HomeMy WebLinkAbout15131 Triton Ln - CofO (10).�.t CERTIFICATE OF OCCUPANCY
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DEPARTMENT OP DEVELOPMENT SERVICES Date
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Addtesa t� 1 as ,LT:)1§ L{ r Horne
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'this Certificala at occupancy DEPARTMENT OF DEVELOPMENT SERViCEG
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SHALL, E posted in a coi'SpicuouS placa on
the premises and shall not t� Mmoyed e,--
pep; by the Eluilding official
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APPLICATION FOR CERTIFICAT17 OF OCCUPANCY
CRY OF ilUNTfNGTO'; 3EACki
DEPARTMENT Of DEVELOPMENT SERVICES
auxn=MN waii AT 01 r,k r cot t r DATE
Addre.:S
6'4f5lriG':iS Natn<?._„jn�......--,.-4'.-a,�i.T1�A3 ...u»....��%...L1..--.._s�}IS.�`_.��.._. j rT. 5a� TO �...
Business Type __.__.. 5..`��"lilt
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HUtt.i}trvf, C.° :�iFR EiUSt`.kS$ CllN lF ,+tv ANAGGR
Address &tf-- - •• 6&��/
am 3HoineTei._.,,
THIS USE WOULD BE t3CSCRISED AS: ---}}
Q Nt 1diY CS N TFZUCT'FO T'_c =a L ['4iAp E OF „`IvhdtL� —� t>t.ANOE OF iiU€':UPANT
ITEM50lJti E'Ji(_Ii(fdCS L < CHFAE OF L - 4 i ADDITiONIAL 0C:CUPANT"
fo(•"'nr^,,i :.lSE.'- if c2"4',,..,,..;.;..,-,..-,..�_..._.-.�
SQut -,RE FI OF B'JiL IN L TO BE C,C tJ t: iJm4.
NOTICE: -Orc jn n,. ,y of ar y , . pri Krr• U ,i_m a "ammsmono • will not b° t. ors unid the building has
been Kat:k.aNd ind a rtAf.0 3`r rj C;it x il.,Lr Iigd.
qt 2 No electrical service 'v' i r Ft a + t yai is — mg a-r, 7t .lt t t tfac , tcq Ck has been n in petted end
_ 71a- CsF 2t�: rr+ StY: iAtt o1�p'x i:.: r3 1 , i A.lr }. it . n,±qtl r d jo -'y f7hedi{le its electrical
{ fuse j 4"f..tt€3,.UD r in we „tr.,.C." =i A Da_avf ra%I}"'r.W::ac,FW s i. the tlrt't. tNs aj'(.rNf;: hon w h1d
3. Change of occupancy or usn inspection tee. tF, r x., a ,,,, r 9 K nuc ,..z y M Cs"a& In Wr?{:itw <3f a biividdy
M Peons a f,td••- ire d t •ft""2St, . 0 a Ct,Eyt Rav A-'a"iiije n titc. of cjcz ,p !cy or use of the
buolmg oy tjSion beq W idi .dfmid My .. EL. t' r ai g in a di4 , nj down ,,n of Fit., "_F i ? q!oup *f occupancy
oT in ,i d0f, rent t t irx < ra chaps it 0=pWicy [ :';0t ayon we �.
00 to fxmd to the cull
t f, Al Huntington Beach Fire Gone Section
w7 ° 4 trl f r h :l u Y F 5 r t WO 4 ash Elmhe, e, d ut of a t a3 ,S ilil r3 G i,t'r +rY r)Z fr!f backgrOu td. TY 25E
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b t'� :6Pd o!, YS,?�,t b, l tdillq ,ra ,l I;vC.cst rkr} 't T�e2a i,. 4r.Iifa?-.. trom the strei't
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5. 'Huntington Beach Fire Code Section trt �'�� :rF,� t fire o)"ti*guit,,*.e7 ctz and dd�tiFbutton per
rt v .r-'E (i3F.
(FOR OFFICE USE ONLY) `r <
SUPPLEMENTAL INFORMATION aFfv: r7,t-� `��
ArtiK Nt..i Sf-AC,ES
HFAL` Ii D,_PT APPROVAL��
NO F:f- +,,-TO IES Arj%41b1 At-li,,04 _ ..;::._ +JTtt. 5[-.S PFLEASP
i ":,4 fx±rv` t rttz`
€.ATE fiA'v .r OF € G LEE
, "x l., l.. "�; MEN SERVICES
SUPPLEMENTAL INFORMATION
1.
BUSINESS ADDRESS
2.
Person to contact in case of emergency: f't1 , 75 " bl
-
Telephone number: f
�"Lr.k'fsl
• 3,
Does the building !I -? a�;-<3a
g in question have electricity.
CA -es
'
a. If No, are you requesting that the electricity t.?
No
❑YCs
turned on?
UNo
a.
The building is sprinklered?
�1Yes
ONO
5.
Ope:rations will produce dust/wood shavings or similar
,:raterial?
Oyes
[moo
6.
Operations will involve the repair, or replacement of
QYes
automobile parts?o
if yes.
(a) Describe the components repaired or replaced.
OYeu `
(b) Does the operation involve the use of an open flame?
7,
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
Oyes
8.
The following best describes my operation:
Office Only
Warehouse "'
- Manufacy+�4ring/Distribution (describe process and end
product)
Restaurant%TRe out Foo
Medical/Dental
Other (describe)
•
(0562D) (1`2/g/86)
SUPPLEMENTAL INFORMATION (Continued) I
Does tIxe operation involve any of the following
materials? 7Yes
`
A 0-
if Yee, zn zcate quantztzes:
Duantf tyy_
Material
1. Flammable liquids
Class >I -A
s
_
Class I-B
Class I-C
2. Combustible liquids
Class II
i
Class III -A
r 3. Combination flammable liquids
F
e. Flammable gases
5. Liquefied flammable gases
6. Flammable fibers loose
7. Flammable fibers - baled
r
8. Flammable solids
x
9. Unstable materials
10. Corrosive liquids
11. oxidizing material - gases
12 oxidizing material - liquids
-
erial solids
13. Oxidizingmaterial
�
14 organic Peroxides
15. Nitromethane (unstable materials)
16. Ammonium nitrate.—
17. Ammonium nitrate compound mixtures
coutiining 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
trL.;e,and correct to the
best my kr.owledgeq.
}of
Signature
Date
(12/8/86)
(0562D)
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