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Home My WebLink About15131 Triton Ln - CofO (32)'�m APPLICATION FORCERTIFICATE OF OCCUPANCY a CITY OF HUNTINGTON BEACH UFO DEPARTMENT OF BUILDING & SAFETY f 1_ NUntTiwGTOgd klFAG4 (PRINT OR TYPEONLYj '� A 1 _ A v DATE g e t vq Address _1 J � � \ -rrZI L (. i`� 1 A aU ED-t" 6 t 0 M GaAUI C4 - /District ' Business Name S izZ'( W� t LWt_ t ! i' Tel. Business Type 41 AC-t+i W, � �' "� �� Occ. Group'' BUILDING OWNER BUSINESS OWNER/MANAGER Name t-S QiJSCJ1 5� C C� Name AUA Address 5J L 86 L..S A � J d ( Home ! � LZ( 17�tk rA t,& !- _ Address City t'TUr -,f PjC 6 P rl t-J GFl Tell � CltygLjlz�lh �Cn 1 C�� CA Home Tet Y -E7?Z THIS USE WOULD BE DESCRIBED AS: 1ENLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑ CHANGE OF OCCUPANT EXISTING BUILDING' ❑ CHANGE OF USE ADDITIONAL OCCUPANT Indicate former use, it any;=Ac V Oc,upanc G SQUARE FT, OF BUILDING TO BE OCCUP ED 7a.5 5� ~r (X00 � E� NOTICE: 1. Occupancy of any building is prohibited and a business iicensewiil not be issued until thebuilding 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. 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. 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 may be made in the character of occupancyor use of the building or premises which would place the building in a different division of the same group of occupancy or in a 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 foury inches in height with one half (1/2) inch stroke, and of a contrasting color from the background, Thk numbers must be posted on your building in a location that is visible from the street.« 5. Huntington Beach Firs Code Section 10.301 requires fire extinguisher selection and distribution p National Fire Protection Association pamphlet 10 (see reverse side). T rl,hVFlf till r i 4"� , ~� WWI # ,..,._ (FOR OFF CE USE ONLY) ZONING_ i OCCUPANCY GROUP • PLAN CHECK NO, NO PARKING SPACES OCCUPANT LOAD PERMIT NO HEALTH DEPT APPROVAL N _ STORIEI�' f ADMIN. ACTION _ 'UTILITIES RELEASED - "F t RT{FICATE OF OCCUPANCY FEE g_ /�'?, t.�-�bS8 ��#{ APPROVED BY DATHANGE OF USE OR OCCUPANCY FEE _ TOTAL FORK 75.039 REV 2102 RE -ORDER 'IW:D DOLLAR 714-842-1148 .�!`-�' to, a 4 r. APPLICATION FOR CERTIFICATE OF OCCUf�'ANCY CITY OF HUNTINGTON BEACH _ �Y DEPARTMENT OF BUILDING & SAFETY ; HUNTINGTON � � (PRINT OR TYPE ONLY) DATE { 717 1 1 0 ( 644 „L i `Address District I Business Name_ ' +' zI4 'Ir/k f 1-{- t to <'cr Business Type E`l-'' + i '. ✓ Occ. Group' ' BUILDING OWNER, BUSINESS OWNER/MANAGER i Sri Ij ; ' f, Name Name `-J ! -tJ 1" iaLy �. z Horre ��Y tI'tat1, $i Address ) .77 Address 'I CIty j i J,• t t�+G ! e TeI. Crly :f'Pc4,.1J7 &'r '{ vt /56 �` t Home Tel i r S r THIS USE WOULD BE DESCRIBED AS.- f ❑ CHAN GE OF O IJNER CHANGE OF OCCUPANT ❑. t`IEWLY CONSTRUCTED BLDG. l .` ✓ m EXISTING BUILDING ��{AN'GE OF USE ADDITIONAL OCCUPANT a Indicate former use, if any Occupancy Gr; Div._ i d $ t SQUARE FT, OF BUILDING TO BE OCCUPI�p w7' NOTICE, 1 Occupangy of any building4sr"pr`oh bited and atbusiri ss license will not be issued until the building has beet irispectedLand a certificate of occupancy: ifi-issued ti j � 'f 2,. No electrical service will be released for existin ulltn U'nfil the service has been inspected and ' g -p�' � 9 p certified safe. All applicants for, occupancy in an, existing bulldmg {tre required to schedule an electrical 'fuse up` inspection in the Department of Community Development at the ume 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.may bernade in the charicterof 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 different group of occupancy, a change of occupancy inspection fee of $ shall be paid to tt e city. { 4. Huntington Beach Fire Code Section 10.208 requires that building numbers .must be a minimum of four (4) ! inches in height with one, half (1/2) inch stroke, and of a contrasting color from the background, These numbers must be posted ;on your building in a location that is visible from the street. 5. Huntington Beach Fire Cods Section 10.301 requires fire extinguisher selection and distribution per the I; National Fire Protection Association pamphlet 10 (see reverse side). (FOR OFFII -E USE ONLY)' t y ZONING OcC)PANCY GROUP �_ _ _ _- _IPLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD �ERMIT NO HEALTH DEP'' APPROVAL . NO' Orr STORIES' rfibMiN A4-flow 1 UTfLITIES RELEASED *-0. RTtfATEQi�OtCUPANCYFEE $t APPROVED BY DAT � NGE F.1,15 0R OCCUPANCY FE`E TAL ` FORK75-039 RV,2142..BE-ORDERSAN000LLAR714-1142.1148 FIRE SUPPLEMENTAL INFORMATION 1. BUSINESS ADDRESS l 5t31 T12tT0��_; t►�} lku�r►�T � ct rlr-i ` 2. Person to contact in case of emergency-C'rz-Q6Q 15A9E-4 Telephone number: i)4-) a46-9-T73 3. Does the ' building in question have electricity? ,� Yes D No (a) If No, are you requesting that the electricity be ❑ Yes turned on? No 4. The building is spri,nklered? ❑ Yes No 5. Operations will ; produce dust / wood' shavings or similar material? ❑ Yes No 6. Operations will ` involve the repair or replacement of ❑ Yes automobile parts? 