HomeMy WebLinkAbout10122 Adams Ave - CofO (2)CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH Jul— .'20 1977
DEPARTMENT OF BUILDING & COMMUNITY DEVELOPMENT ate
HU1 T)NCTON BEACH
This is to certify that thg 5V irAAm c- YQeurt_ uIrom w°" as authorized.
under Building Permit No, A 13596 and is identified as 1012 r s. H3tutingtSia' Beach
nddross
and described as _ Pfom"s �2t Ra;Siii'%aax Imo; CX&J1M _
in the building owned bye= G&Wl"lI at — I IV& 1xy4ria
name address
com s with the provisions of all pertinent laws, codes, ordinances end any imposed
conditions for the use described and classified as an -F-L occupancy.
MAXIMUM OCCUPANT LOAD PERMITTED 47
Notice: a► �--�,�,!'
This Certificate of Occupancy AJohnolla:15Rr;renZ.
SHALL BE pasted in a conspicuous place an 01tector of building & Community aevelopmont
the premises and shall not be removed except
by the Building Official. By
4 � APPLICATION FOR CERTIFICATE OF OCCUPANCY
City of Huntingtor. Beach Department of Building & Community Development
FOR APPLICANT TO FILL IN (Print or type only) DATE
Application is hereby made for a Certificate of Occupancy for a:
De cri Business Use
Tc be Known as
Name of Business
Located at )epI ;L ;k /7P r- I:__Busjn-ss Address
Names BUILDING OWNER Address City Z1p .may Phone No.,
THIS USE WOULD BE DESCRIBED AS:
Newly Constructed Building Change of Owner Change of;Occugant
ate �
Existing Building Change of use � Additional Occupant
Indicate furmer use if any ��
Name:. BUSINESS OWNER � Residence Address ���C Ciiy, r
Phone No. - Business: !UP—g551Q45C1� Residence: all
OTICE: 1.
Occupancy of any building is prohibited and a business la_cense will not be
issued unt:i:i the buiilding 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 "fuse up"
inspection in the Department of Building and Community Devrelopment at the
'
time this application is filed.
3.
CHANGE OF OCCUPANCY OR UOE IXF'-'BCTION FEE. Whenever it is necessary to make
inspection of a`building or premises in order to determine if a change may
be made in the character of occupancy or use of the building or premises
which would place the buildi- , in a different division of the same group of
occupancy or in a different ;coup of occupancy,, a change of occupancy
inspection fee of $25.00 shall be paid to the City.
SUPPLEMENTAL INFORMATION (FOR OFFICE USE ONLY)
Sq. ft.. of building .Plan Check No.
Occupancy Group Permit No. `. ,5 97
Occupant Load T-7 Admin. Action
Na. of Stories r _ No. Parking Spaces
�+ Health Dept. approval
f. ! C/-4 7 7 Utilities Roleased �2d � J� rig,,•
-�- a
APPROVED BY DATE
CERTIFICATE OF O-.'CUPANV. FEE $ 5.00
0'75-i0391 CHANCE OF OCCUPANCY OR USE INSPECTION FETE
TOTAL $