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CERTIFICATE OF OCCUPANCY
CITY OF I.WNTiNGION BEACH
Date
Address -, s e.. w n :
District
8
Business Name r. x - r �. ' ,- ,mow:.'' r Tel.
Bus liess Typo c C Lr 3.1 t t t } ' ` � i : Occ. Group 1 e:
BUILDING OWNER
BUSINESS OWNERIMANAGER
1
Name ''r_;_. z.
game 1.F . € i ": t s: "IAA
1
Address
Address, r e n x
a�a
1Tel
Construction _ No, of StRnas 4L.
Occupant Load :" '` SprinWees
3
CONDITIONS OF APP80YAL
OEPARTMENT OF COMMUNITY 0V- E .OP&1f;'NT
® 0 CJ
This Certificate at Occupancy
SHALL BE posted in a caisptcuous place an the
prernues and shall net bp removed excep6 by the
by k.
S''Isfing Olk4al.
COMMUNITY Y DEVELOPMENT
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s ttl APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY Or- HUNTINGTON BEACH
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DEPARTMENT OF CQMMUNITY DEVELOPMENT - — - DATE
i rr-00't H' iK1i aPfw OR TYPE ONLYy
15�.�6 i RANSt'STt?(� LgNE p,<,ic,cs
Businr,°> Namticr f»G i}?�.?S�?JLc�5 S r CSflfl� Iel C 71�� 73- 55c`j
BriS:res Tycr QCc GroupI�.«i7tFi..i�i'«y.'rri{ U f.ti ]I!'iE.f#S ri�iHiYGRNiAtiill�ER
Home ►lf'} GF�csn ,�C fg TE 1 G' f .._.Home Tel �) S
Eii�-•$s� �1G 546:6�
THIS USE WOULD BE DESCRIBED AS:
0 Ptu& fi'O'1 TFt?lit`fD 840tx f.:HANv iF OF isNNER rhiANGE OF OCCUPANT
gxiSTtft i ltUtt ?yt9G !,?iA'i`.rF `>F J-F ADENDONAL OrXUPAN'r
SQUAnE FrOF €tt Ot r' 'V; TO FF
NOTICE. 1, Occupancy of any building is prohibited and a business license will not be issued until the building has been
- inspected and a r erhficate of occupancy is issued
2 No electrical service will be released for any existing budding. until the service has been inspected and
I certified We, All applicants for occupancy in an existing bud&ng are required to schedule an electrical
`fuse up' inspecliv , in the Department of Community Development at the time this application is Bled.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a budding or 4
3 li
I premises in order to determine it achange may be made in the ebaracterof occupancy or use of the budding
J or premises Which Would place the building in p d4terent division of the same group of occupancy or in a
different gcouy: of occupancy. a change of occupancy inspection fee of S .. ,.. , .. _ _ shall
.I� be paid to the city
21 A H untingtbn Beach Fire Code Section 10 208 requires that biiildine numbers must be a rrurnmum of four(4)
rr inches in height with one half V.o) inch stroke, and of a contrasting color front the backgrsund, These
numbers must be posted on your uudding in a location that is visible from the street.
i 5 Huntington Beach Fire Code Section .10301 requires fare extinguisher selection and distribu"ion per the
0 National Fire Pr.gect?on Association pamphlet 10 (see reverse side)
uP5-lI
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
° ,tiff>ANd ;Y GfrGi JP .> F AFt-`,k{f Ptir hl f+r PK N t Syl 'F rs
CZCUPANT I.OAf3 Tti t h A�PSr iVAL
NO OF StKiRft S (+� _ a „I , AA";[ I's�i," .1�r.W. �`• FP itir tj kaf , t A^�£�cY .
AV,
is4aanernes O'L�IiP:?UMITY I:fI vap'.
$UP? MENTAL INmORNATION
1,;
BUSINESS ADDRESS
2.
Person to contact in cass Of emergency: TZ' r-vi cie �t�m'
elephons number-,.-0- or
7-13 ' ` 66?-5 ,p 213 Ll33-5`i3L
3.
Does the building in question have electricity?
Yes
a. If No, are you requesting that the electricity be
OYes,
turned on?
No
4.
The building is sprinklered?
Yes
5.
Operations will produce dust/wood shavings or similar
material? g
ONO
Dyes
ONO
6.
Operations will involve the repair or replacement of
Automobile parts?
OYes
,ONo
If yes:
i
(a) Describe the components repaired or replaced.
(b) Dcgts the operationinvolve the use of an "on flasie?
OYes
No
7.
The business is drinking, dinging or assembly use thet will
result in
an occupant 104 - more than'50 persons,
OYes
AN0
a.
The foiioking;best describes MY Operation:
Z3irfice O
RetB 5A1l3
r�F10�J3iE"
MaanuFacturing/Diatributian (describe
product) process and end
_I
0 0
estauran I a e ue o0
Medical/Dental
Other (describe), crib.
.0
i
SUPPLEMENTAL INFORMATION (ContinUed)
Does the operation involve any of the following materials? OYes
1*o
Tf Yes, Indicate qunnt eaa
Material Quantity
1. Flammable liquids'
Class I -A
Class'I-8
Class I-C
2. Combustible liquids
Class 11
Class III -A
3. Combination Flammable liquids
4. Flammable gases
5. Liquefied flammable gases
I
6. Flammable -ibers - loose
7. Flammable fibers baled
j
8. Flammable solids
8. Unstabie materials
10. Corrosive Iiguid:s
11. Oxidizing material gases
_
12. Oxidizing material ILCLO css
13. Oxidizing material - solids
14. Organic peroxides -- J
15. Nitromethane (u.nstable materials) 1
1x Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 601 nitrate -
by Freight
18. Highly toxic material and
poisonous gas'
1). Smokeless Powder
20. Black snorting Powder-..
I hereby certify that the above information is tr e� u and correct
� best_ erect to the
a� my knowledge.
Signa e
R .Da to,
(d562D)
(12/8/86)