HomeMy WebLinkAbout15182 Bolsa Chica Rd - CofO (6)�1 APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES /. A',
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HU"NGTON BEACH (PRINT OR TYPE ONLY) 'DATE
Address — '�_ C J� �g �m
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Business Name �`� i �IV _ �� J� C s�C_. _ Tel. —
Business Type �� ��� ! iV 1����(ISI 'S n✓u1 +_ �jcc. Group
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BUILDING OWNER -�^c N N, S S6S 04 M NAGER
Name AA, b (:_ C-L-�-`—l'`-- Name �Jt� � i�i� • �iZ3 (�i
Home
Address b3 � I
_ Address A--tJC:_
City Tel. _, City C�iJ�13 jCCn,3 home Tel. �tS�'3"/��
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER
P--EXISTING BU" DING CHANGE OF USE
indicate former use, if any IL1L - Ef-'1 C I � Occupancy Gr
SQUARE FT. OF BUILDING TO BE OCCUPIED_ �_ 171
CHANGE OF OCCUPANT
ADCITIONAL OCCUPANT
Div,
NOTICE: 1. Occupancy of -any building is prohibited and a business license will not be issued until the building
has been inspected and a certificate of occup, ncy is issued.
?. No electrical service will be released for any existing building until tho 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 Development Services at the time' his applica-
tion is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a build-
ing or premises in order to determine if a change may be made in the character of occupancy or use
of the building or premi^es which would place the building in a different division of the same group
1136� of occupancy or in a different group of occupancy, a change of occupancy inspection fee of GGG shall 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 one haif (%) inch stroke, and of a contrasting color from the back-
ground. These numbers ml.!t be posted on your building in a location that is visible from the street.
5. Huntington Beach. Fire Coda Section 10.301 requires fire extinguisher selection and distribution
per the Nation&' Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY) a
SUPPLEMENTAL INFORMATION ZONING _
OCCUPANCY GROUP -' PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD " PERMIT NO. HEALTH DEPT. APPROVAL -
NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED 2 _
CERTIFICATE OF OCCUPANCY FEE $ —.
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $� _
75-039 REV.