HomeMy WebLinkAbout15131 Triton Ln - CofO (88)coMNIUNI Y DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF CC ZCY
Mks CITY OF HUNTINGTCN BEACH
4 DEPARTMENT OF COMMUNITY DEVELOPMENT
tAN'rY+GiON BEAN ,.y. it R.NT OR TYPE ONO DATE
Addy-r t� i t (LtTO/l Lq 11J� Sll 6'j 4 3 r l L Dist{ r{
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Name f��IaE_=F , vr.It7S tTarne .4n/4� SS.vt.rJh/
�13D cSvNF-r-1'�' c�✓r � f•r�rru
Aaar�srr._..L.__`_�<..�.._..__.. ._.�..s�i-, ._ �._�-.__ n��rr•��.:.$i_t_ �oc�_ .
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THIS USE WOULD BE DESC131SED AS: p--
13 NEI' LY ii:,,t3 TPa rtcr t�ID6 L,,.i I;IANd k ?JF 3`omtR � rHANGE OF OCCUPANT
L-n EYe!�TING fIWLI.1045 t'FtA*.O£ JF USE E ADDITIONAL OCCUPANT
Ird',t 3ie' r xer as i{ ar•4 . _ ._,. _:_ v m._ . . CTr. t;G sr..,, r;r Div
SQUARE- FT OF W,dt DING TO t F,
NOTICE: 1 Occupancyof any building is prohibited and a business license will not be issueu untifthe building 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
t certified safe. All applicants for occupancy .n an existing building are required to schedule an electrical
'fuse up` tnspection in the Department of Community Developmeut at the time this application is filed.
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 mny be made in the 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
t„ different group of occupancy a change of occupancy inspection tee of S ... , . _ .. .....: .0 shall
be paid ((? h city
r
pa the
4a�
Huntington'Beach Fire CodeS Section i0 203requires thatbuilding` numbers mu be n mi
nimum of four 4
I
i inches in height with one half mrl inch stroke, and of a contrasting color from the background. "these i
numbers must be posted on your building in a location that is visible from the street, I
5. Huntington Beach Fire Code Section 16301 requires fire extinguisher selection and distribution per the
National Fire firs. action Association pamphlet 10 (seereverse side)
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
f t AN { xei i }yr. N i f AiFk INN, ` 'AC Fi•
rIf„i UPAN T I. DAD_ F r si x 3 t, i'l It T. Fi f £ f r A+'f Fit VA
NO OF �7i>ri#E5 y» �AP..,Oa iF� 1Cf'CAUPAt Ni "l";, ' rf L
rr
+e1x+Flo 60 GGMi`.4U%ITY DEVtrf.P:
'r i
SUPPLEMENTAL INFORMATION
1.
OUSINESS ADDRESS' .�/3/ �%I'io.J �k n/� �'7UI /'� ��� g&LLD .
2.
Person to contact in came of emergency;
Telephone number:
3.
Does tht building in question have electricity?
eyes
ONo
a. If No, are requesting that the electricity be
Oyes
,you
tur-ned on?
ONO
0-Yes
4.
The building is sprirklered?
ONO
5.
Operations will produce dustiwood shavings or similar
material?
OYes
&90
6.
operati0►s will involve the repair or replacement of
OYes
automobile parts?
awO
if yes. -
(a) Describe the components repaired or replaced.
(b) Does the: operation involve the use of an o"n flans?
Oyes
No
7.
The business is 'drinking, dining or assembly use that Will
result in an occupant loadof more than 50 persons.
Oys
i
t B.
The following best describes my operation. -
Office Only;
Retail Sales
warehouse
✓Manufacturing/Distribu i(describe process 4nJ egad
product) 16a.:5, 8&sme-4,
to "'tnr I�tJJC
t taurant7 c�e�" u Food
d
j
Medical/Dvntai
1,,1
j
Other (describe)
(05620) (12/3/86)`
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SUPPLEMENTAL INFORMATION
(Continued)
Does
the operation involve any of the following materials? 09y s
0
Tf-Ye—s,I—ndlicate
Ouantity
quant ties.
Material
1.
Flammable liquids
Class I -A
Class I -'a
Glass I-C'
2.
Combustiole Liquids
Class II
Class III -A
T
3.
Combination flammable li auid's
`
4
Flam-nable gases
5
Liquefied flammable gases
6.
Flammable fibers - loose
7.
e d
Flammable Elbe baled fibers -
�
8.
Flammable solids
-9.
Unstable materials
lo,
oye liquids
rrosive
Cosi 4
11.
a
Oxidizing material - gases
—
12.
Oxidizing material - liquid
13.
Oxidizi.nq material - solids
14
Organic peroxides
15.
Nitromethane (unstable materials)
16.
Ammonium nitrate
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
b weight
18.
Highly toxic material and
poisonous gas
19.
smokeless powder
20.
Black sporting pander
® C� 0
I hereby certify that the above information is true and correct to the
best of my knowledge.
ii
Sign Lure
JDate�
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