HomeMy WebLinkAbout15061 Springdale St - CofO (54)1
APPLICATION FOR CERTIFICATIt OF C•CCUPANCY
CITY OF' HUNTINGTON BEACH
01. '
DEPARTMENT OF COMMUNITY DEVELOPMENT !
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THIS USE WOULD BE DESCRIBED AS:
tv_
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NOTICE: t Occupanz.-j of w)r ; build =rig !. ,1, arlrt3lt. d IT', I a u a, ill not'.), I ?F�uktd ur`t,';:t t t,;ding has bee. i
} inspected and a crrt,f a it t at �r y :, t
2 No elect Cal service vvw rje i.f,.i# t. k. + Y`1,C:�,' ha',?en inspected and
:G'ttified untie At! ppi 4;c9 ;t^� for o"-,CuI lc; 4 iil ,.i. t rt. P Irt t:��xi( it +y ci;. ,� g4z.r°ed t, chC�dlal air e[ectN-aE
'fwze up Inspection w, ttl� [jF pl vtme tt of tilt tlrT?E. pt S �9proli(,atton is flied.,
3 Change of occupancy or+ase inspection tee. �i, f ncz�N, . 7 of _'+ar tarn nk>:.. f �peta C)sa cat taUrtdtr:g �F
#li };ItP, miSP.s lrt r�ri�t'it (`�t�t�i;rtti Fc �t'9 Gk t{ rr. r?3ark,-'I'<3 a+ tl kblt-1q} a t'r 4r (.±rt'in:y'+lt _ih+'+;lithe }]Ulidirg -.
d 1:+,fr t ,I,Vi sj. �, -t+t +�Y.,.f i CJf "TC"�U i3!:CV or id'k
t#diffe eP' —
Shall
t�e paid to the
4 Huntington Beach Fire Grade Section 10 ,?�sg a _.,�l er t+ a. aa. �1, � "=�.i� t � . w !' t tiooarrtnurr of!ow t4)
9f't(`iiE?3 In l"o{>tght bvrtt}"t ec ;(? t ilf i" ;�'y khs,tl 'wt�fUYr `, C7 .!a i 't7�4T C ^ ,t ttl [71 tt ' :JaCk g(I:TP.!nkj- r11658
I minvhers SNust be 10n. }Laf tree
5 Huntington Beach Fire Code Section t 1# , t.,,q# { k xFi � k;th�.+ Ord d.;4rasutint� pe, the
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Natton,,LFife ProtC,-t#ot A svr �atloe qe it=li.x Itt 3 e. r.vr�r' q .1+ret
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(FOR OFFICE USE ONLY)ri
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SUPF LEMCNTAL iNFORMATi
C,UVIAtJ AC
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ApFai�C7v� ii'Y
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'UPPL MEN, Aw IN.FC.RMAT-ON
1. BUSINESS ADDRESS y l C I,I., <_ � ; �
2. Person to contact in Cage of emergency: t:;
Telephone number; r ¢ `F'd"
3. Does the building in question have electricity? Oyes
I Ito
a, if No, are you requesting that the electricity be Yes
tanned on? ONO
Y}
4. The building is sprinklered Wiles
ONO
5. Operations will produce 'ust/wood shavings or similar
material? OYes
�40
6. Operations will involve the repair or replacement of OYes
automobile parts? d
fi yes:
(a) Descrite the components repaired or replaced.
(b) Does the operation involve the use of an open flame? OYes
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. .Oyes
O
8. The following best describes my operation.
Office Only
Retail Salts
Ware)ouse
Manufacturing/Distribution (describe process and end
product)
RestaurK.'-' T-a e Out Foo
Medical/Dental
Other (describe) �%.r�yx�,��:x��� �.•c � e.y=M��� _��t r`; ����
6
(0562D)
i
vew t
-wl,Ig materials?
CYes
Quantity
7
j ... Y 1sPi ..in1t� ' ;.•p'.1 d
II a : 13
Class
Class I S
I� COmhi Marion F Y
4. Flair,
a ,
5. Laaue£:.ed pia E.a,
6. Flami, nabIeiuc r '-
' Flay table fiber.
S. Fla>?�iable solie?,
3 Unstable mate* '
1(?. C<orrosive lc�ai a..
11 O.x,*di.,zing m
I2
2 Oxidiz1n ma}ttr
_ .
i3 oxxdizi
• f+ C1
4. '.�r-ants
15. N i t r 0 m e t h a n e- f un.....xA. .
w-..
a.wr ..o, -•fin, u°
16. Ammonium nitrtw-
n..m...:.e.:,...A.rr.nn,
17. An, nit_
rate
cOntalining more
by weight
18. Highly toxic
,a._ i�oa.son+aus gas
19. Smokeless powdei
1 hereby certify t'j ,.w ,..,::.
best of my k,nowledg;,_
.c ' �:, at or is trite awl correct
to the
5xgnat are ---'
Date
(12r8/86)