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CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEP.Cti
Date
Address '...�
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Business Name —R r= °' i r t r } n; .T
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Business Typo r F 1 q�.'°� 11' C
Occ. Group rs_
BUILDING OWNER
BUSINESS OWNERWANAGER
Name t'{.. a •£.r :.�. SIi °3 k
Name
Horne
Address s ( p n.. p
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Address r q ? u g Y < l, t`
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Home
City z . Tey. ftt z t`
" t; e r' City Tel
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Construt'lion _. No. of Stories
Occ-apant t sad _ Sptinkier5
CONDITIONS OF APPROVAL
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DEPARTMENT OF COMMUNITY OFVELOPMENT
This Certificate of Qocuparrcy+
SHALL BE posted In it conspicuous place on the
premises and shalt.not be removod except by the
Building'O8141aL
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
{fit CITY OF HUNTINGTON BEACH
fi DEPARTMCNT OF COMMUNITY DEVELOPMENT g-4-g0
rn xrr rivf nine JPRINT OR TYPE ONLY) DATE
Address T ^iSI5TOft Lf:iVE HS t CF. 92649 pr,1r�GC
Business Name tIN ``EEH INDi1S R'IES INC. Tel 71 4-693,7336
Business Type -..MAN1Jf. t11JRER_... ...,__.. Occ. Group
gull, tSdNC. nViNliq BUSINESS OWNEMMANAGER
Name _ VONDER AHE PARTNERS � � Nam, 71R ES 11ORRISON PRESIDENT
Hcme Adtlrt,s ;SI1_' A{ AfdFFALOA,AVE.Adres7?13 5
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City MISSION VIEJO CA 7 7't4-643-5�,45 TORRANCE CA Home Tel 3-538-177:r
THIS USE WOULD BE DESCRIBED AS.
iJ NEWLY CONSTRUCTED E bti L 1 �:HANGE OF OWNER � CHANGE OF OCCUPANT
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EXISTING BUILDING t € rHANE.E OF USE u ADDITIONAL OCCUPANT
lntlua:e �Ofrtter use a a4Ti, r i1 Yfi73nC't a5 piV
SOVARE FT t'?F RU#tW111 6 TO HE CY,°:93P1 R—I p
NOTICE: 1 Occupancy of,anybuilding is prohrbiled and a business license will not berissued until the building, has been
inspected and a .certificate of occupancy is #saved.
2, No electrical service will be released for any existing building until the service has been inspected and
Certified. safe. All applicants for occupancy in an existing building are required to schedule an electrical
'fuse up'. inspection it, the Department o€ Community Development at the time this application is fited.
3. Change of occupancy or use inspection fee. Whenever it Is necessary to make inspection ofa building or
premises inorderlo,determine#fachangemaybemadeinthecharacterof'occupancyoruseofthebuilding
j or premises which would place the budding in a different division of the same group of occupancy Orin a
1 , different group of occupancy, a change of occupancy inspection fee of 8 she([
be paid to the city_
{ i 4. Huntington Beach Fire Code, Section 10.20e requires thAtbuild#ng numt)ers must be a minimum of four (41
inches in height with one: hall t,:)inch stroke, and of a contrasting color from the background Thesu
numbers must be posted on your building In a location that is visible from the street.
5. Huntington Beach Fire Code Section 10,101 requires lire exhnpuisher selection and distribution per the
NationalFire Protection Association pamphlet 1D (see reverse sidel.
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(FOft OFFICE USE ONLY)
SUPPLEMENTALiNFORMATION
OCCURANGY 1G1A 1.JP� t } — Pi AN r4fC o NO PARR # i SPAC S
OCCUPANT LOArJ k
I*AI it+ OF, T APPROVAL
110 OF STORIES .� d AMIN f,110N, . _. „>. ..4... fi{+FtSiit S RO FASED >...� .. � w..
� � CEf P#f#t:ATE t j• ('0PA t''r f EE
ASPPfi # By ATE .. � C,HAtli,JE QP USf OR PANCY r-E,c-
TOTAt
r.
is er sw a,n COMMUNITY, DE 9LP'
w. n.. its ur�i �.a�..411
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SUPPLEMENTAL INFORMATION
���1�l }'1 M OA
1.
BUSINESS ADDRESS
2.
Person to contact in case of emergency: till iY�L)fTi` iY�
Tetlephgne number:
3.
