HomeMy WebLinkAbout1213 England St - CofO (2)APPLICATION FOR CERTIFICA'E OF CCCUPA14CY
of Huntington. Beach
APPLICANT SO FIId, "IN
t of Building & Communes 1h
—. DATE L
�App"•.ication is hereby made for a Certlficnt:e p of occupancy �8r a:
'?
Describe �uslness Use
"
To to known as, � � 1-/-1 s� 11.--e— t.c,.�.lG:- Z ;, � �E'i r �- t
Naf,-.e cf BuslnesS
,r
Located ac '
�— Bu., iness Address; �/ n�.�� r/�>/ •i
i7.
Name: BUILDING OWNER Address City Zip F•::one No.
(Print or type only)
THIS USE WOULD BE DESCRIBED AS:
r .,
IVI[a_;wly Constructed Building Change of' Ow ier
Existing Eui l ding Change of Use
Indicate former use i f any
Name:
W
BUSINESS HER Residence Address
Phone No. - Business:
I] rhange of occupari
0 Additional OccuPlint
City zip
Residence:(-�13/�/�/-
ICE: 1. Occup mcy of any building is arohibiten: and a business license will not be
issued until the building has been inspected and a Certificate of Occupancy
is issued.
2. o electrical service will be released for any existing building until the
ervice has been inspected and certified safe. All applicants for occupancy
qn an existing h+tilding are required to schedule an electrical "fuse up"
inspection in tho Department of* Building and CommuAty Development at the
:Time this application is iled.
V,\
3_„ F HANGE OF OCCUPANCY OR SE INSPECTION FEE. Whenever it is necessary to make
fi Mspection of a bull ing or premises in order to determine if u chance may
ie made in the char cter of occupancy or use of the building or premises
cmich would place he b ilding A-n a different division of the same group of
.r 1
cupancy or in diffre gr up of occupancy, a c.:ange of occupant/
=spection fee,of $25.hp jhak be paid to the City.
337
SUPPLEMENTAL I
Sq. ft. of building
Occupancy Group -�
Occupant Load
No. of Stories ,L
'iI',bR OFFICE. USE ONLY)
-7
Plan Check No.
Permit No.
Admin. Action _
No. Parking Spaces .
Health Dept. Approval
Utilities Released!s
APPROVED 9Y DATE
CERTIFICATE OF OCCUPANCY FEE $ 5.00
. f CHANGE OF OCCUPANCY- OR USE INSPECTYtk' FEE�1-
(#7.9-039) TOTAL $