HomeMy WebLinkAbout15182 Bolsa Chica St - CofO (21)�l CERTIFICATE OF OCCUPANCY
CITY OF HtJ N71N0TON BEACH
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' DEPARTMENT OF DEVELOPMENT SERVICES
MWLrK,`ioM BEAQt
i, 151 2 liolsa chicca .M!.1. L; D,strici
Tel.
G97-2529
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Occ. Group —2
BUILDING OWNER BUSINESS OWNERMIANAGER
Name i lam 'IGL��Y�
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- Home 1715 .4ewpor' fiiz lJ s :rive
Address — {
C)9 .�L$iilYi 3VcG'73
Tel.2 u—2' • Cit Y _. Name Tel.-�
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DEPARTMENT OF DEVELOPMENT SERVICES
This Certificate of occupancy
SHALL BE posted in a conspicuous place on
the premises and shall not be removed ex-
cept by the Building Official. by ti
DEVELOPMENT SERVICES
APPLICATION FOR CERTIFICATE OF OCCUPANCY
`\ CITY OF HUNTINGTON BEACH
DEPP ZTMENT OF DEVELOPMENT SERVICES
HUNnNGTtXNitUi (PRINT OR TYPE ONLY) DATE
Address _ (0`�'— cr 9
District
Business Named
Business Type�e-��(�2a Occ.Gruup
M BUILDING OWNER �BAUSINESS OWNER/MANAGER
Narne 1 t t t+i' �! I _i 2 - Name 14ef- r °"
Address Home �'jI$ tiewon7- LL
Address— i?
City Tei City ,4—,"6,P Home Tel
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ,n CHANGE OF OWNER CHANGE OF OCCUPANT
EXISTING BUILDING l ® CHAT. OF US �/ ❑ ADDITIONAL OCCUPANT
Indicate former use, if any r Te�G P--A-� ice ' ✓� o�w( perr�panc, Gr.—Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED <I
NOTICE: 1. Occupancy of any building is prohibited and a business license will not be issued t ntil the building has
been inspected and a certifrcaf� 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 application is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of abuilding
or premises in order to determine it a change may be made in the character of occupancy or use of the
building or premises whicn 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 h ?ight with one half (V2) inch stroke, and of a contrasting color rrorn the t ackground. 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 ex6io, wisher selection and distribution per
the National Fire Protection Association pamphlet 10 (see reverse side).
(FOR OFFICE USE ONLY) /- S4-I--?-1
SUPPLEMENTAL INFORMATIONZONING_.,L._L..
OCCUPANCY GROUP PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO. _ HEALTH DEPT. APPROVAL
NO. OF STORIES —. ADMIN. ACTION— UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE $
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $
75-039 REV. `