Yes
Does the buildingin question have electricity? ko
a, If No, are you requesting that the electricity be OYes
turned' One ONO
Yes
4.
The building is sprinklered?
ONO
5.
operations will produce dust/wood shavings or similar
material? Oyes
o
6.
operations will involve the rernit or replacement of 0 es
automobile parts? o
II
if yes
Describe the components're aired or replaced.
at?
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(b.) Does the operation involve the use of an oar, flame? Ores
ONO
7.
ThQ business is drinking, dining or assembly use that will
result in an; occupant load of mo.e than 50 persons. O�)'�s
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8.
The following best describes °my operation:
Office, Only
Retail Sales
Warehouse
Munufactu in D strib tion (d scribe proceea an-1 end
pL
R`oetauran . a'F�e 'Out "Food "—''-
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Medical/Pentad
Other (describe) h d e ibe
(Q562D1 (1218186)'
/1'fv.ze .,..w.,..c::u.i+T'IFY
— 1:"NwuYAkk.Y',IAiWwWMwiw.rrwn+++wn y�
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ON (Continued) f
SUp LEAEe 4mAU INFORMATION
Does the operation involve any of the following
materials? Yes
ONo
-
If es,"in irate quantities:
Quantity
Material
1. Flammable liquids-
Class I -A NC
class 'I-B
Claa8 I-C
a. Combustible liquids
Class II if l 55f"
r
`f f�
_
class III --A
3. Combination flammable liquids
4 Flammable gases
5. Liquefied flammable gases
6. Flammable fibers - loose
. Flammable fibers - baled
B. Flammable solids
9. Unstable materials
10. Corrosive liquids s
11 Oxidizing .TateriG4 - gases
12. Oxidizing materrial- liquids
13. Oxdizifl4 material solids
s
14. Organic Peroxides
15Ni`tromethane (unstable materials)
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16. Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing triage than 60% nitrate
by S.reig}t�
18. Highly toxic material. and
Poisonous gas'
19. smokeless powder
sporting
20 Black s a nr in o e
P g Pwdr
6`b
ft 0
I hereby certify that the abotre information is
true and correct to
the
best of my, knowledge.
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Signatur
Date:
(Q S62D)_
.
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SOUTH COAST AIR Ar T DISTRICT
(Nonresidential Buildings Only ,
location of Subject Property- ��F�_ '')z; -�-y)
Property Owner name: t�"n 4 /"FPE r j;y Ph---
on ,
Name of the Person Preparing this form in print and signature
lame Dame,�z�r fz % Signature��
/'��
The person preparing this form must be c" a same person applying for
building permits• please answer the following questions regarding your
proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER
TO A QUI S11ON N,AF:K THE "YES" COLUMV-7:
SCAQMD PERMITTING CHECKLIST
YES NO
1.Does your facility use any internal combustion.
engines greater than`50-HP?
2, Does your 'facility involve mixing; blending, or
processing any solvents, adhesives, paints
or coatings"?
yo
ur create any dusts or smoke?
oas ,
D �
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4. Does,: your"facility refine any liquids or solids. PIE,
Reclaim any metals?
S. Does your facility plate or coat anything?
6 Does your facility have any combustion equipment
i.e. boiler, furnaces, broiler, baking ovens, etc.)
rated greater than 2,000,000 BTU/HR?
7 Does your facility handle or store sole-:.,nts or motor
fuel?
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8, Do ;you use or store any acids?
9. Do you use any chemical process?
10. Do you, use any solvents "or clean. -up?
e
b
eons resta
urant with a c11aroi1r, x' ,
Fi. Are you a dry cleaner,
body shop; gasoline sta►Jot1, printer, or part aoater?
ya i7 the subject building located within. one thousand
(1,4Ci0) feet of any school?
@ PFtf)'EF31Y LINE t3 pV-.0pI:gTy LINE. GRAOES K-12.
have marked 11110" in all columns, you do not need an Air Quality
,at t :fS time. if ,you have marled ar., questions in the 01YES10 Column
t contact the South Coast Air Quality Management District located.
9150 FLAIR DRIVE:, M, MOOT'F:, CA, 91731' "
Fi.,xzcs call these offices: Plan Check (8l8) 572-6406
(01.8) 572-•6 11, (818) 572-6281
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