HomeMy WebLinkAbout15131 Triton Ln - CofO (137)APPLICATION FOR CERTIFICATE OF OCCUPANCY
fn CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELI)PMENT � 5e "
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City *Jm (, tn_ 7 rb .. Ht;rrt �Tet i�r 43t7
THIS USE WOULD BE DESCRIBED AS:
CHANGE 9 s-CCUPANT
�
EXISTING BUitDJF r :F
. DI ^.,,SAL :+CCtJIPAN
t tdi a4„ tormof Use' . an
SOUARE FF c F It1 C)iP(�:i �7 t 'i: ,.: i r, _ q0
NOTICE. 1 f34cupartcyotany bui:dirt +,S rofaibited tt business rd a license
9 p s, will not be issued until the building hasb��een ,
inspected and a certificate of occupancy is issuer.
a No electrical service will be released for :any exist=nq building unlit the service has been inspected and
certified safe All applicants for occupancy in an existing buildrncp 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. Vbft mover it is neck?.^,nary to make inspection of a building or
t r,� premises in order to de lerrriane if a change may be made in the rharacter of occupancy or use of the building
or premises which wot=l.d ptaca the building =n a different division o; the sarrie group of occupancy or in a
rr different group of occupancy, a change of occupaiic tee of a shall { ri ✓ ,. be paid to thv city _... .
i 4. Huntington Beach Fire Cade Section 10.208 re':parires that building numbers must be a rnrn-murrt of four (4)
inches in height with one half V`0 mch stroke, and of a contrasting color from ttte background. These �
numbers must be posted on your building in a location that is visible from the street.
5 Huntinaton 'Beach Fire Code Section 10.301 rertuire,, ;ire extinguisher selection and distribution per the i
National Fire Protection Association f`srrtphlet tq (see reverse side).
t e, (FOR 05FICE USE ONLY)
SUPPLEMENTAL INFORMATION �r
OEJ`,.? RA4 "'y Gp .JT`_ Or.:C"UPAhIT �C,tAD ! • �i�t dui '_ tits r +, tat: .,f iFt vWP
NO Or, 5TCRiFs t 1
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c,at.sn«; .,,s COti�l�,tSNITN ESE.°Et.fs
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SUPPLEMENTAL INFORMATION 4
1.
BUSINESS ADDRESS Ja_ t'3a�_i'f:fG;a f
2.
Person to contact in case of emergency;, ,C''-A-/-/,
Telephone number
3.
Does the building in question have electricity? XY.s
ONO
a, If No, are you requesting that the electricity be OYes
turned on? ONO
F
4.
The building is sprinklered? ices
S.
O No
operations will proaace dust/wood shavings or similar
M,
material? Oyes
a
6.
Operations will invotve the repair or replacement or JYes
'
automobile parts? No
if yes:
w
(a) Describe the components repaired or. replaced,
'
(b) Does the operation involve the use of an open flame?: OYes
NO
t
7,
The business is drinking, dining, or assembly use that will
result in an Occupant load of more: than 50 persons. r'JYes
0
8.
The fallowing best describes my operatiin;
Office Only
Retail Sales
'"Ware�oG�se�,
`ia"nuacturing/Distribution (describe process and end
product)
Restaurant 7Take out Foo
Medical/Dental
Other (describe)
(0562D) E1219J'86}
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7
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SUPPLEME TLAZ, :'.r MAT 4€ (Continued)
Does the operation involve any of the following materi,ls? OYes
Mo
If Yes, indicate quanta ties:
Material Quantity
1. Flammable liquids
Class I -A -
Class 1-i,
Class T-C
2. Combustible liquids
Class 11
Clasa III -A
F 3. Combination flammable liauids
! 4. -Flammable gases
S. Li
cquefi,wd flammable case.
6. Flammab]e fi.bera loo8e
7. Flammable fibers baled
8. Fla.mmable solids
9. Unstable materials
10. corrosive licrui.ds
' 11.-oxidizing material - gases
' 12. Oxidizing material liquids _
e 13. Oxidizing material w- so id. ,
14. organic peroxides
15. Nitromethane (unstable :nat-erials)
` 16. Ammonium nitrate-
' 17 Ammonium nitrate compound mixtures
containing more than 60nitrate
by ,weight---
18. Highly toxic material and
poisonous gas
19. Smokeless wrier
20. 'Black sporting ,2owder
I hereby certify that the above information is true _ + correct to the
best of my knowledge'.
Signature �� DaIte
(0562D) (12/8/86)