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CERTIFICATE OF OCCUPANCY
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CITY OF HUPITINGTON BEACH >:ebruan_ 7 1983
DEPARTMENT OF DEVELOPMENT SERVICES Date
HUNDNGTON 8FACH
Address IMB7:.darws District
Business Name - M O�iG*Q0N BIACK COnJ TW'XC-ITA14M Tel. q63-0038
Business "'ype Mn".74 AiT3 _ Occ.Group_ -n —
BUILDING OWNER BUSINESS OWNER/MANAGER
Name W>bert Xe. Ctwgill :dame Manuel Acosta
Address IqO South La&e Ave. Address 21992 ,St Aw-e.Z+�7ind Xaile
City Pasadena., Car .if. Tel 681-5665 City Htant ingt<on Beach Home TeL_963-1024
Construction __No. of Stories- Occupant Load 12 Sprmklered- _
Notice.
This. Certificate of Occupancy DEPARTMENT OF DEVELOPMENT Si_RV►CES
SHALL BE posted in a conspicuous place on
the premises and shall not be removed except b
by the Building Official y— —
UtV'tl_QPMENT 5ERVICE$
�J Al'i•`
ICATiON FOR t.ER i :FlCATE OF O%C JPANCY
CITY CF HUNTIr .ON BEACH a r
DEPAR IMENT OF DE'Jkt-OPMEAJT SERVICES
r+ur.TwesoH eeAcn (PRINT OR TYPE ONLY' DATE
f
Address 0 7 A,) ja%M A-J;Z� Distrir.-
uusinessName T,J I'iTel. /k.+ >.� Z.S <`� �o✓ -
�
Business Typa �' a *� RE —Tr" OcL. Group —
BUILDING OWNER OWNER/MANAGER
Name 1to,3c �T 11v�icKzt_ Name J— i
Address �q�C C"c.r,� LA,�c PrE Address -
city Ii" LA C-A __ Tel. 121 E !�Z. 4j- City k,,--r , , t3 �9 c.� _ Tel, 96 3 i521�
THiS USE WOULD BE DESCRIBED AS:
U NEWLY CONSTRUCTED BLDG,
CHANGE OF OWNER
CHANGE OF OCCUPANT
EXISTING BUILDING
CHANGE OF USE
FDDITIONAL OCCUPANT
Indicate former use, if any lei eT.ilLE
EI?-Alni C = _Occu;,ancy Gr-
—__
Div.
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued until the !wilding
has been inspected 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 safe. All applicants for occupancy in an existing building are required to schedule an
electrical ';use up' inspection in the Department of Development Services at the time this applica-
tion is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a build-
ing or premises in order to determine if a change may be made in -he .haracter of occupancy or use
of the building or premises which would place the building in a different division of the same group
UU of occupant y jr in a different group of occupancy, a change of occupancy inspection fee of $30.00
shall be paid to the city.
!! 1 4. Huntington Beach Fire Code Section 10.209 requires that building numbers must be a minimum
of four (4) inches in height with one half ('/) inch stroke, and of a contrasting color from the back-
ground. These numbers must be poste' on your building in a location that is visible from the street.
5. Huntington Beach Fire Code Section 10.301 requires ripe extingu',her selection and distribution
per the National Fire Protection Association pamphlet 10 (see reverse sid )
(FOR OFFICL' USE ONLY)
SUPPLEMENTAL INFORMATION
SQUARE FT. OF BUILDING ����� PLAN CHECK NO.
OCCUPANCY GROUP _. PERMIT NO.
OCCUPANT LOAD ,� c� ADMIN. ACTION —
NO.OF S ORIFS —�_—
FS CERTIFICATE OF OCCUPANCY FEE
APPROVED B , 6ATE CHANGE O:� OCCUPANCY FEE
TOTAL
75-039 REV. DEVELOPMENT SERVICES
NO. PARKING SPACES
HEALTH DEPT. APPP.OVAL
UTILITIES RELEASED "�a —e