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HomeMy WebLinkAbout15315 Pipeline Ln - CofO�w APPLICATION FOR CERTIFICATE O OCCUPANCY CITY OF HUNTINGTON BEACH ` « DEPARTMENT OF COMMUNITY DEVELOPMENT ttUNrMratE KA04 Yfi?`}T"6`{ rYr E:: OC '•d`'ArE- t Tom' .rt ,�.1� (,f,./(j Ci ,Qddr{SI`-, ,,�.?,»^-�s-2-�..._:d.�1�� 4xt'.Itl+� + fi.efd.11 �.f>rv/��`I�`�.v�-[._ ..,{ l)t "Jp6m, n /.. .i 714 BUSirrt ; €yI5 1 i1 w.J� y��4 1.L "34+.lRLiiJ1k1R—rP, '. �C�` t�,� EI �' ...... ilk e 1� 1.� k _ J ;:, Grr ,i. i;fit. (aS ,� rtY.'Pdi.f,r 6 6-4fe S Cr4c,� Name -A f a3 �!i1 ., ?,.trr:l Sh 11�* Y►.....,.1 r . 'ff Address s�. t1 if`fi' _ /((rt�(',, ±5 +)/ . (¢_7,2 _ ? ° -Pe--./} n THIS USE WOULD BE tESCRIBED AS: FXIsi!INtx i�,}Ii,ir1,"q;a �}y. i �i'•y: !f e 'r::)rdt�t_ ..t�CaJf�r A1T SGUrlt"-tt €'T {3r � NOTICE 1: Occupancy oS any building isproribitorllandabusmes�,fir ngewillnotbeissuedunt:rthebuildinghasbee inspected and a cutuhr-,ate- fat orc�ip ancy rs issued: 2. No electrical service will be released for any cxistwq bwidinq s n!0 the service has been inspected and certified safe. All applicants for or ctipan v in an existing bu,ldirgq tarP reguired to schedule an (tectrical `fuse ups irispectior: in the DnpaitmerA of C rnrnuntty Development ,at the time this application is filed. f 3. Change of occupancy or use inspection fee. Whc rieve i it i< necessary to malie; inspection of building or � s' e premises in order to det€:rmine the building l c s k or premises whmh wouid plat::--, tt c bwa dir q :n a dMeren, divisior of the same group Or occupancy or in a different group of t?ecupar{cy, a r.harrp of oce,upan(,,y inspection fee cif _-.. _ __.shall r 0, v ' be paid to the oily. 1 ► f 4. Huntington Reach Fire Corte Section 10.208 roqufres that building numbers must be a mmirnum of four (4) inches in height with one hi--W rr fpsch, Orrake, and Of a c miliasting color from the background, These ` numbers must be posted on your bu.,din , io a io al,,�rt that +r visible fiom the Strcct. i ` 5 Huntington Beach Fire fade Secttcn 10 3ia1 retaurri firms r xtfngursher selection and distribution per the National Fire Protection Assoc ation 0arnpf ipt 10 tsee reverse side) .i" {FOR OFFICE USE ONLY}} A/ 4`* SUPPLEMENTAL INFORMATIINFORMATION OCC, Yf At'C C 14041,%P.? +...ta.n�.�T � _- { phi IS F u Tk. ! _ Y {M 15 �, )• it i �. OCCUPANT f rit) NO 01 fAPPROVE j: 3 .r i5 Q1A!1V J%A r 'J t k Le i-c.lr r,E'. - A SUPPLEMENTAL INPORMATION 1. BUSINESS ADDRESS "GA/ / a! r,�tt e ��.� MC- it►�f� s Q � � c 2. Person to contact in case of emergency: rv1 Telephone number: 7 );qq 4 c 3. Does the building in ? g question have electricity? Oyes a 5NO a. If No, are you requesting that the electricity be 9yes turned on? ONO ' 4. The building is sprinklered? RYes . ' 5. ©KO Operations will produce dust/wood shavings or similar material? OYes P No 6. Operations will involve the repair or replacement of tdYes automobile parts? L7No if yes, ` (a) Deseribe the components repaired or replaced. r. -top1Q i (b) Does the Iperation involve the use of an open flame? Oyes No 7. The business is, drinking, dining or assembly use that will result in an occupant load of more than 50 persons,. Mes ONO 8. The following best describes my operation: Office Only Retail Sales Manufacturing/Distribution (describe process and end product) Restaurant/Take out Foo --- Medical/Dental Other, (describe) (056.2D) (12/8/86) x 1 N SUPPLEMENTAL INFORMATION (Continued) Does the ,operation involve any of the following materials? Oyes r P ONo I: Yes, indicate quantities Material Quantity 1. Flammable liquids /VO Class I -A Class I-B Class Z-C 2. Combustible liquids 140 d Clas8 II Class III -A 3. Combination flammable liquids t+01W " 4 Flammable gases r/g R_ 5. Liquefied flammable2ases N ` 6. Flammable fibers --loose 1,,{ _ M 7. Flammable fibers baled A1 8. Flammable solids^ 9. Unstable materials AM 10. Corrosive liquids AVIO 11. oxidizing material gases 12. Oxidizing material liquids AIL 13. oxidizing material - solids AJ 14. organic peroxides Akj 15. Nitromethane (unstable materials) N 16. Ammonium nitrate Af 17. Ammonium nitrate compound mixtures containing more than 604 nitrate by weight 18, Highly toxic material and — poisonous 2as AJ6 19. Smokeless Powder r� 20. Blacks crtinq powder I hereby certify that the above information is true and correct to the best of my knowledge. t ig afore - Date (0562n) (12/8,'86)