HomeMy WebLinkAbout15175 Springdale St - CofO (3)1
CERTIFICATE OF OCCUPANO
CITY OF HUNTINGTO14 BEACH..
Date
DEPARTMENT OF DEVELOPMENT SERVICEw
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Address
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Business Name
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Business Type
B-2
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BUILDING OWNER BUSINESS OWNERWANAGe_N
Name
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Address. 11 t � y , µ i,.�,r, � c ' � � � t_ a _ rid.+r, s
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DEPAE'TMENT OF DEVELOPMENT SERVICES
This Certificate of occupancy
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SHALL `.' - posted in a tOnspecLOUS place or
the premises and shall not be removed ex-
cept by the Building Official. by�--� - �
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON UEACH '
DEPARTMENT Or DEVELOPMENT SERVICES
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BusmeUs Type.__ _ �� f 1 x !* L � � occ Corot,
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THIS USE WOULD SE DESCRIBED AS.
J NEWLY f�"ONSIfz1.3E.CTED #3k.1.1�. #t:.,_:(t t7i�?�b�iC. C'iF" f:31h1'v! r�l �.....� C HAN(33E �.,k OCCUPANT .t
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Imitcale
VjOUARF FT C')i' Rust [:,ftj mf
r NO rICE: i 0 :4l s drier of xar ,. : �... r . will not af, 1 ,°silts unfIll t. j rdjt1g has
tr �fz a r;P��-%tr.d dt�Cl �� t.r.hrTrt; � t r.+r rat t _a, �a �-;• i �.Rts
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No electrical servicevvif be Ti x1tx tmqpt?C1et7 aria f
t �P7 'L•t3rL'r of G'IQt; tdCcif -
ri t,p t,.P s[N3 '3C. t+G'x 'i, t . Dr ,.f ,k t arTlt'''i Sot. cf=li ta, !f e 111no thj,i a(rdlCa3rGR is ir!rm.
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I :# Change of occupancy or use inspection fee. .,t r,..,.�� � :, F .,,,av .0 •, lak4 of a.bu,lclrno
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�o i ft t 11 .ti t . n 'jf�r,! a fi}c'1 T t rtn r li tt ^n. P. ,'� ;v f y 1h� cat` 'Il `,' ,,sca* of f,. r ,`st'dJCCirancy or Use of the
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4 Huntington Beach Fire Code Section 20a? • ,t+atr €`r�r c a,�� # ,_� rF�s� t,t +:« wtx�.,ttko-t a f,)! four
's [s, P=f. fn height !'t w0fil r,:<- h,}i# r' 1 fr t, oni rat , !rift;, trip t� rCft.clrO�t,id, Thf
r' rti CAY ?rl,"1 C}f } t ,I t ti f°nff r w'1 c+
tjnii.''ers wu t be pos . d on iow biJii3 g ir" to ft cat fry i t t tatrf 'rot* the tit r el,
5 Huntington Beach Fire Code Section ' � 3`?' r� t� t, ,, �� ,, rr�. ct.r r« arld dtstr+i siit r P«
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(FOR OFFICE USE ONLY)
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SUPPLEMENTAL INFORMATION Fhrr•.1t-3 L-� �"^LtS „«„�%
OCCUPANCY ra�lt""yL"P..�.,^-- �..: 1 ig t will P•Q, . _ NO f'+=tIK!!NG SPACES
0CC CJPANT LOAD ._ _ _5� _ c.r r." r "_r; _ _ ..: HFA t.7`td IIEW APPR1_1VA1 « ,a,.,.___._.._
{'t_ w_?��7?GiL'�:>_.___�u_u.... c__.....�_ ...� �1•'=t„1€N::C,I�r,;.._,_ ._...;:._� tr,��r��htwti
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SUPPLEMENTAL INFORMATION
1,
BUSINESS ADDRESS
2.
Person to contact in case of emergency: 1(�J&l-ro c <-•✓
Telephone number:
3.
Does the building in question have electricity? (Yes
R O No
a, If No, are you requesting that the electricity be OYes
turned on? _ 13No
4.
The building is sprinklered? 0Yes
5.
Operations will Q7No
p produce dust:lwood shavings or similar
material? L Yes
P No
6.
Operations will involve the repair or replacement of Oyes
r
automobile parts?
{No
If yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the ;use of an open flame? OYes
ON
7,
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.'` CIYes
fro'
B.
The following best describes my operation:
office only
Retail Sales
Warehouse
ManufacturinglDistributian (describe process and end
product)
}
Restauzant Ta e out Priori
Medical/Dental
Other (describe
(0552D)
.. ..fi3itiPLl`riME..NTA" .m.4.w:'O;{MA.I. ON
(1„Ontinued) .
Does the operation involve any of the following
_materials: des
ONo
Ixes xn :kale quantILIesr
Material
Quantity
l Flammable liquids
1
V Class I -A
f
' Class S-H
Class,
2. Combustible l quidz
Class lS
Class SSS-A
3. Combination flammable
4. Flammable gases
J. La.quefieti flammable gazf"'s
Flammable fibers -
7. Flammable fibers-,balaf
6. Flammable solid$
---
5°. Unstable materials
14 Corrosive liquids
oxidizing material
p 12. oxidizing- material ljq--iias
13.' Cxidizinq matria.i - s�;l'�:::
l� t�rganio beroxries
15. Nitromethane f unstaL,le
16. Ammonium nitrate
17. Ammonium nitrate eampouni mixtures,
containing more than 60% rite
—_b`� weaight
1 . Highly tOXic material atd
'Poisonous gas.
l3. Smokeless 'iaowcer
20. Black s csrting Powder
S hereby certify that the abt c! information
best of my knowledge.
is true and correct to the
Sig attire
ate
(0562D,
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