HomeMy WebLinkAbout10042 Adams Ave - CofO (3)CERTIF17CATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH December 19, 1977
DEPARTMENT OF BUILDING & COMMUNITY DEVELOPMENT 15ate
HUNTINGTON BEACH
This is to certify that the__ _ m_cp �$;j' .5 Agra fZV.TnTTr_F — as authorized
under Building Permit No. __ 1-9365and is identified as _10 A? Ada Aimnnt%, fx.,nt' gton Hear_
address
C!;) 92646 and described as �Nor,> >>--TV S41Qg3
in the building owned by B;3=j Qrj; vw�� 5--� 78/l at l�AZyry, ffi„n CaQ2774
ame a dress
—._ , complies with the provisions of all pertinent laws, codes, ordloances and any imposed
conditions for the use described and classified as an _r--.a occupancy.
MAXIMUM OCCUPANT LOAD PERMITTED
No ticE: �Jhn
Tnis Certificate of Occupancy ehrens
SHALL BE posted In a conspicuous place on nirector of Building 8, Community Ueva'opment
the premises and shall not be removed :xcept
by the Buildin j Official. ey fir" zu
City of Mini-incii-nn Apa -!h
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Tl�rart-mant of Rini 7 rii nrt ,:, f'.,mm.,,�i no,roti „,
FOR APPLIQANT TO FILL IN (Print or type only) ~� DATE ;,10y , tA • cj Imo%
,ppl, :ration is hereby :.ade for a Certificate of Occupancy :or a
i V. .SAG_ S' ALJ-D ,SrPvocff
Describe!, Business Use
To be known as idi �� t t
Name of Business
Located at l O CR 4 d ,40 , &V A M S A v E t^1 tz�- ii1 • ��� ties C,
r Business Address
19vSi1i,ej,% Pry pw4t} 11 €' Spy Par k j:i?V j"F- r'4 9271.G 97 - 1380 o
Name.- BUILDIN OG OWNF71 Addressj City Zip Phone No.
THIS USE WOULD BE DESC R1BED AS:
Newly Constructed Building o Change of Ch•,ner �`; C:hanga of Occupant
E<.isting Building F—I Change of Use =] Additional Oc^upant
Indicate former use if any
SIC Gi Ca -ro,$ "1 o 1914 J �� Lqw-
Name: LZSINESS OWNER Residence Address City Zip
Phone Vo. - Business. �� � Residence: �r
NOTICE: 1. Gccupancl of any' u ilding iry pro'kiibited and a businasu3 3:zcezise will not be
issued until the building 11as been inspected and a Certificato of Occupancy
is issued.
2. No electrical service will be released for any existing building unti'i the
service has been inspected and certified safe. All applicants for occupancy
in an existing 'building are required to schedule an electrical "fuse up"
iimpecticn in the Department of Building and Conmunity DevelopMent at the
time this application is filed.
3. CHRNGL OF OCCUPANCY OR usE INSPECTION FEE. Whenever it is .iecessary to makk-
4nspection of a L.�uilding or premises in order to determine if a change may j+1
be made in the character of occupancy or use of the building or premises
which w,�uld place tyre .building in a different divisa.on of the same group of �
j
� occupancy yr in a different group of occupancy, a change of occupancy
inspection fee of $25.CG shall be paid to the City.
t _ _J
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFO%*gATION
Sq4 ft. of building ram^ Plzn Check No.
Occupancy Group _i Permit No. '. _-
Occupant Load �� Admin. Action
No, of Si*ories Teo. Parking Spaces
t Health Dept. Approval v y
Utilities Released"j
A PR VED BY DATE
(#75-039) ,)
CERTIFICATE OF OCCUPANCY FED; `r 5.00
CHANGE OF OCCUPANCY OR USE I.75PECTION FEE
TOTA7,