HomeMy WebLinkAbout15173 Springdale St - CofO (3)` _ r
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH x
DEPARTMENT OF COMMUNITY DEVELOPMENT 2— 2:7���_
/. /.. (PRINT OR TYPE ONLY). DATE
15173 � 5PA'--16 ��4 L E S 7
Ad ress � District
Business Name a �R/S TIN' ' L L C d64 en 'RAMP Tel. 719 —799. 7,26 %
Business Type SAL E 4 PiS T.Aja ! T/A/y VC COMpa rCR.S Occ. Group_
BUILDING OWNER BUSINESS OWNER/MANAGER I
Name VAN 09-it Ame 'PARTNERS Name Ji4VC.9 A NAWAZ '
4745. LDS RGTat. Saj i 2 ib Home *341 6J A VEAL y 4RCL j J .
F Address Address �r
I City miSStOlyyIETO Cif 9261/ Tel.714-3l1ofrCity 190ENA 7AR14 40 40"tHomeTel.
r9690 7�k•S2l�9ylZ
THIS USE WOULD BE D .SCRIBED AS:
h
NEWLY CONSTRUCTED BLDG-. ❑ CHANGE OF OWNER L `�!' CHANGE OF OCCUPANT
FI—EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT t
Indicate former use, if any —Occupancy Gr. _ Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED r,
b NOTICE: 1. Occupancy of any uuilding 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 may be made in the character of occupancy or use of the building I
or premises which would place the building in a different division of the same group of occupancy or in a
I different group of occupancy, a change of occupancy inspection fee of $ shall
be paid to the city, j
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
t inches in height with one half (1/2) inch stroke, and of a contrasting ce'ior 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 s%de).
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TRAFFIC IMPACT FeC_
•' DATE PAff?
AtVI0i1N'i RE �NI ._ ... (FOR OFFI(:E USE ONLY} j L
NAME _ l ZONING T
OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO. HEALTH DEPT, APPROVAL
N OF STORI S ADMIN. ACTION T LITIE RELEASED
CERTIFICATE OF OCCUPANCY FEE $ {
I�XPPK&EETBY DATE CHANGE OF USE OR CCUPANCY FEE g$,
TOTAL V-CU C� SS�pt✓1— --- t
is-ossRev. ve7 COMMUNITY DEVELOPMENT
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SUPPLEMENTAL INFORMATION
/5173 SpRtNG-&A-LE Si H(1N7/1Y&7'0rV 13E/f-CA 447
1.
BUSINESS ADDRESS
J4 ✓el A �A�su Z
2.
f emergency-
Person to contact incase o g y-
Telephone number: '71Lj- S342o
3.
Does the building in question have electricity?
Q'Yes
❑ No
(a) If No, are you requesting that the electricity be
❑ YeCG
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turned on?
❑' No
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4.
The building is sprinklered?
R'Yes
L.� No
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5.
Operations will produce dust /wood shavings or similar
material? _
M Yes
:.'
8.
Operations will involve the repair or replacement of
❑`Yes
M-
automobile parts?
o
If Yes:
(a) Describe the components repaired or splaced.
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(b) Does the operation - involve the use of an open flame?
❑ .Yes
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7.
The business is drinking, dining or assembly use that will
❑ Yes
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result in an occupant load oz more than 50 persons.:
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The following; best describes my operation;
Office Only
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Retail Sales
,
'
--Warehouse
Manufactur;'g / Distributiop (describe process and end product)
,
Restaurant/Take Out Food
Medical ! Dental
Other (describe)
SUPPLEMENTAL INFORMATION
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_SUPPLEMENTAL INFORMATION (Continued)
t; laes
#he' operation 'involve any of tiie foRtowing materials?
O Yes
if Yes, „"indicate quantities:
Material Quantity
1. Flammable" liquids `
:Class I -A _
Class l-B
Class I-C
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2.
Combustible liquids
Class
Class 111-A
3.
Combination flammable liquids --
4.
Flammable gases
5.
Liquefied flammable gases
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6.
Flammable fibers - loose
7.
Flammable fibers - baled
8.
Flammable solids
0.
Unstable materials
10.
Corrosive liquids
11 -
_ Oxidizing material - gases '
1
1
12.-
- Oxidizing material- - liquids
131w
" "Oxidizing material - solids
14.
`' organic, peroxides
15.
Nitromethane (unstable materials)
16.
-Ammonium nitrate
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17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
p,
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by weight
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18,
Highly toxic material and
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poisonous gas
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19.
-
Smokeless -.powder
20.
Black, sporting ; powder
f hereby- certify- that the -above information is true and corm ct
to
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the best of my knowledge'
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Signature Da e
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