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15175 Springdale St - CofO (8)
COMMUNITY DEVELOPMENT 1 1 i I I I APPLICATION FOR CERTIFICATE. OF OCCUPANCY CITY OF HUNTINGTON BEACH _ �O DEPARTMENT OF COMMUNITY DEVELOPMENT HUNnhGTON BEACH (PRINT OR TYPE ONLY) DATE Address / �LJ^T- Districl� Business Name ���{l-/�! ��/ftJ / Tel c- 1f Business Type / i/ 1 1 / W / ( � Occ Group BUILDI , OWNER BUSINESS OWNERIMANAGER Name 24f Name Home ZQrS? f�r�TZ�2�i C✓lG �� �-�7 Address Address City Tel City l 6 Home Tel, l26©6 L THIS USE WOULD BE DESCRIBED AS: El NEWLY CONSTRUCTED BLDG. GrANGE OF OWNER CHANGE OF OCCUPANT ' y� EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT 1, Indicate former use, if any -Occupancy Gr. _Div SQUARE FT. OF BUILDING TO BE OCCJPIED i 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 J premises in order to determine ifa change may be made in the character ofoccupancy or use ofthe building (\,`) or premises which would place the building in a different division of the same group of occupancy or in a 1 different group of occupancy, a change of occupancy inspection fee of $ _ shall l�l be paid to the city. (�{ 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) (J inches in height with one half (r/z) inch stroke, and of a contrasting color from the background. These a e from the _treeL numbers must be posted on your building In a location that is visible f m h i 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). J. 81-7 (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZONING OCCUPANCY GROUP w� PLAN CHECK NO. NO PARKING SPACES Q OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL._ NO OF STORIES �— ADMIN. ACTION UTILITIES RELEASED 7� CERTIFICATE OF OCCUPANCY FEE $ APPRO "B ATE CHANGE OF USE OR OCCUPANCY FEE $ TOTAL $C- — i vs•w9Rev area COMMUNITY DEVELP. t 1 m .. 1 1 sUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? o os es, indicate quantities: Quantity Material -- 1.-Flammable liquids, Class- I -A _ ? I Class I-B Class I-C - 2. Combustible liquids 2 Class II Class IIT-A 3 Combinatibn flammable liquids�� f70 ' 4. Flammable gases 5 Liquefied flammable gases 6. Flammable fibers- - looseO 7. Flammable fibers - baled Flo 8. Flammable solids �E 9. Unstable materials i _ 10. Corrosive liquids idiztn materi a1 - 11. Dx 9 gases a 12. Oxidizing material - liquids 13. Oxidizing material - solids 14. organic peroxides 15. Nitromethane (unstable materials) A) 1 16. Ammonium nitrateO 17. ammonium nitrate compound mixtures containing more than 60% nitrate'' by weight 18. Highly toxic material and poisonous gas `19. smokeless powder 20.^Black sporting powder i%o ® ® p I hereby certify that the above, information is r true and correct to the i j best of my knowledge. Y Signature Date i SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS /S / 7-.h 2. Person to contact in case of emergency: ��3eazn Telephone number: 3. Does the building in queGtion have electricity? des Is ONO a. If No, are you requesting that the electricity be OYes turned on? ONO 4. The building is sprinklered? -B'Yes ONO 5.- Operations will produce dust/wood shavings or similar material?- Oyes -ONO 6. "operations will involve t'he repair or replacement of OYes automobile parts?-o If yes: (a) Describe the components repaired or replaced. (b) Does the operation involve the use of an gets flame? Oyes i 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. OYes �t3i�o 8. The following best describes my, operation:' -Office only Retail Sales Warehouse Manufacturing/Distribution (describe process and end product) e�i ,,LrIN6 -- C44p;LeiW( ® © 0 d eatauran a e OuE Food Medical/Dental other (describe) p p k (056217) (12/8186) p t x, r