1 No If Yes. (a) Describe the components jepaired or replaced. ❑ Yes (b) Does the ! operation ` Involve the use of ` an open flame? No 7. The business is drinking, dining or assembly use that will result in ar occupant load of more than 50 persons, fJ Yes No s 3. The following best describes my operation; Office Only •--� 100 Retail Sales Warehouse Manufacturing / Distribution (describe rocess and end product) Restaurant`/ Take Out Food Medical / Dental Other (describe) I f F fi" 6r jL Y h X aA } >4kt tail �� A.}N'Yilw"� s x f I South Coast AIR QUALITYMANAGEMENT ANAGftV ENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 AIR QUALITY 1PERAHT CB ECKLIST`' for nonresidential buildings only Company Name: f. O IA; m i i Location of Property: 1 City: l-iv>s 1-1 rr 6 i o at' 131'ZAC-4 0�4- Zip Code: 926 Contact Person: -u 10 3O #4t4 L o S Er..i (-k `Title: d LJ �J FA Telephone. Number: _?� gq z- Fax Number: Type of Industry/Business: h11 A-z- l+ I)-ib To apply for a nonresidential bu:,Tding permit, you must complete this checkliv If you have any questions about completing this checklist, please call (800) 388-2121. YES 140 1. Will the facility have a charbroiler? z 2. Will any internal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? [ 3. Will operations at the facility involve mixing,' blending, or processing of solvents, adhesives, paints or coatings? { {yC] 4 Will dust or smoke be generated at the facility? 5. Will refiniag of any liquids or solids be drone 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? j ]] 9.. Will any organic liquids or gases be reacted or produced? 10 Will any ovens be used to dry or cure products at the facility? 11 Will any CFC (Freon) recycling machines operate at the facility? j ] C� Applicant: �,Z�U 11� � 6 }�N ' L® 'sg;Ta Signature:uc (Print name clearly) If you have -marked 'M in all the boxes, an air quality permit is n-Qt 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.QM1D). Please read the requirements on the back of the checklist, (800) 388-2121 i t MANDATORY REPLY REQUIRED PRIOR TO ISSUANCE OF BUSINESS LICENSE Complete and return to the Business License Division F7727 HA�ARDi��lS MATERIALS ®iSCL®SI#1RE INF MATION HWitltigton 3each Fire`Departm6 f PLEASE PRINT RD Business Address: 513 f J-1 1-Co!,A LfJ i 13 c� Number Street Unit ' Zip Code Business Name: (,OStiTi-� }y>! Lc i—Phone:Ilq q,-E,��'e Owner/Manager:DftU I*n 11014ts t_ os� E— U _ Title: Q U W ER Description'of Business Operation:_ M Vic 14 ► {J tip P /Z ,ao u tf California Health and Safety Code requires the Fire Department to regulate businesses that handle hazardous materials. Motor oil, hydraulic fluids, gasoline, dry cleaning fluid, etc., are considered hazardous materials and must be disclosed. If, you use, handle or store hazardous materials or waste materials equal to or in excess of the following basic quantities, you are required to disclose: • 55 gallons of liquid • 500 pounds of solid • 200 cubic feet of compressed gas • Any amount of radioactive materials Any amount of Class A explosive • Any amount of chemicals known to cause cancer • Any amount of commercial pesticides • Reportable quantity of any chemical on EPA Extremely Hazardous Materials Substance List Disclosure is not required for the following: 1. Hazardous substances contained in food, drug, cosmetic or tobacco products. 2. Upon approval of the Fite Chief, hazardous materials contained solely in consurner products packag, ct for use by and distributed to the general public. However, pesticides, herbicides, and ammonium nitrate fertilizers over the required disclosure amounts are not exempt from disclosure. 3. The transportation of hazardous materials'accompanled by shipping papers`prep*:rea in accordance with the provisions of 49 Code of Federal Regulations, 4. Infectious waste generated by health care facilities that are regulated under Title 22 of the California Administrative Code. Check one of the following: SXNo chemicals are used, handled or stored at this business. Chemicals are used, handled or stored at this business, but do not meet the requirements for disclosure. Chemicals are used, handled or stored at this business. Disclosure forms will be sent to you. Amounts will be verified by the Fire Department during annual inspections. It is unlawful for any Pierson to knowingly violate any provision of this ordinance. f certify, t inderthe penalty of periury, that the'above information is true and correct to til :st of my knowledge, Signature Cw�c Home Phone 712-ta? 2 ,Date=1?` �.�____ Please call 714-536-5676 with: que .tions regsrding,the Hazardous Materials Prograrn.< s;B1es/HBF0 fotmslFD004 (7129/99) F: