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APPLICATION FOR CERTIFICATE OF OCCUPANCY 6 C�
CITY OF HUNTiNGTON BEACH
DEPAI;TMENT OF COMMUNITY DEVELOPMENT MKII.4CION BEACH : (PRINT OR TYPE ONLYI A
Address ri D^d. 4.ki5iiis i T
$�.
. Business Name_„_, � 5 '� ��. � Tel
Business Type w&- Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
game Name 64 i c3 's yet
Address Add
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om3164 04'21 6'aA O
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THIS USE WOULD BE DESCRIBED AS: {—�
E NEWLY CONSTRUCTED BLDG 0 CHANGE OF OWNER M CHANGE OF OCCUPANT
EXISTING BUILDING, Q CHANGE OF USE Q ADDITIONAL OCCUPANT
Indicate former use, it any $h�t� � , _ Gr Div.
SQUARE FT OF BUILDING TO BE OCCUPIED
40
k'
NOTICE: 7. Occupancyof any building is prohibited and a business license wilt notbe issued untilthe building has been
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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
k certified. safe. All applicants for occupancy in an existing buildt'tg are required to schedule an electrical
`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 made in the character of occupancy or useof thebuilding
or premises Which would place the building in a different division of the; same group of occupancy or iin a
different group of occupancy, a Change of occupancy inspecticit fee of $ shall
be paid to the city.
4. HuntingtonBeach Fire Code Section 10.208 requires that building : iumbers must be a minimum. of four(4)
inches in height With one half ('!z) inch stroke, and of a contrasting color from the background. These
numbers trust be posted on your 'building in a location that is visible from the street.
5. Huntington Beach Fire Co& Section 10.301 requires fire extinguisher selection and distribution per the
National Fire Orotection Association pamphlet ID (see reverse side), jG(pjp1� ¢
, .._ (FOR OFFICE JSE ONLY)
'CN!NG
OCCUPANCY GROUP PLAN CHECK NO NO PARKING SPACES
` OCCUPANT LOAD _ PER%4IT NO HEALTH DEPT. APPROVAL_
NO OF STORIES ADIMiN UTiLiTTS RELEASED
CERTIFICATE OF OCCUPANCY FEE
APPROVED BY DATE CH.+NGE OF USE OR OCCUPANCY F E $
TOTAL $
76-636Aay. [7�J = 4 Krt - i ; Vi v tY�i� dY