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LICATION FOR CERTIFICATE OF OCCUPANCY t
CITY OF HUNMMUNI N BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
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(PRINT On TYPE ONLY) DATE
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Address ��t�t�� Dt3lrlcl
Cusiness Name,a,[7x�.f+� /PLC' Tel
Business TYpo. Qoc. Group
" UIL 1 C OWNER BUSINESS OWNERIMANAGER " «i
Nam Nam-_1'dr�- rir,2L✓ '�
Address Homo %
Address ?-c / 1,
City _ _ Teton,#�` _ Cil LdClr1� C�� ��an Home Teig1��F a, r
THIS USE WOVI 9 BE DESCRIBED AS; +
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OivNER L7 CHANGE OF OCCUPANT
�, YJ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT �
indlcale former use, If any,�� � � '#
_.c___���`�_ --Occupancy Ga Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED 72
NOTICE: 1, Occupancy of any building Is prohlbiled and a bu<iness license will not be issued until the building has been
Inspected and a certificate of occupancy Is Issued, ", y
2. No electrical service will be reluAscd for cny existing building until the service has been Inspected and rr
certified Sale. All applicants for occupancy in an existing building are rer,uired to sclroduto an electrical;
`fuse up' inspection In the Departmental Community Development at the lima this application Is filed, sr ti
3, Change of occupancy or use inspection lee. Whenever it Is rracassary to make Inspection of a building or
�+, promises 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 differant division of the same group of occupancy or In a
different group of occupancy, In change of occupancy Inspection tee of $ �_. shall
xf be paid to the city,
4, Huntington Beach Fire Code Section 10.20E requires Ihni building numbers must be a minimum of four (4)
Inchea in holght with one list( (h) Inch stroke, and at a contrasting color from the background. These
numbers must be posted on your Suiiding in a location that is visible from the streot,
6, Huntington Beach Fire Code Section 10,301 requires fire extinguisher selection and distribution per their
*wrk i y, National Fire Protection Association pamphlet 10 (see reverse side). -
TRAFFIC IAPAEDATEPAMOU
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rf„ (FOR OFFICE USE ONLY) '
f a a SUPPLEMENTAL INFO►tMA ION ZONING Tl
OCCUPANCY GROUP.. .. PLAN C"COP N0, PARKING SPACES
OCCUPANT LOAD ' r PERMIT N0� HEALTH DEPL APPROVAL
NO, OF STORIES ADMIN. A ION.r
Z / 3Y4 f CERTIFICATE OF CO'UPANCY FEE S
ROV B DATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL
7a^oao M/,1rof COMMUNiTY DEVELOPMENT
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