HomeMy WebLinkAbout15215 Springdale St - CofO (2)SUPPLEMENTAL INFORMATION'
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1.
BUSINESS ADDRESS - d_
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2.
Person to contact in case of emergency
Telephone number:1�
3.
Does the building in question have electricity?
Yes
❑ No
(a) If No, ; are you ` requesting that the electricity be
❑ Yes
turned on?
❑ No
1 ,
4.
The building is sprinklered?
wYes
No
5.
Operations will produce dust/wood shavingsor similar
material?
❑ Yes
No,
6.
Operations will involve the repair or replacement of
❑ Yes
HNo
automobile_ parts?
If Yes;
(a)-Descrit;;: , e componenfs repaired; or replaced.
(b) Does the operation involve the use of an open flame? ❑Yes
❑ No
3,
7.
The business is drinking, dining or assembly use that will
result in an occupant- load of more than 50 persons.
1'Yes
❑ No
8.
The following best describes my operation;
;
Office Only ,
'
Retail Sales
Warehouse
r.
Manufacturing / Distribution (describe process and end
product)
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Restaurant /Take Out Food
Medical / Dental
1
Other "(describe)
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SUPPLEMENTAL INFORMATION
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SUPPLEMENTAL INFORMATION (Continued)
Does the operation involve any of the following materials?
Q Yes
No
If
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Yes, indicate quantities:
_
Material Quantity
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1.
Flammable liquids
Class I -A
-
Class I-B
Class I-C
1
2.
Combustible liquids
Glass li
5
Class III -A
iJ E
3.
Combination flammable liquids
4.
Flammable gases
5.
Liquefied flammable gases
6.
Flammable fibers > - loose'
r
7.
Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids
J. ,
11.
Oxidizing material - gases
12,
Oxidizing material - liquids
,
13.
Oxidizing material - solids
14.
Organic peroxides
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
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 hereby certify that the above information is true and correct
to
the best of my knowledge.r
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Si�anature Date
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CERTIFICATE OF OCCUPANCY 6 / 13 / 9 6
CITY OF HUNTING ON BEACH 1
.Cate i
Address 15215 SPRINGDALE District
Business Name FAT DADDY'STel. 714-897-4444
Business Type
RESTAURANT Occ. Group A..3
BUILDING OWNER
BUSINESS OWNER/MANAGER }
VAN L3R ANE PARTNERS blame LOUIS N VECCHIO
Name — u,
Oft Home 15215 SPRINGDALE
Address26440 LA ALAMEDA 3 Address
MISSION VIEJO Tel. 714-348-9690 City REDONDO BEACTeme 310..331-2347`_
City u
Construction No. of Stories Occupant Load 93 Sprinklers
CONDITIONS OF APPRO*JAL R
dC _ ANC LEIS #
i�
HATE �
DEPARTMENT OF COMMUNITY DEVELOPMENT
' This Certificate of occupancy
SHALL BE posted in a conspicuous place on the
preinises and shall not be removed except by the by
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Building Official.
APPLICANT
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