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HUNTINGTON WPM
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINtATON BEACH
DEPAR'{`i'4'LNT OF DEVELt3NfU1i"NT SERVi+CES
(PRINT OR TYPE ONLY)
Address
Business Name
Business Type Re Fox ! ty,t >` e 12
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DATE
District —
Tel. p 0
Occ. Group
BUILDING OWNER UIJSIN,ISS OWNER/MANACER 1
Name /J . �7 fir' i i' Name
A,L,i c ACldr(`SS,. J ,�,�,CI1 �''ii,a" i �` i3 '7 �7 •�I
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Address l'�`' L'.� , 4rAir��,c_ L�r
City 2!✓ %°✓ — L -f Tel. City 7.�' r ZKV6? C Home Te1.
THIS USE WC/ULD BE DESCRIBED AS:
�1 NEWI-Y CONSTRUCTED BLDG. CHANGE OF OWNER
CHANGE OF OCCUPANT
L EXISTING BUILDINC: CHANGE OF USE F-1 ADDITIONAL OCCUPANT
indicate former use, if any Occupaney Gr, Div,
SQUARE 1`7, OF BUILDING `r0 BE OCCUPIED— . 4A,7— ` lf
NOTICE- 1. Occupancy of any building is prohibited and a business license w.'ili not be issued until the building
has been inspected and a certificate of occupancy is issued.
2, No electrical service will be released for an; existing building0, until the service has been inspected -
and certified safe. Ai1 applicants nor occupancy in an existing building are required to schedule an
electrical 'fuse up' inspection in the Departmr:nt of Development Services at the time this appiica-
tion is filed,
3. Change of occupancy or use inspection fee. Whenever it is neces -y to make inspection of a build-
ing or premises in order to determine if a change may be trade in we character of occupancy or use
of the building or premises which would place the building in a different division of the same group
�t/ of occupancy or in a different group of occupancy, a change of occupancy inspection fee of
//W
l shall be paid to the city.
4. Huntington Beach Fire Code Section 10,203 rewires that building numbers must be a minimum
Of four (4) inches in height with one half ('z) inch st+-oke, and of a contrasGrig color fium t,te back-
ground. These numbers must be posted on your building in a ioc,3tion that is visible from the street.
5. Huntington Beach Fire Code Section 10.301 requires fire extir.gu Sher selection and distribution
per the Nat oval Fire Protection Assor.iation pamphlet 10 (see reverse side).
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SUPPLEMENTAL INFORMATION (FOR OFFICEUSE ONLY) ZONING�-"'�
OCCUPANv ,Y GROUP ,—. PLAN CHECK NO, NO. PARKING SPACES
OCCUPANT LOAD -04) PERMIT NO. HEALTH DEPT. APPROVAL
NO OFSTORIES ADMIN. ACTION UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE $
APPROVED BY DAT� CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $ _-
7"39 REV.
DEVELOPMENT SERVICES