HomeMy WebLinkAbout15201 Pipeline Ln - CofO (2)r
JMe APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITYF HUNTINGTON BEACH
DEPARTMENT O OF DEVELOPMENT
L M1Nr1N4TON MACH (PRINT OR TYPE ONLY) r ll" rn`i�� DATE ;
Address �S 01 /i' / 2 G,n District
Business Name / n t R Tel.- e Occ, Group Business Typ,11
BUILDING OWNER BUSINESS OWNER/MANAGER'
Nat
l Z'Z Name e L a /` o t�
Home
t
Address �i r Address
City Tel.—W-900 City E' p_Home Tel.
THIS USE WOULD BE DESCRIBED AS;
NEWLY CONSTRUCTED'BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
a
EXISTING BUILDING C HANGE OF USE ❑ ADDITIONAL OCCUPANT
indicate former use, it any L>/S"r91SU_r7W of Bovy Occupancy Gr._ Div.
SL SQUARE FT, OF BUILDING TO BE OCCUPIED
NOTICE:
1, Occupancy of any building is prohibited and a business license will not be issued until the building has been t
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 thte time this application is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessai y to make inspection of a building or
premise:, in order to determine if a change maybe maue in the character of Occupancy or use of the 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.
h 4; Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four(4)
i inches in height with one half ('/2) inch stroke, and of a contrasting color from the background. The-
e
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 sel_�ction and distribution per the
National Fire Pro►action As ociation pamp et 10 (see reverse side). ;
44lShS All
G aloIWO U�71;
(
TRAFFt FACT B�E_E:E Y6
RATE PAID
AfUt RECEIVE(FOR OFFICE USE ONLY) ZONING {
ZE ' �--• ,
OCCUPANCY GROUP w PLAN CHECK NO. NO PARKING SPACES _
f OCCUPANT LOAD G PERMIT NO. HEALTH DEPT APPROVAL 5
NO. OF STORIES - ADMiN. ACTION UTILITIES RELEASED
` r
CERTIFICATE OF OCCUPANCY FEE
APPROVE& BY DATE CHANGE OF USE OROCCUPANCYFEE $ �-
TOTAL $
q
q 75•039 Re 'r97 COMMUNITY DEVELOPMENT
SUPPLEMENTAL INFORMATION
0 a,���+�� �A
K ,
s
1.
BUSINESS ADDRESS _
f�
i
2.
Person to contact_ in case- of emergency ' &HOuJ
Telephone number: 71y 53./y05
3.
Does the building in question have electricity?
2--Ye s
C7 No
(a) If No, are you requesting that the electricity, be
❑ Yes
turned on?
❑ _No
4.
The building_ is sprinklered?
0 Yes
0140
5.
Operations will produce dust/wood shavings or similar
material? _.
Yes
l�fif
6.
Operations will involve the repair or repltt.,ament of
[7 Yes
automobile parts?
O'tio
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an 'open. ;flame?
Yes
Flo
7:
The business is drinking, dining or assembly use that Will
result in an occupant load of more 'than 50 persons.'
❑ Yes
C"No
8:
The following best describes my operation;
Office Only
Detail Sales
Cf arehouse- lv ?rod o�3
Manufacturing / Distribution (describe process and end product)
i
Restaurant / Take Out Food
Medical / Dental
•Other. (describe)
i
n
,
4
SUPPLEMENTAL INFORMATION
"`
SUPPLEMENTAL INFORMATION (Continued)