HomeMy WebLinkAbout15102 Bolsa Chica St - CofO (34)r
oo)_I
j
, Me APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON SEA'Cli - Lel
l) DEPARTMENT OF COMMUNITY DEVELOPMENT' — DATE i
HUNMG70N %AQ'I (PRINT 04 TYPE ONLY)
e
IS ADZ ��ll (` in, (r� District L y4
Address _ Tel. (P (Q
Business Name 1w^ �n
Occ. Group B
Business Type'—, BUSINESS OWNERIMANAGER
BUILDING OWNER
-fl��%%
77�� �__'�n iT' I C rit �(/ S (V14��Jame. 1/G
i Name-,ISO &IA"ddress
ome
�(DZ �>._!�.-�=/o---� Address Hom4 'felTel.Ity_
�, City
-,HIS USE WOULD BE DESCRIBED AS:
( _WLY CONSTRUCTCHANGE OF OWNER 3CHANGE OF OCCUPANT v-
❑ tED BLDG.
� 17RANGE OF USE ❑ADDITIONAL OCCUPANT
ILi EXISTING BUILDING
Occupancy Gr. —Div.
Indicate former use, it
SQUARE FT. OF BUIL IN
TO BE OCCUP
( NOTICE: 1, Occupancy of any building is prohibited and a business IicensE will notbe issued untilthe building has been
inspected and a certificate of occupancy is issued. l'o -
4. 2. No electrical service will be released for any existing building until the service has been inspected and \
existing building are required to schedule an electrical
certified safe. All applicants for occupancy in
'fuse up' inspection in the Department of Community Development 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 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 °shin all `
different group of occupancy, a change of occupancy inspection fee of $ a
be paid to the city. must be a mini' num of four (4)
r 4. Huntington Beach fire Code Section 10.208 requires that building numbers
inches in height with one half ('/2) inch stroke, and of a contrasting color from the backtiround. These l
numbers must be posted on your building in a location that is visible from the street
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Pr tection Association parmoh t 10 (see reverse side). -
o
TRAFFIC: ui :•r:Cd; FE5 j
e
DATE PAlD
AMOUNT (FOR OFFICE USE ONLY) V v
ZONING-
]
` NAME
PLAN CHECK N0. _ - --- -- I`IO. PARKING SPACES i
OCCUPANCI' G JP PERMIT NO. —HEALTH DEPT. APPROVAL
OCCUPANT AD =_ PERMIT ACTION UTILITIES RELEASED ---
NO. OF STORIES
CERTIFICATE OF OCCUPANCY FEE
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL $
'L
COMMUNITY DEVELOPMENT
l '