HomeMy WebLinkAbout15182 Bolsa Chica Rd - CofO (3)r
APPLICATION FOR CERTIFICATE OF OCCUPAN
CITY OF HUNTINGTON BEACH CY
"UW*CTON8EAM DEPARTMENT OF COMM"NITY DEVELOPMENT
(PRINT OR TYPE ONLY)
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Address h� l1 « / !
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Business Name r District
Business Type Tet�tl�Z-�
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BUILDING G`OWNER Occ. Group----�:�—
Name
(BCD (16 � k � l , /% BUSINESS OWNER/MANAGER '
ame
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Address (�1 Home,
City .GIC-! ' C?L2-L-)n -i�o Addresses
L Tel. `I u_ -c7Z2r' City AA
THIS USE t"?, (pLD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG,
❑ CHANGE OF OWNER
EXISTING BUILDING ((----�� CHANGE OF USE CHANGE OF OCCUPANT
i--1
Indicata former use, if any_ ❑ ADDITIONAL OCCUPANT
�SOUARE FT. OF BUILDING TO BE OCCUPIED Occupancy Gr.
Div.
_P
NOTICE: I. Occupancy of any buildingiisprohibitedandabu�In s licen
inspected and a certificate of occupancy is Pssued. II not be i sued unn PI 'hd build` Ing has been
2. No electrical service will be released for any existing building until the service h s�been inspected and
certified safe. All applicants for occupancy in an existi tg building are required to schedule an electrical
fuse up' inspeci,�n in the Department Of Community Development at the time this applic le n Ps electrical
3. Change of occupancy or use inspection fee. Whenever it is necessary to make this ainspepion of a is file o
premises in order to determine if a change may be made in the character of Occupancy or use of the building
or premises which would place the building in a different division of the same group of occupancy or in a t
different group of occupancy, a change of occupancy inspection fee of $
be paid to the city.
shall
4. Huntington Beach ,Fire Code Section 10.208 requires that building numbers must be a minimum of four (4)
inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These
numbers must be posted on your building in a location that is visible from the street.
5. Hun,' -in ton Bea
ch ach Fire Code Section 10.301 requires fire extingul her selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
1
a
TRaVr-IC IMFj�c j- FEE �
DATE a.-Jft9 _ �� / � (/y 7
AMOUNT RECEIVED
NAM=
(FOR OFFICE USE ONLY)
OCCUPANCY GROUP__- ZONING -
OCCUPANT LOAD _ PLAN CHECK NO.—�-r NO PARKING SPACES h NO. OF STORIES PERMIT NO, HEALTH PARKING
APPROVAL_ �-
----- ADMIN. ACTION _ i.
—T UTILITIES RELEASED
A?PROA?PRO p py
CERTIFICATE OF OCCUPANCY FEE $ __
DATE CHANGE Gr USE OR OCCUPANCY FEE � I
TOTAL $
f
4
75-039 Rev t/97 $
COMMUNII �' DEVELOPMENT �—
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