY DES' .LOPMENT' This Certificate of Occupancy � SHALL BE pasted in a conspicuous place on the `!' :- premises and shall not be removed except by the GYI Building Official. �r r r COMMUNITY DEVELOPMENT Reorder NIS Inuu hill" Sand Dollar', N; Nat 1148 0631 5-8 APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT HUNnNTON BEACH (PRINT OR TYPE ONLY) DATE Address 120 M" A iN r HOW - ". N. 9 Z 1e�1 4% District Business Name �" •i���"� l$,i Q_'C Tel. (Business Type ���� d r=F�GGE_ Occ. Group BUILDING OWNER BUSINESS OWNERI46ANAGER p� p Name_ !.- �l9. ft 1eN1 A_ k' 6_0 (; r Name ;Fa-A!,Home Address 2 ZZ E5 TH 5-TAr Addres 5 5F.•�p�f� City 1 gAn- L�C.�i Tel. 4?) City f �6 /90HomeTel. THIS USE WOULD BE DESCRIBED AS: / ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CF ANGF OF C;:,CUPANT CSL'-*EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT Indicate former use, if any C Occupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED �'"" — UT 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 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, y 4. Huntington Beach Fire Cede Section 10,203 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 ba, kground_ 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). . SUPPLEMENTAL INFORMATION (FOR OFFICEUSE ONLY) ZONING Q r SP 1>57— a 3 S--23— 10 OCCUPANCY GROUP ---PPTLN CHECK NO. NO. PARKING SPACES OCCUPANT LOAD -y PERI IT NO HEALTH DEPT. APPROVAL -- NO. OF STORIES ZI ADMIN. ACTION — UTILITIES RELEASED CE TIFICATE OF OCCUPANCY FEE $ G APPROVE Y DATE C ANGE OF USE OR OCCUP'NCY FEE - TAL COMMUNITY DEVELP, 75.059 Rev. 6188 m � r SUPPLEMENTAL INFORMATION mow. rr.rr ■ 1. BUSINESS ADDRESS z 2. Person, to contact in case of emergency .-�LA I ' Telephone numbar: N 3. noes the building in question have electricity? )Yes a - ONo a. If No. are you requesting that the electricity be ®Yes tu.rnea on? C3No , 4. The building is sprinklered? es ONo 5. operations will produce dust/wood shavings or similar water al? s �r1d9�No 6. Operations will involve the repair or replacement of Cves automobile parts? o If yes: ) (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an cpWa flame? ®Yes 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 person3. Cues 'WNO 8. The fo1 w' best describes my operation: Office Only a a es Warehouse Mand actur-ag/Distribution (describe process and end product) Restaurant/Take ut oo.._ Medic a.1/Dental Other (describe) (0562D) (12/8/86) F��1Y SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? ©Yes , "des, n aca a quant les: i Material antit:y 1. Flammable liquids Class I- Class I-g� Class I-C 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 9. Unstable materials 10. Corrosive liquids 11. Oxidizing material -_gases 12. Oxidizing material - .liquids 13. Oxidizin2 material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium, nitrate compound mixtures containing more than 60% nitrate by weight l8 Highly toxic material and poisonous gas 19 Smokeless powder 20. Black sporting powder t I hereby certify that the above information is true and correct tr the ,f best of my knowledge. Sgn3tur--- Date (0562D) (h2/8/86) n m