HomeMy WebLinkAbout15182 Bolsa Chica St - CofO (18)®e APPLICATION ION FO" CCRT4FtCR.TE OF OCCUPANCY � �R , t�J
CITY OF HUNTINGTON' BEACH "
DEPARTMENT OF COMMUNITY CEVELOPFAER',T p TE
(PRINT OR TYPE ONLY)
HUNnNGTON BFAW
j n� l- b 1 i .t 0� � . � 'C_,(i{� Istrlcl
1,� � (�'`��c� tE� l�_ ►tee •— Tecgt4�?_%- 9895 -
Address �N V t� Fk>C ---- -,
ESusiress iSgme -ALL4 Occ. Group
f-1J� t N E E to t 1J C_rN
Business Type BUSINESS OWN/EWMANAGERkSyN�`-,_��
BUILDING (mot v �t ���
C(t r C A Name_. D
. f�`-----"— Home
Name
Address _
Address— Tel
ome Tel.
Tel
City_
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG ❑CHANGE OF OWNER
❑ CHANGE OF USE
EXISTING BUILDING
Indicate former use. it any _ �Q
SQUARE FT OF BUILDING TO BE OCCUPIED
NOTICE:
E4 CHANGE OF OCCUPANT
❑ ADDITIONAL OCCUPANT
Occupancy Gr —Div.
1. Occupancy of any building ;s prohibited and a business license will not be issued until the building has been
inspected and a certificate of occupancy is issued.
or occupancy in an existing building are required a thissapplliiication is filed.
al
2. inspected
electrical service will be for
for any existing building until the service has been inspected an
certified safe. All applicants
co sr,cnart;cri ur a building or
fuse up' inspection in the Department of Community Development at e
3. Change of occupar cy or use inspection fee, premises in order to determine if achange may
or premises which Would place the building it
difrerent group of occupancy, a change of of
be paid to the city.
4. Huntington Beach Fire Code Section 10.208
inches in height with one half (1/2) inch strol
numbers must be posted on your building
ut din in
WI
5. Husrtingtcn Beach Fire, hhQ_ ,)
National Fire Protection ssl Ak n a l
TRAF11C tit„'A1."7 FCE ____-__ -
DA5'E PAID _...____._- ..-
g t',4£3UNT RL4GLIVED _ _.
...... ....
NAME
OCCUPANCY GROUP ----'_
OCCUPANT LOAD - --u
NO OF STORIES --~-"-
(FOR OFFICE USE ONLY)
PLAN CHECK NO
PERMIT NO - - �-
ADMIN ACTION..--- ---
CERTIFICATE OF OCCUPANCY FEE
DATE CHANGE OF USE OR OCCUPANCY FL
APPROVED BY TOTAL
COMMUNITY DEVELOPMENT
75.439 Rev. 1/97
�..-
ZONINr -
NO Fi `,RYkNG SPACES
HEALTH DEPT APPROVAL
UTq.ITIFS RELEASED -
$ 3 -