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HomeMy WebLinkAbout120 Pacific Coast Hwy - CofO (3)I. f; I APP:,Y MON FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BFACH f , k" DEPARTMENT OF DEVELOPMENT SERVICES / _, htiirrti° GTC*4 BFAOt t LATE q t Busincss__.1 Business T,rpe _ _ 1 ' e. BIII ilLi !r!a WNEE (�,'SnhJE S ?h`NFRiAAANAf.EE? Name Horne ll City_ - THIS USE WOULD BE DESCRIBED AS: t Q NEWLY CCONSiRUC:•TEV, Bt,'DC {C t -tANh ',r . 1 :WNFq ( CHANGE OF OCCUPANT EXISTING B'ai L1itIC, f l" ,MANGE: Cl UEUL L� ADIATIONAL C C7PAN� 4 tnra'�a ,tr GErT�?6 t;.S£T. ,€ SQUARE r-T OF RUILD:NG TO BF OC.t; UPIEE"a... ' NOTICE, t Uccupan +r of sny t�+ai'rJ�nz ; I mt ih 4"� i i tt� 3 : } nt ii4;On -r: Will not be tsw�+}.;tea until the building has (t : been inspected and : No electrical service r+ t bt, {(E l el to 1'1: exi Sitars t�t)dld1r,.�` un"11 th,:` S'i rvivk E1ds bf Ll� inspected and certi`.ied rafa All }3l + C.d 7E 4,7r n , .I.o l " Y i ± ,;in1 ,-X :,,t�i C1 J¢IC ? rtEJ Er quir d tc 3Cit rlttlU an eiC'Ci114 1 ► fE3`.i;' 4YNr MF-reclion i7, ;hF Dc""-.Yi`trr rjri' + t at ti1t� +irw this appf'CaliOn is filed i t 4Fl to r Y t inspection 3 Chauge of occupancy or use inspection fee. e, _, + v it,sar. � make nSu., � etir]» of a building or pren?i5E a t'1 O* IL9a` zr� C O Eit, lE' #t -t lannyt? 11s .de . tlr. C,r10E ictFr Of occupancy JC7ant y Or U5 CJI t!iE building CJ` !itc CKis f 4 1t1,; t, JUL1E41 c c Ino bu:. t ng }r`, -, d `feren! divi9orl O ti '. Sf rY!� GiOUG rii Occupancy _ CSr.)f5 a :If ,gr:?rsl gr��isl^ co 04`.Cfif7"iR.":y;.ci +'Itii qit C:€ {�C i.j'1',iriC`p inT3p'>�ttOn ir' 97f ....,,.._ _.___...:___..�;>_�......... S Shall be paid to the c>ty 4. Huntington Beach Eire Code Section f' 2i 3 r, gt,.i 'hat ty,vi ric-. rurrtbc s 1°nust be a minimUrn of four (sky inches n height wa jh one halt z z) +^ct sl:oke, ,:nd rf 4 crni >t:r:g cglot [corn the background. These numbers most hepost+ d on your h iiit!tr to . tocalion tY,at i v „e, � frcrn the street S, Huntington Beach Fire Co(ie Section 10.301 requires line ex.inguist,.. ,eieo'.iLn and distribution per _tf° National FireProfec,ion Associi-€It n parnottle! 1C1 (,riP rt� ' rS£: side). (FOR OFFICE USE ONLY) 1NiPIu1i' `ts-es`r SUPPLEKaENTAL INFORMATION k OCCUPANCi 4` C1UC� — . PLAN CEiECK NO � --- NOS pAwNG SPACES OCCUPANT LQAC! - PERMjT NO _ HEALTH ; pT APPROVAt _ ED NCi. OF TC}RIES --- _ ADMIN ACTtt31i _ _._ _ 1.1TILITli S RELEAS (�� CERTIFICATE OF C C.;C t,PANCP t FEE APPRQ BY [) Tk CHANG- OF USE OR UCC'JPANC:Y FEE Sw TOTAL $ w r f } 1 F F - SU?PLEMENTAL INFORMATTaN i 1, BUSINESS ADDRESS 2. Person to contact in case of emergency: C Telephone niur.ber t I � 3. Does the building in question have electricity? yesO O G: a, If No, are you requesting that the electricity be Dyes ONO turned one 4. The building is sprinklered? OYes No �A I' 5. operations will produce dust/woad shavings or similar Ayes mate.: ial? 25No I 6. operations will involve the repair or replacement of ©yos automobile parts? if yes. (a) Describe the components repaired or replaced. MS x: (b} Does t,e operation involve the use of an open f]:ame? MNooYe$ a 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50` persons. ®No$ S. The following best describes my operation:' Office Only "Retail' :Sale > are ouse Manufacturing/Distribution (describe process and end product) — Restaurant/Take Out Food Medical/Dental ' Other (describe)-- (0562D) w. dq 4, 2-131M.ATION r (Continued) Does the operation invmlva y - g �n Of the following materials. flY'es � ---------- T Yes, zh zcate quantities; ONO ---_Material 1. Flammable liquids Quantity Class T-11 �Class T-C --- 2. Combustible liquids Class TT ' Glass III -A `� -----------____ 3. Combination flammable licuid,3 �'-------�� `. Flammable uase:; 5. T ueiied q zlammable aae, 6. Flammable fibers-.logse 7. Flammable fibers - baled :.. 6 ;. 8- F14 �mable solids. 9. Unstable materials 10 • Corrosive � 7.GtLii d am„ li. oxidizin mater;.ai - aces 12. t?xidizinq ma eeria - is uid3s �,{ taxa,d�g ma}ems-:.,=.. aolids ' 14. Qi1�{anic �?erOYZdewc Nitr©methane (unstable,mater.asy ' 16. Ammonium -it—ate _ Ammonium nitrate compound mixtures containing mt•re than 60% nitrate b weight 18. Xighly toxic matet,i `.t and _ 01sOROu's gays 19. �'mokeless owder r 20. Black S � T hereby certify that the above infotmation'is best of my knowledge, true and correct to the signature f (0562D) Date