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APPLIC.AT'.ON FOR CERTIFICATE OF OCCl1PANCY
DEPARTMENT CITY OF HUNTINGT"ON BEACH
RT
wu* crone MENT OF DEVELOPMENT SERVICES �
fir:. rVl r t .•! :. � � � � 1
DATE
Lane, Unit 109 Acidre�;s 151.31 Tritcn L
_..._... , Huntington Beach 92649
[iu tnesNa,ne.„._,,�, Fttz.�alr.1�. Pxoducts tT�S,� Inc _
Bti ir.E+sK tv olesale 1� stributor - -Tel (213) 436-8113
otive roducts
----P-
t Name— KREEP—IV. INC —..__
K __. t.s:xrt' Martin x7. Bannon
_
Aq, dr . 19872 Lotus bane
.. Yuni� ng+ors Beach 964-9750
_ m.. u
1 THIS USE WOULD BE DGSCRIBED AS:
El NEWLY (,"'NST ,,�.^ T eta ��
;--�-� ' e F Nry fE C t t 1 ✓ttg t: CHANGE OF CGC UIPIANT
i 1 d XI,9T'NCa 8UILD'lty 'k _. � 1
i,. , Y.:r. •r ! 1 F Lw l AD JGTrONAk.'JUf: UPANT
SQUA;iF i-T. Ov SU![i T+. 't t..l... 803 � 1
NOTICE:
► - t d "i. i3 t t+ cf�9 } al } -kr t :p Ifi.,n� af,' wili not btf� w.SNrP x•+f s
! lr i 1G" p r rt Ci rill t d.E fa i n 3 ti e•.f, I}tl'f.t!!1� nis
q )J ,
lea electrical .. service i<"r
l j Ott -;a i ii aC{ i f h 'ii y t r -t [r, be(. lIi f}t C'I and
_i h P.i1,e an 9iapc1,}tva4
t e r
Change of occupancV or use Inspection fee.t e F}' $ht i c aa! `'ad+liR is fiI£'G
F e .k'S`".'pect9un Of a 1,1Ia0ding
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Huntington Beach lire Code Section ' {{
fire ° niirT�rber rti74ai G?C`lERifYiUn'I Y %,, ur
tF-,g Or r "'1 the :33ckq!' umt'l. fhf'St3
It ." it:1e from i.he r..'pii-e!
S. Huntington Beach Fire Cone Section tI�
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4eri to d �!
t (FOR OFFICE USE ONLY) SUPPLEMENTAL INFDRMAT! t a
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SUPPLEMENTAL INFORMATION
1 .
BUSINESS ADDRESS 3/
2.
Person to contact in case of emergency:'�,f
Telephone number; 71A,"
3.
Does the building in question have electricity?
0Ye{
Nos
a. If No, are you requesting that the electricity be
Oyes
turned on?
ONb
4.
The building is sprinklered?
Yes
O No
5,
Operations will produce dust/snood shavings or similar
oyes
material?
%NO
6,
operations will involve the repair of replacement of
Dyes
L
automobile parts?°
If yes:
(a) Describe the components repaired or replaced.
(b) Roes the operation involve the use of an open flame?
Oyes
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
dos
8.
The following best describes my operation;
office Only
Retail Sales
Warehouse'
Manufacturing/Dis�ribution (describe process and end
product)
:Restaurant Ta crOut Roo
Medical/Dental
tither {describe) r4Rr Nukes r
(12/8/86)
(0562D)
Y
F
1
sUPPLHMENTAL INFORMATION
(Continued) ,
l
r Does the operation involve any of the following materials? Oyes
ONo
I Yes, art icate quantities, -
+
Quantity
Material
v
1. Flammable liquids
A/o
Class I -A
nt
Class I-8..
-
Class I-C —�
2. Combustible liquids
R/ c
Class 11
All
Class !II -A
3 Combination flammable liquids
!`c
4 Flammable gases
��
5. Liquefied flammable gases
` 6. Flammable fibers -,loose
"
7 Flammable fibers baled
h%
8. Flammable solids
fit'
9. Unstable materials
10. Corrosive liquids'
11. Oxiclizin material - ases
'
12. Oxidising material liquids'
4
13. oxidizing It1aterial solidn
h(�
14. Organic peroxides
RAC
15. Nitromethane (unstable materials)
16. Ammonium nitrate"
f 17. Ammonium nitrate compound mixtures
f containing more than 60% nitrate
rig
by weight
18. Highly toxic material and
%lam
gas
---poisonous
15 Smokeless powder
20Black sportinS powder
-------!i�`' -
i
I hereby certify that the above orrAiation
is true and correct to the
best of my knowledge,
h signature
ate
(12/8/86)
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
HUNrWG'rON:BFA01 iPRjNT i?R -. PE OP:LYj DATE
/01
}G p. 7�2 District
Address
Business Name L�J?..*�ry e r 1 Tel._
Business Type `-1 e6 Occ. Group —
BU10ING OWNER BUSINESS OWNE,MMANAGER
Name
Address Address
_L1�. _ U � .i �...._.. � —Tel � City �e � ._ � _�_Hcme Tel, � 1061 i
Gity.�. .. ..
TrrH--I}}S USE WOULD BE DESCRIBED AS:
L 1 NEWLY CONSTRUCTED SLOG CHANGE OF 0INNER CHANGE OF OCCUPANT
EXISTING BU?LD;Nra I _9 HAaYt.t OF t.l;iE ADDdTIOhlAL OCCUPANT
Indicate scrmwr use, ` ary '—Q�� ° L?{ �3cy? 4 ,...I:, ': ;y
SQUARE FT OF BUILDING TO RE O GUPII D ti�
(FOR OFFICE USE ON'»Yj ►�! I" T-iG�^ **
SUPPLEMENTAL INFORMATION --
OCCUPANCY GNOUP _r�-� . Pi Ai i CHECK t' � NO. RAFKiN4 SdACESOCCUPANT LOAD _.
1 .s to ,T 11t _,__— HEALTH 1)EPT. APPROVAL
�_ NO, OF STORIES ACiMl"a Arait'l'it!Tlcu` REI.Ei+5E13.Y�-�
;• y L✓� 'CFFITiFfCATE OF 0.',C'JPFSN0V FEE;
A
ROkLt7 BY'CHANG Or USE OR Co.CU1=A, tC`s' FEE S
TOTA+,
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