HomeMy WebLinkAbout15131 Triton Ln - CofO (59)NdTICE: 1, Occupancy of any building is prohibited and a busi,�ess 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 foraoy 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 in the Department of Community Development at the time this application is filed.
-3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspectionof a building or
premises in order to determine if a change may be made in the character of 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
different group of occupancy, a change ref occupancy inspection fee of $ shall'
be paid to the city.
4. Huntington Reach Fire Code Section 10.208 requires that building numbers must be a minimum of four(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 street.
5. Huntington Beach Fire Code Section 10.301 requires fire' extinguisher selection and distribution per the
Natio,nr�al Fire Protection Association pamphlet 10 (see reverse side).
/
'tea-ERTIFICATE OF OCCUPANCY FEE
DATE CHANCE OF USE OR OCCUPANCY FEE" g
TOTAL $
wz•»aa W, ILOING & SAFE rY
'I=NTAL' INFORMATION
1.
BUSINESS /02
,ADDRESSrTd/L
2.
Person to contact in case of emergency `tea
Telephone number: 7r
n� a
f1' Yes
3.
Does the building , in question have electricity?
❑ No s
3
(a� If No are you requesting that the electricity be
❑ Yes
turned on
❑ No
Yes
4.
The building is sprinklered?
❑ No r
5.
Operations will ' produce dust / wood` shavings or similar
`material?
❑ Yes 3
; No
6.
''Operations will involve the repair or replacement of
❑ Yes i
automobile` parts?
No
a
If Yes:
(a) Describe the components repaired or replaced.
i
f
(b) Does the operation involve the use of an open flame? ❑ Yes
No
7.
'The business' is drinking, dining or assembly use that
will
:result in an occupant load of more than 50 persons.
❑ Yes
P<No
8.
The following best describes my, operation;
c:P C'�n1y
Retail Sales
Wareho���
tr
Manufacturing / distribution (describe process and end
product)
Restaurant / Take Out Food
Medical / Dental
Other (describe)' /�'
-81) FC -[S+1ENTAL INFORIV A O1V -
SLIPPL; MENTAL INFORMATION (Continued)
p
5
Coss the operation involve any,of the following;, materials? CI Yes..
No
If
Yes, hidicate , quantities,
-Material Quantity
( 1.
Flammable , liquids
I
Class l-A ,
Class I-B
Crass I -C
2,
Combustible liquids
Class I
Class ' ill -A
3.
. Corribination flammable .liquids
4.
-Rummable gases
5.
Liquefiedflammable ' gases
S.
llammable fibers - loose '
7.
Flammable fibers baled
3.
Flammable solids
g,
Unstable materials
10.
Corrosive liquids
11.
Oxidizing material - gases
12.
0-.rd117-1ng material - liquids
4
M
. Oxidizing material - solids
14.
Organic peroxides
15.
Nitromethane (unstable materials)
1�.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
M
Highly 'toxic material and
poisonous gas
-
19,
5rnokeless powder
20.
Mack sporting powder
l hereby certify ,t. , he above information is tree,; and .correot to
"the
best'',of rn�" kno ledgb,
r
ature Date
ef. �i ..
., South Coast `
�iiR` Q1 Al.il ' 11�A1\ AGEMENT
DISTRICT
v
21865 E. Copley Drive, Diamond Bar, CA 91765 41$2 (909) 396-2000
, Y
;
4R QUALITY PER AUT CHECKLIST
for nonresidential, buildings only,
Company Name:
Location of Propyai %/�''/ '.�c�✓ / �Z
z
City;dip Code:
Contact Person: d cd Title:
1 �ti��
Telephone Number: —r /-� q0 Fax Number:
Type of Industry/Business:
To apply for a nonresidential building permit, you must complete this checklist. If you have any
questions about completing this checklist, please call (800) 388-2121
YES
NO
J.r Will'tha facility have a charbroiler?
2. Will any infernal combustion engine with greater than 50 horsepower
operate at the facility (excluding motor vehicles)?
3. Will operations at the facility involve mixing, blending, or processing of
solvi z �.% adhwsives, paints or coatings? [ ]
[
4; Will dust or.smoke be generated at the facility?
5. Will refining of any Iliquids or solids be done i:t the facility'
6. Will any plating or coating of materials be done at the facility?
7. Will, any combustion equipment gated greater than 2,000,000 BTU/hr be
operated at the facility? [ ]
{
8.' Will anacids soh°ents or motor fuel be used or.stpred at the facility?
y
9. Will any organic liquids or gases be reacted or produced?
10. Will any ovens be use dry or cure products at the facility?
11. Will any C on, cyc ' o iachines operate at the facility? [ ]
V
Applicant: Signature:
mt PhIne clearly)
A
if you have marked "NO" in all the boxes, an air quality permit is ngt needed at this time,
?yid this checklist is your written release.
If you marked "YES" in zny of the boxes, you must .contact the South Coast Air Quality
.Management District (AQMD) Please -read the requirements on the, back of the checklist.
(800) 388-2121
.l
iE?EtN -s ,?pCitNA7lC)Ca".