HomeMy WebLinkAbout119 11th St - CofO:r
APP ICATION -OR CERTIFICATE OF OCCUPANCY
Cite, of Huntiag one Beach _ Department of Development Services
FOR APLI►'1L�i TO Flt»r iti Print ar fvp= ctr"y, DATE
Application is hereby made for Certificate of Occupancy for a;
Occu ncy: Gr. Div;
DescriL. Business Js
ra be known as C*- t..,
Name of Business `
Located at i t,_'� C°
A yBusiness Address y +
�F •Y'ki1,.l 4c 3 ��74�� ��f .vr+'
Name: BUSINESS OWNER' Aestdence Address City -'— Zip
Phnne No. Business. icy ,c r,! Residence:
Name., _`I1 ri:� rEse i ' =P _____Pfione No.
THIS USE WOULD BE DFSCR(BED Ryq
Newly Construt. ed Building F Change of O'vner f Change of Occupant
Existing Building Q Change of UseAdditional Occupant
indi-ate _:rmer use if any Occupancy; Gr. Div.
NOTICE. Ccupancy of any building is pro iblted and a business license will not be issuE1i7
until the building has been inspected c ' a Certificate of Occupancy is issued.
2. No electrical service will be released tor'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 t).,: time
this application is filed.
3. CHANGE OF OCCUPANCY OR USE INSPECTION FEP= Whenever it is necessary to make
inspection of a building or premisea in order to determine if a change may
be :Made in the ,:�mracter of occupancy car use of the building or premises which
would ?dace the building in a different division of the same group; of occudanc.,y
or in a different group of occupancy, a change of occupancy inspection fee of {
$30.00 shall be paid to the City,
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
Sq. ft. of building PIan Cneck No,
Occupancy Group Permit No.
Occupant Load -* Admin. Action
r No. of Stoes No Parking Spaces `
health Dept.
APPROVED By .�D r
Utilities Releasedval
CFRTIFiCATE OF OCCUPANCY FEE 6 6.00
CHANGE OF OCCUPANCY OR USE IN"1'i;CTION FEE ��✓'
TOTAL
(#75-039)
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