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Home My WebLink About15181 Springdale St - CofO (2)r APPLICATION FOR CSRTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH + DEPARTMENT OF COMMUNITY DEVELOPMENT "UNFINGTON KACOH (PRINT OR TYPE ONLY) DATE n ' Address �/T✓C�i� !/i✓�j%D/v u (/ District Business Name �__ eTe�L 20 " � 7 � I Business Type 1??Y=C- �� ', sLLt.+U'r l��c�. !�q'9r'"�O'L'1R Group � BUILDING ONJNER BUSINESS OwNERIMANAGER Name l�D/J t�ru6 t)d►PYh!�/ 11me�/Eh Home Address 2 /4% i /�,� j r7 i"iU(71A'ddress D i City/7/Sgf�1`� l/./127 Tel �'( rtyG�lcs+r;`r` �=-d: /OE�Zf Ho eTeI�Z%giZ�/aZ I' THIS USE WOULD BE DESCRIBED :AS: NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER 0/CHANGE OF OCCUPANT EXISTING BUILDING El CHANGE CHANGE OF USE ❑ ADDITIONAL OCCUPANT t Indicate former use, if any "� lb`l=t t>' - Occupancy Gr. Div. SQUARE FT. OF BUILDING TO BE OCCUPIED s 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 �r certified safe. All applicants for occupancy in an existing building are required to schedule an electrical I 'fuse up' inspection in the Department of Community Development at the time this application is filed, Change of occupancy or use inspection fee. Whenever it is necessary to bake inspection of a building or (wv 111 premises in order to determine if a change may be made in the characterof 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 lJ different group of occupancy, achange of occupancy inspection fee of $ shall be paid to the city. 4. Huntington Beach Fire Cade Section 10.208 requires that building numbers must be a minimum offour(4) Inches in height with one half (1/2) 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 strc -I. i 5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection anii distribution per the 7,A - National Fire Protection Association pamphlet 10 (see reverse side). F_ CT F t�Iy<cLC�f� DATE PAID AMOUNT 9ECEIVELI_ s NAME r— (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION ZONING OCCUPANCY GROUP-i� PLAN CHECK NO. NO, PARKING SPACES OCCUPANT LOAD— PERMIT NO. HEALTH DEPT APPROVAL NO. OF STORIES— ADMIN, ACTION UTILITIES RELEASED irc-tom �Zf CERTIFICATE OF OCCUPANCY FEE $� _ PPROVED DATE CHANGE OF USE G.i OCCUPANCY FEE $ 270 TOTAL $ 75-039 Rev.1/97 COMMUNITY DEVELOPMENT � 1• L 9 l i i r, SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS $ 2. Person to contact in case of emergency- , Telephone number:�ir�} 3. Does the building in question have electricity? ❑ Yes �No z l (a) If No; are you requesting that the electricity be Yes turned on? ❑ fi10 4. The building is sprinklered? ❑ Yes `I y ❑ No 5 Operations will ` produce dust/ wood shavings or similar material? ❑ Yes \[R'N o ' 6. Operations will involve the repair or replacement of ❑ Yes automobile parts? No - If Yes: (a) Describe the components repaired or ` replaced. ^11 (b) Does the ,operation involvethe use of an open flame? ❑ Yes fN 0 t 7. The ` business is drinking, dining or assembly use that will .' result in an occupant load of more than 50 pers, Is. ❑ Yes, No 8. The following best describes my operation; Office Only'°" jv'►�7C pD% > v i Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant' / Take Out Food Medical / Dental Other (describe) 9 SUPPLEME14TAL INFORMATION ' r it n 4. Pe t I �1 ;t SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following ,materials? es o If Yes, indicate quantities: 'Material Quantity 4 1. Flammable IigP Sds Class I -A Crass I-6 — i i Class I-C =1 2. Combustible liquids w Class 11 Class 111-A 3. Combination flammable liquids 4. Flammable gases P 5. Liquefied flammable gases 6. Flammable - fibers - Loose 7.. Fiammable fibers - baled 8. Flammable solids ; 9. Unstable materials 10. '.i Corrosive liquids 71. Ox.id'. s".ing material - gases 12. Oxidizing material - liquids =� 13. Oxidizing material - solids 14. Organic peroxides l 15. Nitromethane (unstable mataria's) 1$. .Ammonium nitrite 1 17. Ammonium nitrate compound mixtures i containing more than 60%.. nitrate,' f by weight 18. Highly toxic material and ` poisonous gas 19. Smokeless powder 20. Black sporting powder i hereby oertify that the above informr.tion is true` 1 and correct to the best of my icnOwfedge. Signature Dat _.a o- s. f I 41 L " APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH I 7 - fti' " 9 r, DEPARTMENT OF COMMUNITY DEVELOPMENT REAot. ,t ,. 161 , - HUNnNWON - (PRINT OR TYPE ONLY) DATE ,� Il 9z6iiQ. o - %rClPyQ �G2G�v Address i-G ��J?� District Business Name Us L c�ilYLtC[�rw Tel, Business Type��✓��` ,G;��nf��o"�/�cci�/ IST,L�'i%Iui%{.� Oca Group BUILDING OWNER BUSINESS OWNER/MANAGER Name 1/�,, Ql�zecr Name-/avet� A /dcr�uio�i�pJ SP�ac 4 /1/ f �7 �t5 t Los RZLbs Sct� In Home Address - - Address City hhlts�,� 'i%ciia' CR4.1L9/ Tel. «f•�k`969dCity rUu2rtlt� C/a9a617d Home Tel 7/4-S21-9472 i THIS USE WOULD BE DESCRIBED AS: - f F a 0 ❑ ❑ G NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER CHANGE OF OCCUPANT � / Q ❑ADDITIONAL y tom` EXISTING BUILDING 'CHANGE OF USE OCCUPANT F Indicate former use, if any ci!c5ri�ee teo� �T G3 Occupancy Gr. Div. `c� t U SQUARE FT, OF BUILDING TO BE OCCUPIED i NOTICE:.'1, Occupancy of any building is prohibited and a business license will not be issued until the building has been iP inspected and a certificate of occupancy is issued. 2. No electrical service will be released for any.existing building until the servicehas 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. `- Change of occupancy or use inspection tee. Whenever it is necessary to make inspection of a building.ur c. s'' r premises in order to determine if a change maybe made in the character of occupancy or usa'ef thebuilding or premises which would place the building in a different diviso;7 of the same group of occupa4 cy or in a different group of occupancy, a change of occupancy inspection fee of $ shall' ) j be paid to the city. 4. Huntington, Beach Fire CodeSection 10.208 requires that building numbers must be a minimum of four (4)' inches in height with one .half ('Y2) inch stroke, and of a contrasting color from the background. These number 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 Cy q. National Fire Protection Association pamphlet 10 (seee¢y�reverse side). n UL`f TRAFFIC IMPACT FEET GATE PAID , • APhOUPAT RECEIVED NAME (FOR OFFICE USE ONLY) �U ZONING h : OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES '' r OCCUPANT LOAD' PERMIT NO. HEALTH DEPT. APPROVAL NO. OF STORIES " ADMIN. ACTIONS UTILITIES RELEASED ukr � CERTIFICATE OF OCCUPANCY FEE $ , APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE g TOTAL g ie-ose Rev. vex COMMUNITY DEVELOPMENT I-q - - - -- p l n t rt j