HomeMy WebLinkAbout10085 Adams Ave - CofOCERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH 3. lWiz
DEPARTMENT OF DEVELOPMENT SERVICES Date
HUNTINGTON BEACH
Address r. �7,%v ca . District
Business Name KOS-7' 11IX, PAPPAS , D. D . 17`7 7 14 — ,_" G 2 — 7 7 f,
Business Type _D_7!'_-Tz!'!'PY Occ. Group--P-2
BUILDING OWNER BUSINESS OWNER/IJANAGER
Nam. '-ostern Realty Investments Name Rosmas Pa;a as, D.D.S.
5 t) T;, �>Prj.rjij St. , [,7te Home 11727 Cortj'.,,ncl 'Dr,
Address` 200 - Address
lkor�q� D:iach, CA 7IT ZT9 0 __01 0 9 i 71AZ77M _-149G
'ity
90206 Jel.—_ City Corona Del Mar, CA Home Tel.
Construction —,'13. of Stories --Occupant Loau 33 Sprinklered
This Certificate Of Occupancy
SHALL BE posted in a conpicuous place on
the premises and sha!l not be removed ex-
cept by :he Building Official.
DEPARTMENT OF DEVELOPMENT SERVICES
by— —
-,
CERTIFICATE (IF OCCUPANCY
Hie
CITY 0= HUNTINGiON 9GACH
DEPARTMENT OF DEVELOPME.: r SERVICES
Date
HUNW4GrON WAM
Address
10O S 5— a 7 G,&,i as 7�-yc .
_ Distri,t
Business Name.
r , r
Tel _
Business Type
D _;]N T1ry 7- 71Y
emu
Oca Group -
BUILDING OWNER BUSINESS G.r ;!ERWANAGER
s ,_seem Ro_-I y Li1V4?Ss` tG _tu EL,Doy%:3,
D.D.S.
Nus;e
Name .�
_
IW1
~;• SrPi nq St., `'t L,. 2t:10 4727 Cortland
52:.
Address'
�itrl
Address
-za3a„�})EJ—l�rJ9c,
JO�Cfz� CA 3ffSt3v" C3�7>lcx EJ iic3ir,
71,—;r•}_1_r:..c,
Cc�
City
Tel. _ City
Home Tel
Coostruction
No. of Stories Occupant Load _Sprinklered
This Certificate of Occupancy
SHALL BE posted in a conspi uous place on
the premises and shall not be removed ex-
cept by the Building Official.
DEPARTMENT OF DEVELOPMENT SERVICES
by
/�"•!� ��� AI
4
APPLICATION FOR CERTIF;CATL OF OCCUPANCY
(AT-Y OFDEPARTMENT OF'NTINGTON DEVELOPMEN- SERVICES ✓`
HUNnNGP. v BEACH (PRINT OR TYPE MY) DATE
District
Business Name h�, 5 m,*,,S a8 ot?- --1 7:..7 .a. -L oe- Tel. Z-A/ .; - 229 Z'
Business Type 7)n'Ti ' .e ti __ Occ. Group
BUILDING OWNER BUSINESS OWNERIMANAGER
Name&J 25z--YEs4-nJ .GT �,, l�—�7'r�c.t,7.5 i4ame_,
�7�1� �. Home
Address
�f.',���lL 5r ", •.Su; : � .;i-ao Address 74-7 /,�r_a.P_rL..g-h�.r"S
y `1� i9t��r` .4 G D3'r�& -Tel. 'c� y2p-2$ city'cE./ ! fi7T�,4�. 9aG.�?� Home Tel., G Cit D.t(c� ! 4,
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG, CHANGE Or OWNER ❑ CHANGE OF OCCUPANT
❑ EXISTING BUILDING �t ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. .._D+v.
SQUARE FT. OF BUILDING TO BE OCCUPIED f/
;OTICE: 1. Occupancy e' any building is prohibited and a business licnnse will not be issued until the building has
been inspected and a certificate of occupanc; is issued.
2. No electrical service will be released for any existing :,wilding until the service has been inspected and
certified sale. All applicants for occupancy in an existing building are required to schedule an electrical
'fuse up' inspection in the Department of Deve;opment Services at the t'me this application is filed.
/,3. Change of occupancy or use inspection fee. Whenever it is necessary :o make inspection of a buildinv
or premises in order to determine if a change may be made in the character of occupancy or use of th.
�(Q5 build'-ig -)r premises which would place the building in a different division of the same group of occupancy
or in a different group of occupancy, a change of occupancy inspection fe of $
shall be paid to the city.
4. I :untington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four
(V (4) inches in he",. it with one half (1/2) inch stroke, and of a contrasting color from the background. Those
numbers must be posted on your building in a location that is visible from the street.
5. Huntington Beach Fire Cade Section 10.301 requires fire e.:tinguisher selection aid distribution per
the National Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONING
t
OCCUPANC( GROUP PLAN CHECK NO. NO, PARKING SPACES
OCCUPANT LOAD � s �� PERMIT NO. HEALTH DEPT. APPROVAL--.. —
NO. OF STORIES ADMiN. ACTION UTILITIES RELEASED
�y oti
f fi CERTIFICATE OF OCCUPANCY FEE $_
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $_
TOTAL $ _
75-039 REV.