HomeMy WebLinkAbout15182 Bolsa Chica St - CofO (13)r
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® CERTIFICATE OF OCCUPANCY
Ja
CITY OF HUNTINGTON BEACHIb?�� 29x 96?
' DEPARTMENT OF DEVELOPMENT SERVICES Date
HUNTINGTON BEACH
Address __ _ ' ac10L CIA= kzd. , SU:% i!e D District
Businec _..-.. __ CT YT'¢' [ Tel. 714-895-5113
f? ' ZaI-P,191(� D — C,70KIERCtTAT4lMtTS"i' 4Ts/CM-IST. Occ. Group B- l
{ a BUSINESS OWNER/MANAGER
Name gaRas M. 2atan
Home 6361 '. rinette
Address
_ . ..—Tel.-- City Garden C=ve Home Tel R95-5U3
Co:: e(. Occupant Load I _Sprinklered
DEPARTMENT OF DEVELOPMENT SERVICES
SHAL Be Nb.,crw — a conspi, .,us place on
the premises and shall not be removed except
by the Buildinj Official by •6t'.
DEVELOPh!r=NT SGRVSCES j
HUNTINGTON BEACH
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACf'
DEPARTMENT 1F DEVELOPMENT SERVICES t
(PRINT OR TYPE ONLY) DATE
Address 1 f 02—
��/+� �� ry-� D'strict
Business Name -� TeL7_j e_C z 7
Business Type �i�t I �`tT� �" jam. (r"`� Occ. Group
BUILDING OWNER BUSINESS OWNER/MANAGER
Name 1 j V ( CJ'lA L %k- r- °-- — �� Name t / AA E /V\ GE < i c.,,-�
Address Home
Address /lam(
City _ Tel. _ City b• -�- 1217�i`i (- p-y Home Tel.
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER
EXISTING BUILDII IG E] CHANGE OF USE
Indicate former use, if any —Occupancy Gr
SQUARE FT. OF BUILDING TO BE OCCUPIED f-
CHANGE OF OCCUPANT
ADDITIONAL OCCUPANT
Div,
NOTICE: 1. Occupancy of and building is prohibited and a business license will not be issued until the buildinq
has been inspected and a certificate of occupancy is issued.
2. No electrical service will be releases; 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.
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 occupancy or in a different group of occupancy, a change of occupancy inspection fee of
shall be paid to the city.
4. Huntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum
of four (4) inches in height with one half (%) 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.
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution
pee the National Fire Protection Association pamphlet 10 (see reverse side).
SUPPLEMENTAL INFORMATION (FOR OFFICE USE ONLY)
OCCUPANCY GROUP �_ PLAN CHECK NO.
OCCUPANT LOAD _ — PERMIT NO.
NO. OF STORIES — ADMIN. ACTION
ZONING --
NO. PARKING SPACES ,
HEALTH DEPT. APPROVAL
UTILITIES RELEASED �' Y
� 1 2 `CERTIFICATE OF OCCUPANCY FEE $
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $
{� TOTAL $
75-039 REV.
is
UT ILITY RELEASE
EXIST-i CBUILDING
NEW BUILDING
POWER POLE
TEMP. WORK WITH POWER
1. Plumbing Inspector Clear
DATE
2 Electrical Inspector Clear
DATE
UTILITY RELEASE AUTHORIZED
BY LAND USE
DATE
L I GAS ELE-TRIC
UTILITY COMPA14Y NOTIFIED
11112
DATE
USE
ADDRESS 1-Ik2, 114&-
(05-007)