HomeMy WebLinkAbout10128 Adams Ave - CofO (2)Q
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CERTIFICATE OF OCCUPANCY
�i CITY OF HUNTINGTO BEACH
DEPARTMENT OF BWL01M0 ; COMMUNITY DEVELOPMENT aD't
H TtkGTOM REACH
This is to certify that the Real mate Office .� . �_ . � as authorized
under Building Permit No. -A 1521__ _. and is identified as 10128 Add 1kVe0%"ts
add(ean
and described as Ellen C. Muhonev,
in the building owned by A';x61=09 Properties _ at 17840 Ek�ark Bl d» r&ap
name address
_complies with the provisions of all pertinent laws, codes, ordinances and any imposed
conditions for the :use described and classified as an —2 occurlaney.
MAXIMUM OCCUPANT LOAD PERMITTED_,
This Certificate of Ow:upzt)cy ddbn F, i ,ehrens
bHALL BE posted in a conspicuous place on
l2+reetcsr o' Buildinga< Cvmmunf y C�ov�+Iaprr ant
the preirises and ,hail not be rernovad except
by the Btdldint ,. Official. Ely , •a
n
APPLICATION FOR CERTIFICATE OF occupmcy
Citv of Huntinaton Beach Denartmen.t of Btii l di na f rnmmiini-hv nPupl n-nma,nf-
FOR APPLICANT TO FILL IN (Print or type cnly) DATE •,"./;�
�`
Application is hereby made for a Certificate of Occupancy for a:
zr_-7> e 27.'— C ',%',{-" r C
Describe Business Use
To be known as�%1.',r,%G.'�' ice'
Name of Business
Located at ffi`>�" ,�1Cl�.11'1�rf°L'77`�f�'"' y�� -
Business Address
Name; BUILDING OWNER. Address City Zip Phone No..
THIS USE WOULD BE DESCRIBED AS:
Newl,7 Constructed Building ]Change of Owner E] Change of Occupant
Existing Building Change of Use Additional Occupant
Indicate former use if any
f /li.�.r -'' . F G : v, •t� s°%_,"'. ��Li!��,�`9'' _I �P /,-`'�C"ig.. c�,` ,%�.
41-
....`ame: i
NBUSINESS OWNER!' Residence Addressl City Zip
y�zx ,o Phone No. - Business:,X"1 �✓s'5' z'rrf�/ Residence:
1OTIC,✓: 1. Occupgncy of any building is prohibited and a business license _will not be
issued_ until the building hGi been inspected and a Certificate of Occupancy
is issued.
2. No electrical servica 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 Deve'opment at the
time this application is filed.
CHANGE OF OCCUPANCY OR USE INSPECTION 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 building in a diffezent division of the same group of
occupancy or in a different groL: of occupancy, a charge of occupancy
a✓ i. ;spection tee of $25. 00 shall be paid to the C'ty. • -__,_ ._,,,, _
SUPPLEMENTAL INFORhAT70N (FOB. OFFICE USE ONLY) � .• ._.. ........ . ........... ,
' LAND USE TECHNICIAN rAx�. i
Sq. ft. of building _ Plan Check No., ---
Occupancy Group �" - �2 Permit. No.
Occupant Load —`' _ Admin. Action
No. of Stories No. parking Spaces
�t- Health Dept. Approval
Utilities Released
Or APP11OVED Bi�-� - DATE
CERTIFICATE OF OCCUPANCY FEE $ 5.00
(#75-034) CHANGE OF CC.-,UP>CY OR
USE INSPECTION FFE
`.DOTAL °
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