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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF H 1NTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT 2-23-00
RUN7IAIGTON ffAQ1 (PRINT OR TYPE ONLY) DATE
Address 15155 Springdale Street, Huntington Beach, CA District
Business Name Helix Electric Inc. Tel. 714) 893-7834
Business Type Electrical Contractors -Engineering Occ. Group1_
BUILDING OWNER BUSINESS OWNERWANAGER
Name VDAP Properties, LLC Name Dave Birkenmeier
27451 Los Altos Suite 210 Home 504 20TH Street
Address Address i
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Mission Viejo, CA 92691 949)348-96 Huntington Beach 374-7906
City Tel.y g Home Te714 l. )
THIS USE WOULD BE DESCRIBED AS:
EWLY CONSTRUCTED BLDG. CHANGE OF OWNED ® CHANGE OF OCCUPANT
L
I `J EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr.—Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED 5110p0 ccttt
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
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 the time this application is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
premises in order to determine if a change maybe made 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,
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in height with one half ('/2) inch stroke, and of a contrasting color from the background. These
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 selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side). k
TRAFFIC IMPACT F
DATE PAID
AMOUNT RFR.6V60
NAME (FOR OFFICE USE ONLY) -
ZONING�—
OCCUPANCY GROUP4�5—-A PLAN CHECK NO. NO PARKING SPACES -
OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL
NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED
✓ QQILWA4/ ' CERTIFICATE OF OCCUPANCY FEE g 0 :f) f 7
APIt ED BY DATE CHANGE OF USE OR OCCUPANCY FEE g
TOTAL g
75-039 Rev. 1/97 COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
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1.
BUSINESS ADDRESS 15155 Springdale Street, Huntington Beach,Ca
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_ Person to ccntact in case of emergency• Dave Birkenmeier
Telephone number: 714) 893--7834
3.
Does the building in question have electricity?
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(a) If No, are you requesting that the electricity be
❑ No
❑ Yes
turned on?
❑ No
4.
The building is sprinklered?'
Yes
5.
Operations will produce dust/wood shavings or similar
❑ No
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material?
❑ Yes
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No
6.
Operations will involve the repair or replacement of
❑Yes
automobile parts?
No
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If Yes:
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(a) Describe the components repaired or replaced.
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(b) Does the operation involve the use of. an open flame?'
El Yes
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7.
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The business, is drinking, dining or assembly use that will
a No
result in are occupant load of more than 50 persons,
❑ Yes
f
❑ No
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8.
The following best describes my operation;
Office Only
Retail Sales
Warehouse WCrLA Ccz g?/tc
Manufacturing/ Distribution describe
_( process and end. product)
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Restaurant / Take Out Food
Medical / Dental
?
Other (describe)
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IF
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SUPPLEMENTAL INFORMATION
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