HomeMy WebLinkAbout15131 Triton Ln - CofO (132)CERTIFICATE OF OCCUPANCY
2122/ 0 4
CITY OF HUNTINGTON
BEACH
Date
Address
15131 TRITON fir` 1 1 9
-
District
Busir-.essName
AD BOARDS ETC...
Tel
714-891-•6060
Business Type _
GRAPHIC DESIGN/PRINTING
B--2
_ Oc�c. croup
BUILDINC OWNER
BUSINESS OWNER/MANAGE'R
REEF-4
ROBERT ALVAREZ
Name
Name
Address 1630
SUNKIST A
_
Home 3102 KEMPTON D 3
Addr ss
City ANAHEIM
Tel. 714-634-4664_
City LOS ALAMITOS Honia
Tel
310-546-4556
Construction
No. of Stories . Occupant Load
8
Sprinklers
CONDITIONS OF
APPROVAL
-Foil APPLICATION FOR CER o IFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH n
HUNTIAIGTON EfA61
DEPARTMENT OF COMMUNITY DEVELOPMENT
(PRINT OR TYPE ONLY) DATE
�V�AA�dress�r I �h 1 r1 i t Y1`NToy1 A� District
Business Name �bAt`pS �'iY, Te7ty
7Business Type (O AQ��G 9. t n F'r,V`L r< Occ: Group
BUILDING OWNER BUSINESS OWNERIMANAGER
I
V It —
Name Erc' t--- ame
dressln`��D�Ja!! 5- `Jl�i_c��S SLit�C i� �I I�Addnress3 4 —E: sp
ity H i<C1.1�1a�a.. -I ZcjL�.p �'f2� t0��i i�4�+ 1 ily �fi7 S htl K�W4 4S t �°t Home Tell to'���1P
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
I DI a:%, ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any _:,Occupancy Gr. Div
SQUARE FT. OF BUILDING TO BE OCCUPIED -��
SUPPLEMENTAL INFORMATION
�1.
BUSINESS ADDRESS ��� � l ` 7j .4 ib✓i 1� r) v
2.
arson to contact in case of emergence lvi--im-
`Telephone number:. c-�p�
_
' 8.
Does the building in question have electricity?
Yes
El No
(a) If No, are you requesting that the electricity be
❑ Yes
turned on?
❑ No
4.
The building is sprinklered?
'Yes .,
❑ No
5.
Operations will produce dust / wood shavings or similar
material?
❑ Yes
14, Nq
6.
(Operations will involve the repair or replacement of
❑ Yes
_automobile parts? _
No
If Yes:
(a) Describe the components repaired or replaced.
-------------------
flame? ❑ Yes
(b) Does the operation involve the - use of an open
( No
i.
dining or assembly use that
The business , is drinking, g y
will
result in an occ!;!Want load of more than 50- persons.
❑ Yes
kNo
8.
The following best describes my operation;
Office Only
Retail Sales
Warehouse
Manufacturing / D' tribution describe process and end product)
Restaurant/Take Out Food
Medical / Dental
Other (describe)
SUPPI,�TA5-NTA.i tra�Q�aucnTt[S1V.
