HomeMy WebLinkAbout15182 Triton Ln - CofO (5)it
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APPLICAT;OtI FOR CERTIHCATE OF OCCUPANCY
CITY CIF HUNTINGTON BEACh
DEPAR+MENT OF COMMUNITY DEVELOPMENT
NC+JVVII+ JCA
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11$ ? �rl _Lc1Tir �i1LiTt,t ' SacJt.ri 1 tie} }c''tt (.c3 • `�2[t_ . __T.._
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v- >:�'1Ct .$aka �a�'- }•�° �F� ,• 'a'�2,_.:-
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14 3301 S. Bear St.
gar=;;.ift 3 .E:urLkiL, D'. _.
ST_
r1r' fir: 714 )
`�"Zr,t1 (,3t-b 5,�tata r1na, CE 9�7iJ� 54�}--2��9
THIS USE WOULD BC DEJCRIBED AS:
F
y
FT
NOTICE. i . Occupancy ,f c-,n r' bwiding +s prr hibiter an.. <a t (,er si> will notue issued }Intif the building has been �
Inspected sand a r,c,tihcate Of 0C,ilpar twy is 1SS red
! No electrical service milt e a.;e 1 +t+r tiny existing L,'Ltiidmg � riit ;Y1t_ .4r rt,: e Peas been inspet;ted ar f
certified sae Afit at'pi�caras r ��Gt is as , y it in f xtst g builds ig are regtjjrPd tr, schedule an electrical t
'fuse, pp' inspection in the Ll .parrn ,e t (..ornrnirnty t2eve,,,)pr teat at the titre this 13pp[rcatian Is feted. I
. Change of occupancy Or list' inspection fe@. i'.'•rrt=:V'' t ;1t t'C-,5�r to inak ' Inspection of 3 building Or
premises in "ides t w deterrr; rtr i ,+;r 3 r( rr r� t mad r thf. err , xcter of ocr:i�pancy Or use of the building
! / �r premiSel. which v -I'Mid placethe i Irci ,t +r} r f f`eierit 9i Isiun of the caarn; group et RaCcapancy ,r in a
!Y
different group Of oc4 ,"rr'G4 ? C!vjTIqe A ocuiipanL r , >pEyctiuh fee of $ _. _ ._._� shali
be paid to the city
4 Huntington Beach Fire Code Section -) +08 r a+i e t rat bt, tding numbers must be a minimum of four (4)
�r
i - ( 7 inches in heighi rvith one hall aratrasting roior from the background. These i
> members mist be PostPd nn yu,ur Y tI t t.ntx in a i+� atic •� t'><it a5 vrsrbte frttsr :ttH Street. I
b Huntington Beach Fire Code Section 1010, reel .irr> f; e ex+iriguist-ter .elec'ion and distribution per the
hl64tir^^at 1'irB r"'r�Jti'�tit�ti ASS+�CsatlGn j:c7r7rx1Fii't t{t iv;_'f3 _eVta"5C 5id8}, I
(FOR OFFICE USE ONLY) 0�
SUPPLEMENTAL INFORMATION ri
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SUPPLEMENTAL INPORMATION
i .
BUSINIISS ADDRESS 15182 T�-intcn Lane, Huntington Beach, Ca.
92649
2.
Person to contact in case G;d emergency.Theera Kittirochanastien
Telephones number:
3.
Does the buiiding in question have electricity?
,,``}}Yes
A
O No.
a. If No, are you requesting that the electricity be
Oyes
turned on?
ONO
4.
The building is sprinklered?
f"%Ye_s
S.
Operations will produce dust/wood shavings or similar
material?
Oyes
ONO
6.
operations will involve the repair or replacement of
Dyes
automobile parts?
o
If yes;
(a; Describe the components repaired or replaced.
(b) Does the operation involve the use of an open flax*?
LYes'RA'
o
7.
The business is drinking, dining or assembly use that will
result in an occupant load ofmorethan 50 persons.
Cayes
,moo
8.
The following best describes my operation:
'Office only
Sales
<gAs e.ho__ use;
Manufacturing (describe
�iatxibut;t";i�, process and end
product)
estauran t.�IIINIX67 Out o0
Medical/Dental
Other (describe)
t05G2nj (12/8/06'
SUPPLEMENTAL AL INFORMATION ( Continued)
Does the overation involve any of the following materials? r s
�+s, zn zcate cuant tzes:
Material Quantity
1. Flammable liquids
Class I -A
class I-8 - -
Class I-C
2. Combustible liquids
Class II
Class III -A
3 Combination flammable liquids
4 Flammable gases -
t
5. Ll uefied flammable gases
6. Flammable fibers loose
7. Flammable fibers - baled
8. Flammable solids
9. Unstable materials
10. Corrosive liquids
11. Oxidizing material - gases
12. Oxidizing material liquids .�
13 Oxidizing material - solids _..
14. organic peroxides
15, Nitromethane (unstable materials)
16. Ammonium nitrate
17. Ammonium nitrate ,compound mixtures
containing more than 60% nitrate
b wei ht
18. Highly toxic material and
poisonous 'las
19smokeless powder
20. Slack sporting powtdc r
I hereby certify that the above information is true and correct to the
best of my knowledge.
Signature _ Date
(0562D) flatuJn k