HomeMy WebLinkAbout15131 Triton Ln - CofO (130)APPLICATION FOR CERTIFICATE OF OCCUPANCY
t CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMM'INITY DEVELOPMENT
HUNMNW TON REACH .PRINT :1.: 7.PE �INLI.
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THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTi D B,E)•., I-j �•'�'.'
® EXISTING hUII : 'N( �✓ A , .,
SOUARE FT OF B11!I i)!N(, R3 JPiFL' _/ _c4
�+ n, (,CCUPANT
o�;( uPANt
[NOTICE: 1. Occupancy of any building is prohibited and a business license will riot be issued until the building has been
inspected and a certificate of occupancy is issued.
2. ::D 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 ;n the Department of Community Development at the tirne this application is filed.
3. Chance of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or I
premises in order to determine if a change may be made in the character of occupancy or use of the building
or premises which woUld place the building ,n a different division of the same group of occupancy or in a
L different group of occupancy, a change of occupancy inspec`,ion fee of S - ____ _ shall
be paid to the city.
Huntington Beach Fire Code Section 10.208 requires that building numbers muat be a minimum of four (4)
t :Aches in height with one half (I'2) inch stroke and of a contrasting color from the background. These
'� fb numbers madt be posted on your building in a location that is visible from the street.
4t 5. Hut tington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the i
1 o National Fire Protection Association pamphlet 10 (see reverse side).
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SUPPLEMENTAL INFORMATION
- - —
OCCUPANCY GR()UP--- _...
r r, ,�r
OCCUPANT LOAD S�
NO OF STORIES
A OVEG
DA t
Tr ITAi
- —
.
- - 4---1-- - - --- —
75-039 Rev. 11/90 COMMUNITf DEVLaL,0:-'AICNT
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS �«< \\�N t--�'� tL115 E1Utvfi\I�G M �c t •
2. Person to contact in case of emergency- SAAA AbLGWt epuS-���
Telephone number:
3. Does the building in question have electricity? 0 Yes
❑ No
(a) If No, are you requesting that the electricity be ❑ Yes
turned on? ❑ No
4. The building is sprinklered? 0 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? No
If Yes:
(a) Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flame? ❑ Yes
❑ No
7. The business is drinking, dining or assembly use that will
result in an occupant lead of more than 50 persons. ❑ Yes
®' No
8. The following best describes my operation;
Office Only
Retail Sales
V7arehou- e_`
facturing / 6,istribution (describe process and end product)
Restaurant / Take Out Food
Medical / Dental
Other (describe)
SUPPLEMENTAL INFORMATION (Continued)
Doas the openzdn.� invo|ve any of the fo||b�/ng materiam?
|f Yau. ndi�ota quunh�)es�
Quand\
1 F)ammmb|� liquids
. Class !-A
Class |-`
-------�|aos !-`_____________�
2� Combuofibie |/qui0a
Class U_____�___________
C|oaa )||-A
--------' liquids
--'-----------`----------------------
____-
6. Liquefied fiammaU|a gasea____�________________
����--��
G F|ammab!e��fibera |Vraa
7 Flammable fibers _ba|md
Flammable auUdu9.
------Unatab!e matehals
10. Corrosive Uguude
O
��7�����
xidiz�ng materiel _ gases, _ ________
-----------------i h d
12� Oxidiz|ng mmzenm - �u.a
��----------- ---����
13. Oxidizing material oohUo
14. Organic peroxides
-------------( nn��eha|s)
15� N`trome/mane natab|e u
18. Ammonium nitrate
------� 17. Ammonium nitrate compound mixtures
containing mono than GO% nitrate
by weight
18. Highly toxic material and
poisonous gas
19, Smokeless puwder �____________
20. Black sporting powder
| hereby certify that tkie, above information is true and correct to
the boot of my knowledge.
-------- — Oude
S/gna`qu, '
9
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SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT
(Nonresidential Buildings Only)
Location of Subjec-c Property:] 31)L tyc }}C WLI0i�1O �Aan L�
Property Owner name:" -rr- iZ/,Vn Phone
Name of the Person Preparing this form in print aYaature
Name t1 _ Signature `.7-,
__
The person preparing this form must be the same pers, applying for
building permits. Please answer the following questions regarding your
proposed occupancy of the subject building. IF YOU DO NOT KNOW THE ANSWER
TO A QUESTION MARK Tod THE "YES" COLUMN:
SCAQMD PERMITTING CHECKLIST
YES NO
1. Does your facility use any internal combustion
engines greater than 50-HP?
2. Does your facility inv.ilve mixing, blending, or
processing any solvents, adhesives, paints
or coatings?
3. Does your facility create any dusts or smoke?
4. Does your facility refine any liquids or solids?
El
Reclaim any metals?
5. Does -your facility plate or coat anything? C�
6. Does your facility have any combustion equipment
i.e. boiler, furnaces, broiler, bak. J ovens, etc.)
rated greater than 2,000,000 BTU/HR (�'l
7. Does your facility handle or store solvents or motor
fuel?
8. Do you use or store any acids?
9. Do you use any chemical process?
10. Do you use any solvents for clean-up?
11. Are you a dry cleaner, restaurant with a charbroiler,
body shop, gasoline station, printer, or part coater?
12. Is the subject building located within one thousand C]
(l,000) feet of any school?
PROPERTY LINE TO PROPERTY LINE. GRADES K-12.
If you have marked "NO" in all columns, you do not need an Air Quality
permit at this time. 7f yor have marked any questions in the "YES" column
you must contact the South Coast Aii. Quality Management District located
at:
9150 FLAIR DRIVE, EL MONTE, CA 91731
Please call these offices: Plan Check (818) 572-6111, (818) 572-E261
D:AL00603