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HomeMy WebLinkAbout15162 Triton Ln - CofO (2)i 1 y APPLICATION FOR CERTIFICATE OF OCCUPANCY CITY OF HUNTINGTON BEACH i DEPARTMENT OF COMMUNITY DEVELOPMENT i HUNIiVGfON fA0•i (PRINT OR TY-E ONLY) t DATE E k ddress �c J _ L_f U �s�z District mess. Name::O -Irr,-,4, k r c, r W ple,- j % c. Me LC'r -r7••, Tel.�7JL 57E73-.79 D© Xisiness Type f1P1` t �ti E�f', (i r^�r4-� Occ. Group �BUILDING OWNER BUSINESS OWNER/MANAGER A'ame1� i�1t51 xISS I ��ri ��--���{ Name e46dress l� �JCI 1Address (P Lj o e 1 c- /,t �J��c Cox~ t� , �' y � Tel. t< • ' % city �l U /1 r'- / �P c/^t q H me Tel. C'�? 9 I' THIS USE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED ELDG. ❑ CHANGE OF OWNER laCHANGE OF OCCUPANT EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT _ l Indicate former use, if any ng.,d/ co -I` (�%�%/� Occupancy Gr.-Div. j SQUARE FT. OF BUILDING TO BE OCCUPIED �3�b� 0oQ i#1 OFr-ie, ? d It LA;3> y u; NOTICE: 1. Occupancyof any building is prohibited and a business license will not be issued until the building has been inspected and a certificate of occupancy is issued. I 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 i 'fuse up' inspection in the Department of Community Development at the time this application is filed. a Changa 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 occupancy or use of the: building. j or premises which would place the building ina different division of the same group of occupancy or in a differrnt group of occupancy, a change of occupancy inspection fee of $ shall n � be paid to the city, lLrYi") 4. Huntington Beach Fire Cade Section 10.208 requires that building numbers must be a minimurr of four(4) inches in height with one half (1/2) inch stroke, and of a contrasting color ',om the background. These numbers must be posted on your building in a location that is visible from the street. 5. Huntington Beach Fire Cade Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet :0 (see reverse side). a TRAFFIC IMPACT FEE DATE PAID `� f'� " 4! AMOUNT RECEIVED 4j NAME' FOR OFFICE S FFICE USE ONLY T L:� SUPPLEMENTAL. INFORMATION ZON ING OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES OCCUPANT LOAD 3 PERMIT NO. HEALTH DEPT: APPROVAL NO. OF ,STORIES ADMIN. ACTION UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE g P OVED BY ATE CHANGE OF USE OR OCCUPANCY FEE y TOTAL g y n 75 03s Rev. 1/97 COMMUNITY DEVELOPMENT iL J 1 i SUPPLEMENTAL INFORMATION 1. � BUSINESS ADDRESS �.�1 � (n� z: s Person doexL502 S.� 2. to contact in case of emergency- Telephone number: `il H-QCI-2-7-20 i. 3. Does the building in question have electricity?- -Yes No (a) If No, are you requesting that the electricity be ❑ Yes j turned on? ❑ No (I", 4. The building is sprinklered? Yes ❑ NQ P 5. Operations will produce dust/wood shavings or similar material? ❑ 'Yes No 6. Operations will involve the repair or replacement of ❑ Yes h automobile parts? RNo 4 If Yes; 011 ' '(a) Describe the components repaired or replaced. n (b) Does the operation involve the use of an openflanie? ❑ Yes No 7. The business is drinking, dining or assembly use that will result in an occupant load of more than 50 persons. ❑ Yes P No - 8. The following best describes my operation; Office Only - Retail Sales Warehouse Manufacturing / Distribution (describe process and end product) Restaurant/ Take Out Food Medical ! Dental n Other (describe)1�� SUPPLEMENTAL INFORMA11041 VGf Af ,1 a �.. � .,.. -_T- -�T- � - -.;. ram..... �. #j..:. i:y � .. ,: .;. � r.,•. y SUPPLEMENTAL INFORMATION (Continued) y Does the operation involve any of the following materials? Yes ❑ No If Yes, indicate quantities: Material Quantity 1. Flammable liquids Class I -A 1�I� Class I-[3 _ Class I-C I 2. Combustible liquid i Class 11 5ggI Class Ill -A -- 3. Combination flammable liquids 4. Flammable gases 5. Liquefied flammable gases r 6. Flammable fibers - loose 7 Flammable fibers - baled 8. Flammable solids 3. Unstable materials 10. Corrosive liquids 11. Oxidizing material = gases 12. Oxidizing material - liquids 13. Oxidizing material -(solids 14._' Organic peroxides^j�m�c 15. Nitromethane (unstable materials 16. Ammonium nitrate 17. Ammonium nitrate compound mixtures+ containing more than 60% nitrate i by weight I' 18. Highly toxic material and poisonous gas. 19. Smokeless powder 20. Black sporting powder hereby certify that the above informafion is true and correct to the be my knowledge. Signature Date ,x 1: Y 11/12/97 08:45AM S.C.A.Q.M.D. PAGE 002 OF 002 �p F s- South Coast AIR QUALITY MANAGEMENT DISTRICT r 21865 East Copley Drive, Diamond Bar, California, 91765-4182 I DATE: November 12, 1997 I TO: City of Huntington Beach € FRGM: David Steed, Air Quality Inspector SUBJECT: Building Permitting Under California State GovenunentCode 65850.2 LOCATION: Institute for Molecular Medicine 15162 Triton Lsuie Huntington Beach, CA 92649 This site has met or is meeting the requirements of ,ction 42303 of the Health and Safety Code and the requirements for a n..mit to construct and operate for the South Coast Air' Quality Management District . APPLICANT HAS ALL REQUIRED PERMITS FROM THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT FOR THIS SITE s AND/OR PLAN CHECK ONLY. APPLICANT HAS FILED FOR PERMIT TO CONSTRUCT AND OPER:' TE EQUIPMENT WITH THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT. XX.X APPLICANT IS EXEMPT FROM PERMIT REQL>1REMENTS AT THIS SITE AND/OR PLAN CHECK ONLY, 3 medical research facility r� ` REVISED 9115195