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HomeMy WebLinkAbout15182 Triton Ln - CofO (12)dZ ' It� L� I MrPLICATION FOR CERTIFICATE OF OCCUPANCY 1 CITY OF HUNTINGTONBEACH` DEPARTMENT OF COMMUNITY DEVELOPMENT (PRINT Ok TYPE ONLY) DATE I �( Address tS(rt2. -- District Business Name hi!(�,d�cin 1`�ua., ► - Business Type --iq� &—,- _ Tel. 71=i_, . / �Q BUILDING OWNER 14 Occ. Group Name BUSINESS OWNER/MANAGER Namur 3 Address �_ {[ S r, Home Address (� _ City ____Tel Cit .., :. :- F ome Tel. f THIS USE WOULD'SE DESCRIBED Aa: ❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER EXISTING BUILDING CHANGE' OF OCCUPANT ❑ CHANGE r— OF USE Indicate ADDITIONAL OCCUPANT - former use, if any,S- ALES ; r Occupancy Gr•_ Div. 'SQUARE FT. OF -BUILDING TO BE OCCUPIED -�- fit NOTICE'- . b n r��iz 7 Occupancy of anybuildmg is.�rohlblted and a business license will not be issued until building has been inspected and a certificate- of occupancy is issued. - 2- No . electrical service will'be release&for any existing buildinguntil. L the service has been inspected 'certified safe. All applicants for occupancy and in an existing building are required to schedule an electrical 'fuse up` inspection in the Department of Community Development at the time this application is filed. 3. Chan Change of occupancy or use inspection I p tee. 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 or premises whicti would place the building in a different division of the same groupofcupancy or in a i different e Brent group of occupancy, a cha12 a Df-occupancy,inspection°fee ;�S of $ - -- paid•to-,he-dity.' ' ` shall 1 4. Huntington Beach Fire Code Section 10208 requires that building numbers must be a minimum of four (4) inches in height with one half (�/2) inch %Aroke, and of a'contrasting color from the background. These numbers must be posted on your building in a location that s visible from the street. 5. Huntington Beach fire Code Section 10.301 requires fire extinguisher selection and distribution per the National Fire Protection Association pamphlet 10 (see reverse side). / ..•' •''•t[J C� O.: 02 CX? A Z � O r C t %.--� "l� � J •" �K,% 1. (-. (FOR OFFICE USE ONLY) ZONING OCCUPANCY G•�ROUP—' F 1 PLAN CHECK NO. OCCUPANT LOAD n2_ NO. PARKING' SPACES' PERMIT NO. NO. OF STORIES _ HEALTH DEPT• APPROVAL ADMIN. ACTION UTILIT,;E RELEASE ' ' ,. /CERTIFICATE OF OCCUPANCY FEE A PROVFO 13Y - D CHANGE OF USE $ t 5 - OR OCCUPAN Y C fEE TOTAL $ l APPLICATION FOP CEM11Ff'CATE OF OCCUPANCY CITY OF HUNTINGTON BEACH lea DEPARTMENT OF CONIC UNITY DEVELOPMENT Huhtr T4ra f (PRINT-08 TYPE ONLY) DATE Address -fPi46t (":41jc 102 q% t/ `tzCy _ District Business Name�tn uc s� r i, yj_c Tel Business Type 111c er � �cc� 1r(a n� �rx5 c is r^o -C7cc Group` t� BUILDING OWNER BUSINESS OWNEPJMANAGER t Name-- 61-g `k�s"Y\gsS eat-1 Name EYef AlA& # �i Home a'�LiSft /Vt' �O f, Address— l^1si Avc Addre�sjs City rta�ic� r atJ getzt h Tel,. ,= Oily tiu> 3C�L_ Home Tet, - 7 Q THIS 11SE WOULD BE DESCRIBED AS: NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER CHANGE OF OCCUPANT ? EXISTING BUILDING El CHARGE OF USE � ADDITIONAL OCCUPANT fndioate former use, if any + _ _Occup • icy Gr. _ Diu. SQUARE FT. 01 rAe BUILDING TO BE OCCUPtE{�; ' &��" �' _-AAt if 7- NOTICE. -I . Occupancy of any building is prohibited and.a business lhcensewiit notbe issued until thebuilding has been e, t inspected and a certificate of occupancy is issued. 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 'fuse up'' inspection in the Department of Community De• nlopment at the time this application is filed. 3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or premises in order to determine ifa change maybe mt de in the characterof occupancy or use of the building or premises Which would place the building in adifferent division of the same gr p f occupancy orin a different group of occupancy, a change of occupancy inspection fee of - shalt be paid to the city, 4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four (4) inches in height with ono half (fit) inch stroke, and of a contrasting color from the background. These numbers most be posted on Your building in a location 'hat is visible from the street. ?