HomeMy WebLinkAbout15311 Pipeline Ln - CofO (6)Aj APPLICMION FOR CERTIFICATE OF OCCUPANCY 4 �
CITY OF HUNTINGTAN BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
Address ` ��-�-.f l�t..j €-�•�_�-°_ � - -- -__ ._ _... _._.._.,_ C, �tr_rr._._.._ ._..Y ,
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`d THIS USE WOULD BE DESCRIBED AS:
i L} S.EINI,� CGfs tRUGTECzi�,[-C£:; i {;floah,,c J �.,'tYl:R HAt..il_GFOk-,G PANT
MSTMG RUILDiNi: r. 1_ (,t£tTi,?tdai CK:4'iSPAP}F
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CNOTICE: t. �w...ir et:�y of 4vv rvol.i . tr . t :,.a3 ;3 Will not be i.su d'a,.t3 .nr I £iiCdit � It
been insp--CteJ wd t'=:r}itrr 3 ; 1 d C i J S i 41
7 No electrical service tit r #3 b �Str a ..,3 ,�i tYrS1S# Witil
r 3: t ha l .en if,1lrtc f j Irlo
t a ititiaitt safe Ail FOP ,,ar r rt eat C .,� t 3 £ _x l g rt i e
is ts' =,aett.tir+,i 3r tli- !tee ';'TIE tt� (ipli < rent Itla�t.. =
Change of occupancy or Use inspection
or +err",r;if ,_ +r, crag 'r to d I !fT}3n- tr r ciian ,E in 01 occil .+a;1uy 01 t,>t n"
CT kf j)r#?ff frSc' tti ';t T d„t tr} ri'TC i it3f b „y kl 7o 3 a -3 °IF �3 �'• as^ t
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4, Huntington Beach Fire Code Section C it £ ',.4t 4 +!: t 'i. i,„ t L >r> ta, .t . c ern^i uftr € f t u '
(I) in&C e an I`e43 :4£lt tv h rqwl h; jet (° ) ini.,i.1 Stf()+C+- , i. d tit d fro r3 !ho iJ:.ickgyr) ind T 7es(,
nurn er., must b rjoi your b hic.iing in a f'c,cltlt n tha+ i kle fr „t'} t# t ?fi t• 11°:
e r "i�t G6l
� ; T 5. Huntington Beach Fire Code Section 'C t+t i,'r ,i,£ rirr t 3gut f e.r _,''ion and li tributson per
the Nainio al F"rr, Protectlr r P.3rn pi'Nef 't(+..t..e Side)
�? {FOR OFFICE USE ONLY}
SUPPLEMENTAL IN*BMATIOt
00GUPANCY GR,O fF_. PLAN f + rif 4'.Ii tv(r _ . ____:..a: _ O PAPKI, a SPACM13
0(',(;UPANT L A Pe,t3I,mi T IIC __. HFAt TH )C 7 APPROVAL— .
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��MTWIZ)ATF-_— UT�i'
t� NES€Ei_"EASE?NO. O'TEf Cl'Aua tEc.-IANt}EfEDATE C}EY;'}
TOTAL.
s- sti Ra v IDrE`lEI.,•
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SUPPLEMENTAL INFORMAT ON
BUSINESS ADDRESS .44 1t� J
r
2.
Parson to contact- in case of
Telephone number:
3.
Does the building in question have electricity
Yes
a. If No, are you requesting that the electricity be
ONO
[ Yes
turned on?
ONO
4.
The building is sprinklered?
Oyes
I�
5.
Operation; will produce dust,'wcod shaving's or similar
ONO ;
material?1Yes
t
ONO
6.
Operation; will involve the repair or replacement of
Oyes
automobile parts?
yTo
If yes:
(a) Describe the components repaired or replaced.
`
(b) Does the operatioA involve the ase of an opert flame?
OYes
�No
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
OYes
0
8. The following best describes my operation:
Office Only
Retail Sales
warehouse
4-a t , Manufacturing/Distribution :describe process and end
product,;r. rtk't r /7t�
µ`k
F
( R
Restaurant/Take-9ut 7000
x
Medical/Dental
Other (describe).
(0562D) (12/8/86)
.x
%J1�'%,�;�:., .�,r•,-� � .'..t.:..'�i?:`�`��%1 (Continued)
Does the operation involve any ozg the following materials? OYes
I yes, indicate quantlties
Quantity
Material
1. Flammable liquids
Class I -A
Class I--9
Class I -C ...
2. Combustible liquid
Class %I
Claw III -A
3. Combination flammable li�cai�?s
4. Flammable gases-
5. Liquefied flammable gases
6. Fl�immable fibers -- loose
7. Flammable fibers - baled
8. Flammable solids
9. Unstable materials
10. Corrosive liquids
11 oxidizing material cases
-
12. Oxi di.zing material liulns
13. Oxidizing material - solids
4
14. Orcanic peroxides
15. Nitromethane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weigh
18. highly toxic „material and
poisonous gas
19. Smokeless poxxder
20 Black aporting powder
----
F I hereby certify that the above information
is Prue anti correct to the
best of my knowledge.
' signaEvre
Date
(0562 )
q
12/8/86)
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