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HomeMy WebLinkAbout15131 Triton Ln - CofO (93)I =�� APPLICATION 'FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTO14 BEACH DEPARTMENT OF COMMUNITY DEVELOPMENT 7-Z p TE�© MIP.7v,e"TcS, KA01 iPRCM OR YPE ONLY, adore 5� TP.T_��x LfJ�U�E L1rJLDKssr;ct Sus+nessivame� r[W ,�L��G. TO BuSins7 7YP4sOcc Group AUSINES3OVINEMMANAGFI3 Name_JS I= t _ - 1 .�. / _ Nama o !,9 C. KA`F7r2?!� adW'yi�1.15�� 7. dome1 q.f.g_Sl dress Addle» ZZ 'Coy y_ 0 Home Tel izz THIS USE :'OULD BE DESCRIBED AS' El NFWLY CONSTAUCIED BLOC LYi `HAN(, F Ol' 98NER L_t CHANGE OF OCCUPANT ExIS'TiNG BUILD,NG CHAPILIE SiF USE ADDITIONAL OCCUPANT Indtcate !orm£+r vse,, SQUARE i`T OF BUIt l±tif+i K:i AE Y NOTICE: 1 Occupancyof any building is prohibited and a business ticerise will not be issued until the budding has been inspected, and a certificate of occupancy is issued 2. No electrical service will be released for any existing building until the service has been Inspected and certified Safe. Allapplicantsfor 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 tiled. 3 Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or ' oremises in orderlp determine ita change may be made in the character ai occupancy oruseof the building ( Ilk or premises which wcald place the building rn a different division sit the same group of occupancy or in a f}� 1f different group of occupancy, a rbange of occupancy inspection fee of a ,r a , z, shall be paid to the city. -I Huntington Beach Fire Code Section 10208 requires that building numbers must tie a minimum of four(4) I inches to height with one hall 0A inch strokes, and of a contrasting color from the background. These 1 humisors mast be posted on your building in a location that is visible from the street S Huntington Beach. Fire Code Section 10,301 r'egtnrrs fire extinguisher selection slid distribution per the r National Fire Protection Association pamphlet 10 (soe:reverse sidef (FOR OFFICE US11 ONLY) SUPPLEMENTAL INFORMATIO � OCGUPAfrC N Cb#iCiUF i'B d.CI C HECK x$tr t<t , f AFTH ir�(e PF E a _ _ OCCUPANT t.r)A[) i'ERN t -V, �. f f "� #f F�ftiiVAi t9 q / r r lit`Ai TH Pia OF S'T RIES� » A�aM@4v "�t 4trirk ¢ ixlt sTtt` FifrmF# 1 ti r I ATIPiLATF r3T tif'?=18fr1t7i(; r a E6 APPROVED D lY: u"i,!AN Uf, US Cris OY;T;UPAN0 rEl S ter« M R 4, E' rxmisla.e•Ee tr�'f%'+'llYfi3t4lt1'Y OfM'�.r�trP, .. �.�-�'.""`"""u" �3»a'+GN, i*o��t1Y `F�--.W+tt.�s.,+=. ,17mt`�*w+•t�.y�.rRY�+..w� 1,�,- {ip �. � �rt , r y I i M 1 SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS �Jf�% T�-7�74011I LOje- 2. Person to contact in case of emergency: Q2,PV Telephone number: 3. Does the building; in question have electricity? eyes s, O N o a. If No, are you requesting that the electricity be ❑Ye3 turned on? 13No d. The building is sprink..lered7 C(Yes ONo 5. operations will produce dust/wood shavings or similar material? C7s ( o 6. Operations will, involve the repair or replacement: of ❑Y� s automobile parts? o If yes: (a) Describe the components, repaired or replaced. I� (b) Does the operation involve the use of .an oV*, t flame? OYes I 0 No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. OYes I B. The following best describes my operation: Office Only Retail,. Sales ' Manufmcturin /Distrihutiorv(describe 4 proceme and end Veatih—uran-E)Take ® 0 out00 Medical/Dental Other (deutiribe) t0562ol (1218186) — «.,i:M.i:=n.m,.�,+,w;,•MV`.....raw..w.«+�t.W..-ac.c+rw�. ��t yyj,4y} q, 0; . l 2,"k SUPPLEMENTAL INFORMATION (Continued) Does the operation involve any of the following materials? OyeoNos es in icate quantities: Quantity Material — 1,Flammable liquids -Class I -A; - Class I-S Glass' I-C 2. Combustible liquids - Class lI Class 11I-A C 3. Combination flammable liquids ` 4. Flammable eases %''y/A I -'Ohl r /Za 1 �5 Liquefied flammable gases 6. Flammable fibers - loose — - 7. Flammable fibers r baled S. Flammable solids 9 Unstable. materials> 10 Corrosive liquids 11. oxidizing material — gaa'es 12. Oxidizing material - liquids ' 13. Oxidizing material - solids 14. Organic peroxides 15. Nitromethane (unstable materials) 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures` containing more than 60% nitrate by weight I$. Highly toxic material and poisonous :Has 19. Smokeless ponder 20. Black_sportin_g powder. 0 A I hereby certiry that the above information 3s trUe and correct to the. best of my knowledge. Sighature Date (0562D) fit.