HomeMy WebLinkAbout15102 Bolsa Chica St - CofO (38)W
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rCERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTO14 BEACH _
DEPARTMENT OF DEVELOPMENT SERVICES Date
HUNTINGTON BEACH
Address District
Business Name - Tel
Business Type _ Occ. Group
BUILDING OWNER OWNERWANAGER
Name _ Name _
Address Address —
City _ Tel. _. City Tel.
Construction 'No. of Stories Occupant Load Sprinklered
Notice;
This Certificate of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
iSHALL BE posted ;n a conspicuous place on
the premises and sh311 not be removed except
by the Building Official by
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HurrriNcror aEccrt
Address
Business Name z
Business Type "'-
APPLICATIONFOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
(PRINT OR TYPE ONLY)
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BUILDING OWNER
Name
Address 221V ki
-t City ,_._k / sLr Tel.
DATE
District
Tel 1 /5.=- '—
� Occ. Group
OWNER/MANAGER
Name
Address
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City Zr —'. a�`G /, `ir, fi Tea`r'! r'�•s/r,
„ THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. t—! CHANGE OF OWNER
X EXISTING BUILDING CHANGE OF USE
Indicate former use, if any _- <ij Occupancy Gr
S. CHANGE OF OCCUPANT
ADDITIONAL OCCUPANT
Div
NOTICE: 1. 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.
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 Development Services at the time this applica-
tion is filed,
3. Change of occupancy or use inspection fee. Whenever it is necessa-i 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 $30.00
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
per the National Fire Protection Association pamphlet 10 (see reverse sidta,..--
SUPPLEMENTAL INFORMATION (FOR OFFICE USE ONLY)
SQUARE FT, OF BUILDING _� ` ' PLAN CHECK NO. _ NO. PARKING SPACES
OCCUPANCY GROUP PERMIT NO. HEALTH DEPT, APPROVAL
OCCUPANT LOAD ADMIN. ACTION __ UTILITIES RELEASED
NO.OF STORIES
CERTIFICATE OF OCCUPANCY FEE $ x `" 0 Z
APPROVED BY D TE CHANGE OF OCCUPANCY FEE $
TOTAL $-
=—
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-039 REV. $ {'
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