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® e CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
t DEPARTMENT OF DEVELOPMENT SERVICES Date
HUNTINGTON BEACH
i Address District
Business Name ` Tel.
Business Type Occ. Group
BUILDING OWNER OWNER/MANAGER
Name _ Name
Address Address
City Tel. City _ _�� Tel.
k
Construction No. of Stories Occupant Load_ —Sprinklered
_ Notice:
This Certificate of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place an
the premises and shall not be removed except
by the Building Official. by
F-
FO.APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES, �Z HUNEINGiJN BEACIi (PRINT OR TYPE ONLY)
DATE
Address ��./ /J �C Cf�/fir' ./1�`'•—
',,,� District
Business Name !G�' iw�� r Tel,
Business Type /3[rJ`� > t�.qi ;Cu ` .�b�i�� Occ. Group
BUILDING OWNER OWNER/MANAGER
Name 1i'�,� %%G. �/'�, Name
Address _ /� Z� t,+ a✓_i Address G' Z� c-�✓T/
City 114 Tel.
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. j CHANGE OF OWNER CHANGE OF OCCUPANT
EXISTING BUILDING Ej CHANGE OF USE ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. Div.
NCB: ICE: 1.
2.
3.
4.
5.
leo `/�
Occupancy 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.
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 Development Services at the time this applica-
tion is filed.
Change cf 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 grcup
of occupancy or in a different group of occupancy, a change of occupancy inspection fee of $30.00
shall be paid to the .ity.
Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum
of four (4) inches in height with one half (Y2) inch stroke, and of a contrasting color from the back-
ground. These numbers must be posted on your building in a location that is visible from the street.
Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution
per the National Fire Protection Association pamphlet 10 (see reverse s$
SUPPLEMENTAL INFORMATION (FOR OFFICE USE ONLY)
SQUARE FT. OF BUILDIN I 12(2 PLAN CHECK NO. 140. PARKING SPACES
OCCUPANCY GROUP 4i" PERMIT NO. HEA'_TH DEPT. APPROVAL
OCCUPANT LOAD ADMIN. ACTION-- % Si-;7�
I_ITIES RELEASED���v'-�--°�of
NO.OF STOF3�F,S / `✓✓�� CERTIFICATE OF OCCUPANCY F
APPROVED B8'Y DATE CHANGE OF OCCUPANCY FEE $
TOTAL $
75.039 REV.