HomeMy WebLinkAbout15131 Triton Ln - CofO (5)r,
APPLICATION FOR CERTIFICATZ OF OCCUP NGY
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CITY OF HUNTINGTON BEACH 9-27
DEPARTMENT OF DEVELOPMENT SERV'iCES 0AT8
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Addnews __ =5131 Triton an ,m..S.� 1.0_::111,a�. __
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` � Daniel N rO.J.11C-..�.Y
I2i2EEE`-IV Inc. - r� krTi� t .-.. -�--
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i Addr4s; 1630�5 r Stinkigt Suite Ar:. _ ..__ A�� c` s.,
Ansl�eim CA 92gg( _ �,,rr. Los Ang le ('.�Hf3<GneTel, i a2fo
` THIS USE WOULD HE DESCRIBED AS. -
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(FOR OFFICE USE r''4LY)
SUIYPL '^ ENTAL INFORMATION LL
I!a"rt FN nEPt APPROVAI_
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SUPPLEMENTAL INFORMATION
;.
:NESS ADDRESS 151?l Triton_ Lane4 Suite III
`
2.
Person to contact in case of emergency; Daniel N. Carracino
Telephone number: - -
3.
Does the building in question have electricity?
(Yes
a
ONO
a. If No, are you requesting that the electricity be
Oyes
R
turned on?
ONo,
4.
The building is sprisiklered?
Oyes y
E
ONO
5
Operations will produce dust/wood shavings or similar
material?
C]Yes
ONO
w
6.
Operations will involve the repair or replacement of
Dyes
automobile parts?
:ONO
If yes
(a) Describe the components repaired or replaced.
a
(b) Does the operation involve thy: use of an open flame?
❑Yes
ONO
7.
The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons.
Oyes
r]No ,
6.
The following best describes my operation:
Office only ,
Retail Sales`
XX Warehouse/ Wholesale Sales
Manufacturing/Distribution (describe process and end
product)
Restaurant Ta e out -Food
Medical/Dental
Other (describe)
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i
(0562D) (12/8/86)
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i
SUPPLEMEN'. %L INFORMATION
(Continued) e'
Does
the operation involve any of the following materials? Oyes
12No ;.
If Yes, indicate quanta tiesindicate
Material
Quantity
1.
Flammable liquids
r
Class I- A
Glass 1-B
Class I-n w
j 2.
Combustible liquids
�
Class II
Class III -A
�- 3
Combination flam,zable liquids
v
4.
Flammable gases
5.
Liquefied flammable gases
6.
Flammable fibers-.loosa
7.
Flammable fibers - baled
H,
Flammable solids
9.
Unstable materials
M
Corrosive liquids
11.
oxidizing material uses
12.
oxidizing material -- liquids
13
oxidizing material solids
14.
organic peroxides _ _
-
r
15<
Nitromethane (unstable materials)
16,
Ammoniumnitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18.
Highly toxic material and
poisonous act s L
19
Smokeless: powder w.....
20.
Black s orting powder
I hereby certify that the above information
ij true and correct to the
best of my knowledge,
' y
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Signature
Date
s0562D}
(12i$l$6