HomeMy WebLinkAbout121 22nd St - CofO (2)9
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Ci=RTIFICATE OF, OCCUPANCY
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CITY of HJNT!NGTON BEACH I
DEPARTMENT' OF BUILDING at CC3MMUNlTs! 131 VELdPMENT May 18, 1979 (
HUNTINGTON UBACH �te
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This i- to certify that the C?i'EiG"E— �2ER om,
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under �Building Permit No. r"-"S
s ------ is identified esl^_11t
HuTtt1T'ttca_ i ieaCh,
aadracs
and describedasB.E. T O19TRTTI TNC CC} 11axr�
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' in the building owned by
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nddras
complies- wi;h the provisions Of all Pertinent laws, codes, ordinances and any, imposed
conditions for the use descrihod and classified as an
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___Occupancy,
MAXIMUM OCCUPANT LOAD PERMITTED
Certificate of Occupancyposted in a t onspicuaus
LLSHALL b'hrensand
piece t �tn
`$ctor 0 Bearding Community Rovttopm'nt
shall not be removed exlr
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Official.
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APPLICATION FOR CERTIFICATE OF OCCUPANCY (
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Cit.Y of Huntington Beach � Department of B! ; ld:,�g � Community DevPla ment
FOR APPLICANT TO FILL IN (Print or type only) DATE
Application iz �:-reby made fora Certificaat O:cupa;lcy, for., a:
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i \ .�._ Occu anc Or» �`y DivIi
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Describe Business Use
To be known a _ t 4. -�' 1 t ` f C, I
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Name of Bg5ines;s -
Located at
Business Address
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Name: BUSINESS O k
ctE Res•i nce Address City;
Phone Na. - Business; _ Residence: ]
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Name,BUILDING_ ---Address .�" (`�v .' Zip one o.
THIS USE WOULD BE DESCRIBED AS
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Q Newly Constructed Building � Change of Ow-ar '-hange of Occupant
Ei Building Change of Use �j Additional Occupant'
Indicate formez, use if any Occupancy: Gr. Div.
6i 1 Octupancy•of ;any building is prohibited an a business license willnotbe issue
until the building has been inspected and a Certificate o Occupancy is issued.
2. No electrical servic,� will be released for any exisuing building until the
service has. been inspected and certified s4fe. 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 it the time
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thin appliccition is filed.
3..CHANGE OF OCCUPANCY OR USE INSPECTION FEE. Whenever it; is necessary, to make
'inspection of a building or premisesitt order to determine if,a change may; t
be made in the character of occupancy or use of the bufld'ng or premises which
would place the building in a different division of the same group of occupancy';
or i a different groins of occupancy, a change of occupancy inspectior, fee of
$30.00 shall be paid to the City.
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION'
Sq. ft. of building „� ,6 Plan Check No.
Occupancy Group Permit No.
Occupant Load, Admin. Action y
No. of Stories No., Parking Spaces
R F'ealth Oeot, Approval
Uti i ;ties Released r _ `+AT
--APPROVED BY D � c
CERTIFICATE 0F OCCUPANCY FEE' fi.00 ,
CHANCE OF OCCUPANCY OR USE INSPECTION FEE #,(Zl
IOTA $
( #75-0 e' it
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