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�tNje� APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
JE 1u ,1. DEPARTMENT OF DEVELOPMENT SERVICES .�
HUNTINGTON BEAC34 3 IJ�%- (PR I.NT OR TYPE ONLY) DATE
Address Y e t I P�L�-r�-7r ' District
Business Name Zcl c,.sr Tel.
Business Type _ Occ. Group
BUILDING OWNER OWNER/MANAGER
Name ..lay_ "'J -J� J %!'n0PrTSn.'t Name Sez as LF✓ _
Address � o r Address
City /7. I�. ��� rr , TeLyS—City Tel. _ +I
I!
THIS USE WOULD BE DESCRIBED AS:
t l� NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
EXISTING BUILDING CHANGE OF USE ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. Div.
VNOTICE: 1. Occupant,- of any building is prohibited and a business license will not be issued until the building
,. has been inspected and a certificate of occupancy is issued.
2. No electrical service will be released for any existing building jntii 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 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 the character of occupancy or use
of the building or premises which would place the building in a different division of the same group
of oc,..upancy or in a different group of occupancy, a change of occupancy inspection fee of $30,00
shall be paid to the city.
4. Huntington Beach Fire Code Section 10..208 requires that building !lumbers must be a minirkf"Iurn
of four (4) inches in height with one half ('/2) inch stroke, and of a contrasting color from the back-
ground. These ,•cambers must be posted on your building in a location that is visible from the street.
5. Huntington Beach Fire Code Section 10.301 requires fire exti;.guisher selection and distribution
per the National Fire Protection Association pamphlet 10 reverse side).
2. `, -b" `
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
SQUARE FT. OF BUILDING PLAN CHECK NO, NO. PARKIiiG SPAcr,
OCCUPANCY GROUP PERMIT NO. HEALTH DEPT. APPROVAL
OCCUPANT LOAD _ ADMIN. ACTION UTILITIES RELEASED _
NO. OF STORIES —
CERTIFICATE OF DCCUPANCY FEE $ �fl —
APPROVED BY DATE CHANGE OF O,.CUPANCY FEE $
TOTAL $ , r
FI125T NOTICE MAILED ON DECEMBER 21, 1981 J/ r� Q�ts Z
75.039 FIEV. --^"
DEVELOPMENT SERVICES
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APPLICATION FOR CERTIFICATEOFOCCUPANCY
�o T CITY OF iidDEVEL:ON BEACH .20 J��
DEPARTMENT C•r DEVELOPMENT SER1�i�aGE1�1�Ci //IJ�J"
HUNnNGTON �i - (PRINT OR TYPE ONLY) DATE
MAY 3 01986
LICENSE DEPT.
Address 1007 X.LA,t 415,f _ District
Business Name f� 1YJ6�utv.0 /t/G' S7/�I�rrils� JH C
Business Type �o.62 41" T .�-��/GpJ � � Occ. Group
c- BUILDING OWNER BUSINESS OWNERRIMANA/GER
Name NameO�ygTow^' `Ny'�'7 f _L,✓e—
Address ! 3af �ilaAS Address X"�Y.Z /17.c��,f/ c t7
city �'rN�� Tel. City _G$k'� L,v` Home TeL7�-3ofrr�y' ;
�Y
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED RLDG. CHANGE OF OWNER ❑ CHANGE OF OCCUPANT
❑ EXISTING BUILDING 6HANGE OF USE ❑ ADDITIONAL OCCUPANT
mclicate former use, it any Occupancy Gr. _ Div. -
SQUARE FT, OF BUILDING TO BE OCCUPIED
(FOR OFFICE USE ONLY) ZONING
SUPPLEMENTAt INFORMATION
OCCUPANCY GRC IP PLAN CHECK NO, NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO, HEALTH DST APPRQVAL
NO. OF STORIES ADMIN. ACTION UTJLITIffS RELEASED
_ CERTIFICATE OF OCCUPANCY FEE $ � Y_
APIROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $_
75-9',g REV, DEVELOPN ACNT r G J 7 T F