+untingtan Beach Eire Cade Section '.3:301 requires fire extinguisher selection and distribution per the National Fire Protection' Association pamphlet 10 (see reverse side). Tt x�.l"`ry�t4s tE;'�ii x1e✓ a � w _ _ r^^'"' � �.n.! �'Gs-r 04 PAID }j AtxiC at+d`t ..itd�. (FOR OFFICE USE ONLY) MAIN-1 - BONING OCCUPANCY GROUP �M ^ PLAN CHECK NO NO PARKING SPACES OCCUPANT LOAD PERMtT NC"r HEALTH VEPT APPROVAL NO. OF STOWE$ ��---'�«. ADMIN ACTION - UTILITIES RELEASED CERTIFICATE OF OCCUPANCY FEE �C5,L_, • C) APPRO D SY DATE CHANGE OF USE OR OCCUPANCY FEE S. .( TOTAL ffi %5-039 Ftay. 11$7 vR ° * ..! ET i w 1 E.s' & iiy Py : ` s�/ �j o- a SUPPLEMENTAL INFORMATION 1. BUSINESS, ADDRESS i z ::zc- W tv 2. Person to contact in case of emergency- Telephone number:L�f-�te�SG 3. Does the building in question have electricity? � Yes fl No (a) If (jo, are you ` requestic J that the electricity be Ci Yes turned on'? fl No 4. The building is s9r nklered : ❑ Yes No 5. Operations will produce dust/wood shavings or similar material? © Yes No i 1 6, Operations will involve the reoair or replacement of 0 Yes X No automobile parts? S If Yes `i {a) Describe the components repaired or replaced. (b) Does the operation involve the use of an open flame? Cl Yes �. No 7. dining or assembly use that writl The :business is drinking, g Yes result in an occupant load of more than 50 persons. 8. 'The following best, describes my operation; 'i office Only Retail Sales anufacturing ! gi%tribe: i describe process and end product) ,. 11 Restaurant/Take Out Food a Medical J Dental Other (describe) i j i�UX_7-Pw�. ME *tif.�:i� iY_- k t SUPPLEMENTAL IMPORMATIOM (Continued) Does the operations involve any of the following materials? yes Flo 1# Yes, indicate quantitles: Material Quantity Flammable liquids Class ` Class .13 ?'. Class l-C 2. Combustible liquids Class 11 Class 111-A �. 3. Combination flammable liquids' w -- 4. Flammable gases 5. Liquefied flammable gases Flammable fibers - loose r. Flammable fibers baled o. Flammable, solids ` 9, Unstable materials, 10. Corrosive liquids 1. Oxidizing materialgages 12. Oxidizing,Material -liquids t Oxidizing n term l - solids 14. Organic peroxides 15. Nitromethane (unstable materials) ; IS., Ammonium nitrate i f . Ammonium nitrate compound mixtures containing mpre than 60% nitrate by weight 11.g� toxic €eternal and poisonous gas 1g. Smokeless powder 20. $laick sporting powder 1 hereby ' certify 'that the above . information is true and correct to the best of knowledge. signature Date . i Souk Coast Aid QUALITY MANAGEMENT DISTRICT 21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396-2000 F AM r QUALITY PERdWIT CHECKLIST' for nonresidential buildings only Company Name:' i Location of Property:L� Zip Code: q,2 q , Contact Person; �- Title: ,.\/.. Telephone Number: Fax Number: Z(y-961.546,11 Type of IndustryfBusiness-,,Oia,,,,Palwer of *,nx t _aq rhjn A(64V_4 tt `C To apply for a nonresidential building permit, you must complete this checklist. Ifyou have any questions about completing this checklist, please call, (800)'388-2121. YES NO I. Will the facility have a charbroiler? [ 2. Will any internal combustion engine with greater than 50 horsepower operate at the facility (excluding motor vehicles)? [ [ 3. Will operations at the facility involve nuxing, blending, or processing of solvents, adhesives, paints or coatings? [ [ 4. Will dust or smoke be generated at the facility? 5. Will refining of any liquids or solids be done at the facility? [ ] [ b. Will any plating or coating of materials be done at the facility? [ [] 7. Will any combustion equipment rated greater, than 2,000,000 BTUlhr be operated at the facility? S. Will any acid-,, solvents, or motor fuel be used or stored at the facility? [ [ ) 9. "yVill any organic liquids, or gases be reacted or produced? [ j 10. 'Will, any ovens be used to dry or cure products at the facility? [ ] ] 11. Will any CFC (Freon) recycling machines operate at the facility? [ ] I Applicant; `ac_ _ Signature: ZN (Print name clearly)'p Ifyou have marked "NO' in all the boxes, an air quality pcn:ait is not needed at this time, and tbis checklist is your wA en release. If you, marked "YES" 1,1i any of the boxes, you must contact the South Coast Air Quality Managemout District (AQNO). Please read the, requirement o, on the back of the checklist. S A t)E"I`I W I . UPPi r-MENTRL IriiFOF1tv1A,1i�;d