SUPPLEMENTAL TAL -INFORMATION (Continued)
.e
Goes ` ttke} ,op at on irn`volve anyu ; , fi� Mfml bWil�g ' materials? C-l''Yes
No
If Yes, indicate, ' yUantlties;
h/iaferiat ;" Quantity
1. Flammable liquids
. -lass I -A
Lass :-1
Class�l-C
2. Combustible liquids
Class 11
'Glass lit -A
3. Combination flammable liquids
4 Flammable gases
5. Liquefied flammable gases
6. Flammable fibers - loose
7. Fiammable fibers bated
T .- .._
6. Flamma.ble solids
9. Unstable materials
10, Corrosive
11. Oxidizing material - gases
12. Oxidizing material - liquids -
1... Oxidizing material - solids
14. Organic peroxides
15. Nltromethane {unstable materials)'
16_:Ammonium nitrate
17. Ammonium nitrate compound mixtures
co-,taining more than 60% nitrate
,by weight
18. Highly toxic material and
poisonous gas
19. Smokeless powder _
20. Black sporting powderl
—[:A,Me APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
ti DEPARTMENT OF COMMUNITY DEVELOPMENT �
HUNTINGTON BFAOi (PRINT OR TYPE ONLY) DATE t
G r
s
f 1 I i Y1 ]„ � n l l Y1`��DV1 r
y/Ad�ress -� 3 � � t � �'' v �a� _ Distract
V8 iness Name �b 1,OAi'C—E1�_. Tej��� $�i! tabCat9
�BusinessType bn �Priv%��r�qOcc. Group '
0c
BUILDING OWNER BUSINESS OWNER;MANAGER t
/IN e �G rr 1 Jame�Q�� At V ia'r'-e--
�AddressKo 5 'SUevl\ -,+ S1z A 1 /_ C' L'r yKAddRretss�3sC_—�E�t i pr�'1_� f-
Ity t�Gtii�� t Z �',i,tq �Y W31 1�P4 1 ty W S ,4t1�y� 1 flS �-we _Home T .0,
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
I L DI dG ❑ CHANGE OF USE El CHANGE OCCUPANT
Indicate former use. If any /- 7 Occupancy tar D(v.
SQUARE FT. OF BUILDING TO BE OCCUPIED
i
i
(1
)
k
(FOR OFFICE USE ONLY)
4 I
SUPPLEMENTAL INFORMATION
ZONING /,A .4
{
OCCUPANCY GROUP
PLAN CHECK NO.
NO PARKING SPACES
I
OCCUPANT LOAD
G
PERMIT NO _
HEALTH DEPT APPROVAL
NO. OF STORIES
ADMIN ACTION
UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE
4i
A PROVE BY
DATE
CHANGE OF USE OR OCCUPANG, FEE $ r
TOTAL—
75-039 Rev. 11190
CommUN DEVELOPMENT
SUPPLEMENTAL INFORMATION
1.
_
BUSINESS ADDRESS
a
2.
Person to contact in case of emergency—
kj
r'-e,'7—
Telephone number:
—GO CDo
3.
Does the building in question have electricity?
Yes
❑ No
(a) If No, are you requesting that the electricity be
0 Yes
turned on?
❑ No 4i
F;
4.
The building is sprinklered?
Yes
r
❑ No
5.
Operations will produce dust/wood shavings or similar
material?
❑ Yes'
10,No
6.
Operations will involve the repair or replacement of
❑ Yes
automobile parts?
No
If Yes:
(a) Describe the components repaired or replaced.
s,.
l
iS
flame? ❑ Yes f
(b) Does the operation involve the use of an open
No
i 7.
The business is drinking, dining or assembly use that
will }
result in an occupant load of more than 50 persons.
❑ Yes s
I
kN o
8.
The following best describes my operation;
t
Office Only
Retail Sales
j
Warehouse
Manufacturing / D' tribution describe process and end
product)
ka
�
j'
Restaurant/Take Out Food
Medical / Dental
Other (describe)
i.
,
j
k,
SUPPLIMENTAL INFORMATION
SUPPL7=ME114TAL INFORMATION (Continued)
Does the operation involve any of the follcv.6na r-nateiials? C Yes
No
If Yes, Indicate quantities: -
Materia! Quantity
1. Flammable liquids
Class I -A
Class I-B
M
Class I-C
2_ Combustible !,quids
Class 11
Class 111-A 1
I 3. Combination flammable liquids i
4, Flammable gases _ __ +
5. Li efied flammable
q gases-
6. Flammable fibers - loose
7. Flammable fil3eis baled
8 l=laminable solids
_ T_.
9. Unstable mater�ais
10. Corrosive liquids
11. Oxidizing material - gases
12. Oxidizing material - liquids
13. Oxidizing material - solids
14. Organic peroxides
55. Nltromethane (unstable materials)
16, Ammonium nitrate
17. Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18. Highly toxic material and
poisonous gas
19. Smokeless powder
20. Black sporting powder
I hereby certify that the above information is true and correct to
the best of my knowledge.
gnat Date
t
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