HomeMy WebLinkAbout1403 Delaware St - CofOl APPLICATION FOR CfflI'CIFICA°P 6r oCCtJPANCX
ity of 'It 111t±in' tor. Beach 'It! f I�ililrliil ►..� lltltiht�ihii� j yelo exit
OR APPLT('AliT TO FILL IN (Print or type ollly) - DA'1'" ,3LWa-7.oJ97/. _.
pplication is hereby made for a Certificate of Occupancy for a:
Describe Business Use
o be k1limn as OBA S . and S . #2
nn1Ua ca.,�g A{�lrtmenL Rentals � peyelopement
Name of Business �C•4
;�i1 `1�1
ocated t1t / _� Gf .�i-�a .�lf/i.� ,:i�s. Cf lif.�
Business Address
Mike— SaYa ^calif_ 9z6ji3_ j�f 9601
Name: BUILDING OWNfat Ad ress City Zip Phone No.
THIS USE WOULD BE DESCRIBED!! AS:
�quryts[a j, Change of Owner Change of Occupant
[]2'fx1sit1.ng Building 0 Change of Use Q Additional Occupant
Indicatr! [order use if any NONE
Name: d1115INESS NER Resid��� Cy �JWZip
Phone No. -- Business: Residence: (�%S O
40TICE: 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 Occupancy
is issued.
2. No electrical service will be released for any existing building until the
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 Building and Community Development at the
j 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.1use of the building or premises
which would place the building in a different division of the same group of
occupancy or in a different group of occupancy, a change of occupancy
p inspection fee of $25.00 shall be paid to she City.
SUPPLEMENTAL INFORMATIONATION
(FOR OFFICE USE ONLY) �� V,
'+
65E TECHNICIAN
Sq. ft. of building F Plan'Check No. _...._._--
Occupancy Group ) Permit No.
Occupant Load 'C Admin.�Action
No. of Stories � l No. PArkina Spaces
Util' ies . p • Re ApPtoval �, _.
.leased
APPROVED DATE
mkTIrfCATE OF OCCUPANCY. FEE $ -5:00
(75-039) CHANGE OF OCCUPANCY OR USE INSPECTIONTOT AL $
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