HomeMy WebLinkAbout15131 Triton Ln - CofO (98)Js APPLICATION FOR CERTIFICATE OF OCCUPANCY
I CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPME T .
(PRINT OR TYPE ONLY) -:' DATE
r ems" (.� 9
1;
Address District —
Z7 �� ��• ,L
Business Name l dYrJ 2 J�Te . l
Business Type Occ. Group^
E
BUILDING Ow ER BUSINESS OWNER/MANAGER
a.
r
Name��r�'g`:e,�d-rr' '� Nameda—�
;
Homed
J
Address Grz_ rz'op '� O Address
City r.^ >� - Tel(f 7 �/City Home T • �r
I
f
THIS USE WOULD BE DESCRIBED AS:
g(
f
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
t}
❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
�I
Indicate former use, if any, _ Occupancy Gr. Div.
FFtC�\
SOUARE FT. OF BUILDING TO BE OCCUPIED W2 ,Db [ O� � ]
�
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
inspected and a certificate of Occupancy is issued.i
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 in the Department of Community Development at the time this application is filed.
i
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
premises in order to determine if a change maybe made inane 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
Y•
different group of occupancy, a change of occupancy inspection fee of $ shall
be paid to the city.
4 Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in height background.
with one half (I/z) inch stroke, and of a contrasting color from the These
numbers must be posted on your building in a location that is visible from the street.;
ntmgton Beach Fire Cr O.. Section 10.301 requires fire extinguisher selection and distribution per the u
tional Fire Protection iciation pamphlet 10 (see reverse side).
5
PC514 Pt
TRAFFIC IMPACT FEE f✓� pQ ^'J
DATE PAID
i
AMOUNT RECEIVED,____
NAME (FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONING.
OCCUPANCY GROUP— 5 �'� — PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO, HEALTH DEPT APPROVAL
NO. OF STORIES —a ADMIN. ACTION__ UTILITIES RELEASED
����
J
CERTIFICATE OF OCCUPANCY FEE $—
AP ROVED B DATE CHANGE OF USE OR OCCUPANCY FEE $
TOTAL g
75-039 Rev.1/97 COMMUNITY DEVELOPMENT
A
A
u 1
- :4
SUPPLEMENTAL INFORMATION
i
���` //2
1.
BUSINESS ADDRESS
t `Y•'�
2.
Person to contact 9n case of emergency-� ,�--
r-
J
I
Telephone number:
3.
Does the building in question have electricity? ,`Yes
}
�f
❑ No
(a) If No, are you requesting that the electricity ❑ Yes
�
turned on? El No
;�t
r 4.
The building is sprinklered? Yes
li
❑ No
i
5.
Operations will produce dust/wood shavings or similar
ions
material? El Yes'
ri"O
1
►e 6.
Operations will involve the repair or replacement of ❑ Yes
;
A
automobile parts? R_No
�a
If Yes:
(a) Describe the components repaired or replaced.
i
x
t 1
'
(b) Does the operation involve the use of an, open. flame? ❑ Yes
.N No
7.
The business is drinking, dining or assembly use that will
❑ Yes
result in an occupant load of more than -50 persons.
ALN o
8.
The fol "ng best describes my operation;
ffic Only
i a
i°
Warehouse
unng / DistribL-on (describe process and end product)
Restaurant/ Take Out Food
Medical / Dental
Other (describe)
y
w
SUPPLEMENTAL INFORMATION _,.:..,.. _ . W .. _ _
r
.... ...... .
,1
I
I
SUPPLEMENTAL INFORMATION'Gonti Hued
a
Does
the operation involve any of the following materials?
❑ Yes
N o
` If
Yes, indicate quantities:
Material Quantity
1.
Flammable liquids
Class I -A
Class I-B
Class I-G
2.
Combustible liquids
Class II
Class IP-A
3.
Combination flammable liquids
4.
Flammable gases
r' 5.
Liquefied flammable gases
6.
Flammable fibers - Loose
7.
Flammable fibers - baled
8.
Flammable solids
9.
Unstable materials
10.
Corrosive liquids
11.
Oxidizing material - gases
12.
Oxidizing material - liquids
13.
Oxidizing material - solid's
14.
Organic peroxides
15.
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.
Black sporting powder
hereby certify that the e information is true and correct
to
the be of
�
--- nature Date
f
i
i
South Coast
j
r AIR QUALITY MANAGEMENT DISTRICT
�
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000
}
k AM QTJA]LITi' PEPNUT CHECKLIST
}
t_
for nonresidential b ildings only
Company Name:
1'
Location of Property:
� City:-.����� 1 � ����
. �Yv
,
Zip Code:
Contact r Person: �4 s � r- � Title:
Telephone Number:
Fax Number:
Type of IndustryBusiness:-s'�v�-
To apply for a nonresidential building permit, you must complete this checklist. If you have any i
k questions about completing this checklist, please call (800) 388-2121.
' 1 • Will the facility have a charbroiler? YES
NO-
2. Will any internal combustion engine with greater than 50 horsepower [
[
operate at the facility (excluding motor vehicles)?
3. WiIl operations at the facility involve [
[
mixing, blendino or roc Q
solvents, adhesives, paints or coatings? b' P essma of
4. Will dust or smoke be generated at the facility? [
[ r
5• Will refining of any liquids or solids be done at the facility?
6.
Will any plating or coating of materials be done at the facility? [
7.
[
Will any combustion equipment rated greater than 2,000,000 BTU/hr be
operated at the facility?
8. Will any acids, solvents, or motor fuel be used or stored at the facility? [ ]
9. Will any organic liquids or be [
19
r
gases reacted or produced?
` 10. Will any ovens be used to dry or cure products at the facility? [
11.
[
Will an CPC
y (Freon) recycling machines operate at the facili
[
Applicant:J``'J�2 , 5,._-If S
[�}
e:
(Print name clearly)
f
Eu If you have marked "NO" in all the boxes an air quality
q pemut of needed at this time,
and this checklist is your written
release.
If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality
Management District A MD Please
(Q )
94
. ease read the requirements on the back of the checklist.
(800) 388-2121
ADD:710NAL SUPPLEMENTAL INFORMATION