HomeMy WebLinkAbout101 Main St - CofO (74)APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH h
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNTPC70N.aAa1 D E i
(PRINT OR TYPE ONLY)
Address I6 1� ��`"'' p 1 District
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Business Name ,��c,1r.� _ Tel. 39'°9so
Business Type • L' Occ, Group�%�
BUILDING OWNER ,A. BUSINESS OWNERIMANAGER
Name MIN ASOOe. M0 ni Name h s Pc-e m
Home _
Address _>f1 m�W 5 � Address 0 V MA1� 67_
Cyr / �pn ,�
City ' ' "• Tel. S-906 / City IS. Home Teli
THIS USE WOULD BE DESCRIBED AS:
f�❑ NE ONSTRUCTED BLDG. ❑ CHANGE OF OWNER LCHANGE OF OCCUPANT 1
�J BUILDING � CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, If any ✓ Occupancy Gr.—Div,
SQUARE FT, OF BUILDING TO BE OCCUPIED—lf-4 O _ 9yp
t
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 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 be made in the characte, of occupancy or use 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 inspection fee of $ shall
be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that build.ng numbers must be a minimum of four(4)
inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These
numbers must be posted on your building in a location that is visible from the street.
5. Huntington Beach Fire Code Section 10,301 requires fire ext,nguisher selection and distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
-fit I IJ4=p Vim• $KX A•!t 1-i.41ao ,d..1, . n a A r f
Ir!
TRAP GT FEE _
DATE PAID ,-,
AMOUNT RECEIVED � _� (FOR OFFICE USE ONLY) �P•J �'K 3"
E NAME ZONING
r OCCUPANCY GROUP .70�PLAN CHECK NO. NO PARKING SPACES
OCCUPANT LOAD PERMIT NO, HEALTH DEPT APPROVAL
NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED
C�^TC t O b;� t CERTIFICATE OF OCCUPANCY FEE $ _ _
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE
TOTAL g
7s-oaeRev. va7 COMMUNITY DEVELOPMENT
771
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