HomeMy WebLinkAbout1120 Pacific Coast Hwy - CofO (5)APPLICATION FOR CERTIFICATE OF OCCUPANCY
° CITY OF HUNTINCTON BEACH
HVNIINGrOY rEAGt DEPARTMENT OF DEVELOPwIENT SERVICES
QATE
Addtr S.; „✓„����'. f'�u".!G f+'" ��`. t� f�''..�„Y�� „�„`� �' � 'G"`� �; f� y� '""� � .f -
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ausiness Type 4j-,-,
BUILDItY ', (,)W rP f3?}SiNLSS ��'
r _ O'VVWA, ,IANAGEP
Name
Addrpsq
-.--.--Home Tei. 'r
THIS USE WOLik.D BE DESCRIIIED AS:
NclrlLY CONSTRi iCTr-[) BLDG. � C iAt t€,r t_ r �f
"VJ GH ,NOS OF OCCUPANT
!K EXISTING BUI I)INCi L LLi t, k r d`. ��-• {{ AJr
t7tTlC3hIAi, OCCUPANT
indrr ato iorn £er tiSk!, If,? 'y .
SOIJARE FT OF BU'i£ DINt'i T OF r7 ti —11
NOTICE: T. OC'C�, "IC cif an �Ii; i r I f, t sr
I p• ;�� y .F � r �� ;rO�at}k }t
i been d 3rci r C�rrrirllx
on; a t'c.t?a•r r,. a will not 1a , ff,SJOJ until Ire building has
R rf rrrGi�Ruxrlcv r r� tt
No electrical service lJi}I `'': t41 ; c
mce nay, begin inspected and
All der},rtinFt `.:, r t ,rRar cy of 03,1' tm b1 ,drlinp ate req;rired to �.-chodlkle an electrical
of -L)t.voj. 30.rit r , a€ to ' ilne this app#iCatlOn E5 tiled.
Change of occupancy or Use inspection fee. t nr,
or tjf ttlr c=£ In t,r r r: i to r i �fj .0 i*IdKE in�peClii�n of 3'�Utfdfinry
, tat 7 Ina; f , lf' dt' n V" h . actor of occupancy Or U�u Of the
i7tsilL"itt}t� r'r rfCt?:fill t , ..ja t f �4c0 k .-..,`'t Ln + rr z�
a1 is tj; Pf( ' Of tC`t? SF?rYk : grrJup.Of OCCul ancy
Or In ci d ff- art# itr.rutr.",�° h 1n},J = C?, o^� Cpa luJ in- n cti ;r, fe is Of ''J...-.....�.__.
shah be pa',a I(,, the City.
i 4. HurFtington Beach Eire Code Section.. rr
r)',lildin g numbers Must be,, mi litrKI r! Of four
_ trtt tF11',,k1P t !•lyit�hi F!3: r le> ttrjtt t t 117:^I� it, ;C? n of a t ontr3--tin:, rolo irO� tfiP background. These
r�urrlbar .ilst +,r pr+,,led n you, b,t,tjirtg a a je.r frCtr> the streat a. Huntington Reach Fire Code Section Ir t, extinguisher's0ect;or; and distribution per
the Naijona.I Fire Protection tk�;;i,�Ir,tiriYl p �rrrpnir i ,Ci F, g,E rever:;t� s£de1.
SUPPLEMENTA'"'NFOAMATION (FOR OFFICE USE ONLY)
r G'GUPANi,Y aROuf.-___- — PLAN t It l.K NO NO PAR
.- k ING SPACE'S
—
Of'CUPANT LOAD �.
_ ....... E'PT APP#rC7VAL
NO OF STCSTORIES.. _ __._ �_ HEALTH D
1TII-iTIFS RELW, C
CERTIFICATE C)F OCC,,jjpArtC_'jY FFE � ,•�.�7
APPROVE y DATE ', eHANGE OP t)SF OR OCCtjpA JCY FEE
TOTAL
9
SUPPLEMENTAL INFORMATION
I BUSINESS ADDRESS
2. Pe;son to co►ltact in, carte of emergency: r,
Telephone number;sar
3. Does the building in question have electricity?
a, If No, are you requesting that
turned on? the electricity be ❑xes
[] No
4. The building is sprinklered?
❑y
5. Operations will produce dust/wood shavings or similar`
material?
0Y
W
6. Operations will involve the repair or replacement of automobile parts? 0Ye
If yes
L�INo
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? py
C
7. The business is ,-_,.nking, dining or assembly use that will
result in an occupant load of more than 50 persons.
[ONO�
8. The following best describes; my operation:
Office Only
ehouse
Manufacturing/Distribution idescribe p_acess and end
product)
Restaurant Take Out Foo
die l/Dental
.er ,descrzbe)�-�,0,
(0562,D) f12J8l861
SUPPLEMENTAL INFORMATION(Continued)
Does the operation involve any of the following materials? tfes
QNo
xf Yes, indicate quantities:
Material. Quantity
1. Flammable liquids
_Clams I -A
:lass I-g
Class r-C
2. Combustible liquids
Class II
Class III -A
.3. Combination flammable liquids
4.- Flammable gases
5 Li uefied flammable cases
6. Flammable fibers loose
7. Flammable fibers baled
8. Flammable solids
9. unstable materials
10. Corrosive liquids
11. Oxidiz,ig material - gases
12. oxidiz4rgmaterial liquids'
13. Oxidizing material -- solids
14. organic peroxide
15. Nitromethane (unstable materials)
16. 'Ammonium nitrate
17.'Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
It. Highly toxic material and
poisonous gas
19. Smokeless powder
20. Black sporting powder -
i hereby certify that the above information is true and correct to the
best of my knowledge.
Signat"re Date
0562-3) (12/8%86)