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HomeMy WebLinkAbout10001 Adams Ave - CofO (3)wt CERTIFICATE OF .00CUPANCY CITY of HUNTIWSTON BEACH p. I DEPARTMENT OF BUILDING & COMMUNITY i IFVELOPMENT Date HUNTINGTON REACH This .s. to certify that the Auto SeTy" ce Station � .�� _ � � r a.,s authorized under Buildinq Pr ;mist No. EXiStILI —and is identified as 10001 Adams Avenue & Bra okh- rs'I address Hlmtift ton Beaci7 and described as. Steger Seven in the building owned by The Southland CCYI`39ration at 1032.0 a ib*6 'Road narne +�Jaddress ._cif. complies with the provisions of ail pertinent laws, codes, ordinances and any imposed conditions for the use described and classified as an - "` - —occupancy. MAXWUM OCCGPANT LOAD PfrRMITTEO NO dca; 1 This Certificate of Occupancy Jahn l`, Betirelas SHALL BE posted in a conspicuous place on uirector of Guildin a & Community Development the premises and shall not be removed except by the Building Official. -- DEP,AJZTMErV OF BUILDING COMMUNITY DEVELOPMENT OCCUPA..XCY RELEASE REQUEST LANDSCA'{E DATE, ROUTED; L E(Div. 1 uh .Wks FIRE ' PUBLIC WORKS i ..."�I FLAW ING HEALTH A release for occupancy has been requested for the building located an:. described as follows: Jr"R ADDRESS : JOB DESCRIPTION: PIWNE USV, °'IS DESGRIB2D AS i' lea j NEW BUILDING iiUi�bINC I` c. CFIMGE OF US,F �GE OF �x64At4ate, CHANCE OF OCCUPANT Please check the statos of thi-a project vrH-fi respect to requirements cif your Dep4 fitment and confiact. the owner revi) dir�g airy hoUds. OCCUI?A.. Y APPROVE,),: 47 } r' DA E �iOLD OCGUPANC11Y, s DATE REMARKS.- s%{f-= -----_ -'THIS FORM IS TO BE SIGNED, DATED AND RETURNED TO THE lEPAWTMtNrf OF SUILDI GC, S COMA UNITY DEVELOPMENT,. (,t73A00i) ' JJ t� y,} APPLIC'ITION FOR CERTIFICATE OF OCCUPANCY City of Huntington. Beach DepartmenL of Building & Community Develo meat FOR APPLICANT TO FILL IN (Print or type only) ✓AT4- pplration is hereby made for ; 'ertifi^ate of Occupancy for a Describe Business Use To he knca-n as--__— ^ Name of Business Located at ti Elm / G.t aG'G_ Business Address, Name: 'WILDING OWNER Address C� Zip Phone No. THIS USE 0OULD BE DESCRIBED AS: Newly Constrr, cted Building Change of Owner =, Change of Occupant Existing Building Change of Use D Addi'-ional Occupant Indicate former use if any Name: E'USINESS OWNER Residenc Adg�� City Zip PhGne No. Biisiness('•'Residence: JNOTICE: 1. Occupancy Z f any building is prohibited and a b� usiness license Wild not be issued until the building has been inspected and a Certificate of Occupancy Is issued. 2--1 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" z inspection in the Department of Building and Community Development at the tima this application is filed. CHA14GE -)F OCCUPANCY OR USE IN5PFCTIOU'FEE. Whenever :L't i_> necessary to make rr inspection of a building or premises in order to determine if a change may be made iv2 the dha acter of o^,:upancy or use of the building cr premises p�a which would place the building in a different d.tvisicn o� the same group of ya M occupancy or in a different group aL occupancye a change of occupancy inspection fee of $25 00 Fhali'be paid to the City. -- --� (FOR OFFICE USE ONLY) SUPPLEMENTAL INFORMATION Sq. ft. of building (z, - Flan Check No. _ Occupancy Group �r Permit No. Occupant Load. f'Admin. Action — 140. of Stories No. Parking Spaces health Dept Approval 1,6 Utilities Released APPRO JED BY DA` CEjt .� PICATE OF OCCUPANCY FEE $ 5. 00 { #7-533�) CHANGE OI' OCC'UPAWY OR ,LASE INSPECTION FEE rCYTAft $ He CERTIFICATE Or OCCUPANCY CITY OF HUNTINGTON BEACH �y64 1977 DEPARTMENT "` fit#"-'7.'ie, & Ct�li�"i�ll1N1TY Gi;i/ELf3PM1;NTra rtY75 e ON OfAC s This is to,, certify that the_ Gas Station as autlinrixed under Building Permit No. A 4445 and is identified as 10001 Addy, Hufttinton Beach idress and described as _1!' tr Seven in the building owned by Southland Cbtp. at 678 St 111410A Hill, C aremut, name addres, complies with the provisions of all pertinent lags, codes, ordinances and any imposed conditions fer the use described and classified as an ` occupancy, MAXIMUM OCCUPANT LOAD PERMITTED 2 �. Idatke; This Certificate of Occupancy SHALL BE posted in a conspicuous place on thu premises and shall not be removed except by the Building Official. John F. Behrens Director of Building & Community Development By E{-�rf --- APPLICATION FOR CERTII'ICATE OF OCCUPANCY City of Huntingtor. Beach _ _ Department of Building & CommunityDevelopment ?iOR APPLICANT TO FILL IN (Print or type only) DA17 � - ��% pplication is hereby made for a Certificate of Occupancy for a: !l�'L .Describe Business Use To be known as L. c . %' � 5. e t"' e ,4CX Name of Business Located at �� -- -,6 :22g Business Address A Name: BUILDING OWNER' Address City T zip Phone No. THIS USE WOULD BE DESCRIBED AS: ly Constr,zcted Building F Change of Owner E] Change of Occupant Existing Fuilding Change of Use Additional Occupant Indicate former use if 3zy J— �+rr (� L cd'_,/ G fC�� s'� la-g; ��1 cf -e l L C 7a BUSINES,S O R Residence Address Cit Zip �7 �' C" Phonu No. Busine8sf 1��ce}/--1Y5r'te, Residence: �f 1. Occupancy of any building is prohibited and a business .License will not be issued until the building has been inspec-:ed 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 sate. All applicants for occupancy in an existing building are required to schedule an electri^al "fuse up" inspection in the Department of Rui.ldinq and Community Development at the time this application is filed. 3. CHANGE OF OCCUPANCY OR USE INSPECTION FEE. Thepever it is necessary to make insi ecti on of a ijuilding or premises in order to determine if a change may be made in the character r,f occupancy or use of the building or premises which world place the *wilding in a different division of the same group of occupancy or in a different group of occupancy, a change of occupancy inspection fee c,f $25.00 shall be paid to the City. SUPPLEMENTAL INFORMATION (FOR OF1FICE USE ONLY) Sq. ft. of building Occupancy Group Occupant Load No. of Stories - APP0b61PD BY DATE Plan Check No. 7 h-'J 7_ Permit No. Admin. Action No. Parking Spaces Health Dept. Approval Utilities Rei:easea 4i CERTIFICATE OF OCCUPANCY FEE $ 5.00 (#7 5-n3 } CHANGE OF OC' UPANCY OR USE INSPECTIM FEE TOTAL, $