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HomeMy WebLinkAbout15233 Springdale St - CofO (2)r k APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF r1UNTINGTON BEACH114 c9 DEPARTMENT OF DEVELOPMENT SERVICES HUN(N MON Mont [LATE. 15233 Springdale St._ � i+str,ct Business Name. MARD1 GRAS OF GINAIS _. .:; Tel 714 891-0702 Manufacture � Chi;c Group------ Business Type __._ _.. _.. -- - _ __.�: p-- 311iCf11NG OWNY F? BUSINESS :3WNE:440ANAGFR Name V62i �� is r cL i B ' qz f (&�_ Nof1cne Sc Address 473'�.11v:i" 1-4 f�,^ Add t.. / y��dGF Ctt Y r- } f4 Cr4a-^M$ _ __zy,.,l TO, THIS USE WOULD BE DESCRIBED AS: ❑ tdENJLY CC N:�Tf3UGTEt3 F3Lt3C, # y CrHA"d'*& OF ��V NEP� i C HANIGE OF f,,CCUPANT !' ❑ EXiSTfNG BLALDING ❑ r;ni C�{ tE i.ir+ El ADDITIONAL OCCUPANT Indicate former usdi, it SQUARE FT OF BUIr.^tt O T ' BF. r r,.UI3lEt .._10$0 SgL NOTICE.-jccuRancy of atr� boi d r, t4 prui inite C xr;U U+t C c�' rl'.i" will not E .. ussued ur!il Pie buildinq has bee .n„ petted and a a 0 oc a wr.v it t,ii.lt " No electrical'4elrYice k i b( ot't 1SF?ry ,or -n+ k Iwc ;,1 i id"tip unii! tali i,rvioe has been ilspeCIed and - - cei" ifled:�afe Att app'icLmtsz to, i cxu:�-IncV 'r.i an E x!swriq bujidinq are tequirad to schedule an elecirical �fu e u;� itl;p. C'jr;r1 ��; they St.p rtrt i .t{ Cf I�i«� r�iG[,€,��., t` Se rv;ce ,t tftr time this ar-plication is faled. 3. Change of occupancy or use inspection lee '4 hf iovor r a TiF ,,,ary tC *'? ik� in�pFC;ion of a building or E'CPrl tl i,C:• rti: r #i) tjr ,,.,( fir tf a d ee F q, rT ay L,r= 1la dtr. ltlt "8r3 h,r of occupancy or use of tr (* bi,i ling or t)rern!-;:;a whit , wool:, the bi ildir g in _ i1f l rerl vriii)n of 1hp sn n e group of occupant v or In d d rff3reflt giCP,1(? of t).,,,i21" a rvy x r'rYang rf fury Cf 4 Huntington Beach Fire Cade Section ,h,zt t)tzud, tiuil);)C r rr,. t ,t die;i mr niniurn cf `.Giar (>:.t inche i in fle!ghl 4Vtt}t Orr e tmlf i i' : f irtt, stoke, arld of a Coritrastltic color from the background. The,e .iFt riI Nr , tru; i be poi ,,red on y�'.r buJdinq n a ,ocat;or rpa: _i` visibie from, the Strect 5. ' ttingtan Reach F=re Gave Seaton fie ext.r;t wisher s6eciior, and distribution per i tho Nationai Fiip Frotocgiori parnrhiel 10 tst r4v� ry � �iti�j (FOR OFFICE USE ONLY)�� n SUPPLEMENTAL INFORMATION ZiltYtlt•Si_i OCCUPANCY C,gOtjP__: ��` _,� P! CAN i,HF. K NC _ NO f`ARKP46 SPACE$ OCCUPANT LOAD �? _ LL; ___ F LPIMTT 1140. __.. _:...... HEALTH TH DEFT APPR�DVAL ____. P1r . Qr STOFglKS A `tw1't1 rt:Ili'iN __ .T_.r_r -;. oTIf_ITIES RELEASED __ _ i (EriTtFiti':w7t OF �IGCUPANC'Y FFE v. APPN' DATE _ CHt NGE ri VOR .E T � I, .. 3 r'•.EL WE'L t,..'a ? ; 1 F:fRfli t S ra f SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS 15233 Springdale St, 2. Person to contact in case of emergency: Pat or Pamela Griffin Telephone number: 714 472-9431 891-0702 k 3. Does the building in question have electricity? CN-Yes ONo a. If No, are you requesting that the electricity -be ©yes 4urned on? ONo 4. The bui- ing is sprinklered? 0Yes No 5. Operations will produce dust/wood shavings or similar material? ❑Yes L qo 6. Operations will involve the repair or replacement of Oyes automobile parts?-` ONo If yes: (a) Descri.,e the components repaired or replact- (b) Does the operation involve the use of an open flame? Dyes 7, The business is d,-inking, dining or assembly use that will result in an occupant load of more than 50 persons. Dyes 1i No 8, The following best describes my operation: Office Only', Retail Sales Warehouse Manu£acturincfDistribution ((describe process and end product) MANUFACTURE UNIFORM RestaurantTaake OuL Foe Medical/Dental Other (describe) (0562D) (12/8/86) SUPPLEMENTAL INFORMATION {Continued} Does the operation involve. any of the following materials? Oyes ©No I Yes, xn irate quanta zes: Material Quantity 1. Flammable liquids Class I -A Class I-B Class I-G 2. Combustible liquids �. Class II ' Class III -A 3. Combination flammable liquids 4. Flammable gases S. Liquefied flammable gases 6. Flammable fibers _.loose 7. Flammable fibers - baled 8. Flammable solids T 9. Unstable material 10.'Corrosiye liquids 11. Oxidizing material gases 12. Oxidizing material liquids 13. Oxidizing material - solids 14. Organic peroxides 1S.-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. Blabk s rting powder I hereby certify that the above information is tr. �4 a ect to the best of my knowledge. signature Date (0562D) (12/8/86)