HomeMy WebLinkAbout1003 California St - CofOAPPLICATION FOR CERTIFICATE OF OCCUPANCY )
City of Huntin tor. Beach �� a``'•.`••` "` - - - -
FOR APPLICANT TO FILL IN (Print or type ot:ly) �! DATE_
pplication is hereby made for a Certificate f Occupancy for a: ��!`� P gr'�� /'mom id
Describe usin s Use 3f.5' C L,1w-r
To be known as LEu M . I� A►•rSo �! -ta k�r s / uC,- - E 6 �aSh N Ku
Name of Business
Located at 106� C'ALIFoRa.t{� ��� liuucl�•S6'�'b1.!Ac�
Business Address 1/ 714 -etti-20
j �RrJSo N - OyA�liCo(1�6o✓dl S7t5 Ely- L�Gt, �'�'u�=rillti YALCC'/ Cw , �270
Name: BUILDING OWNER Addre_ss City Zip Phone No.
THIS USE WOULD BE DESCRIBED AS:
El Newly Constructed Building .Change of Owner F-1 Chan(!e of Occupant
Existing Puilding Q Change of Use Additional Occupant
Indicate former use if any I - P W- 0 A
&t, Abe Zip
Name: BUSINESS OWNER Residence Address City -A
Phone No. - Business: Residence: G G•
NOTICE: 1. Occupancy of any building is prohibited and a business 1nse will not be
issued until the building has been inspected and a Certi ate oft cupancy
is issued. "' "44�
2. No electrical service will be released for any existing3p_ing trail the
service has been inspected air; certified safe. All appl a%t; for9ccupancy
in an existing building are required to schedule an elec"-Sl "fu§e up"
inspection in the Department of Suilding and Corranunity Develu�yment the
time this application is filed.
3. CHANGE OF OCCUPANCY OR USE INSPECTIbti FEE. Whenever it is necessary to make
` inspection of a building 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 $25.00 shall be paid to th' 'City: "" --- ----- -- -
7 D --.
(FOR OFFICE USE ONLY1 •J
SUPPLEMENTAL INFORMATION I Ml tY3 7wC .I
DA7i
Sq. ft. of building % Plan Check No:"""',�,<„" ` -•-��-�---. -�,. ,_
occupancy Group .� _ Permit No.
p y p ' --' Admin. Action
Occupant Load No. of Stories------- — No. Parking Spaces
Health Dept. Approval
]A Utilities Released —
ROVED BY —' �-D-A E�*—
CERTIFICATE,OF OCCUPANCY FEE $ 5.00
CHANGE OF OCCUPANCY OR USE INSPECTIONi� $
(.975-039 )
APP rl C 'A 5r 7:5'F ME 'c TP ►Wd Y
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CXPARTME T,OF _ PMEWIT SEROICES
(PRINT OR TYPE ONLY)
At
Ajjis. ST. G Zro-, L i 1. r t) VZ B
'guAn'ess'iJame Nprv'
Business Yvtle
BUILDINd OWNER
Nan'r
Addre'sS14;i(P.
City
ffttS1&SE'Aftt-BMs'C'—RlBED AS:
Name
Address
T,1.817-3663 City
DATE
District .--.
Td. 6-Y I - 164-1—
Occ. Group
Tel.
l4i�WCVC'o b'6L[)G. CHANGE 60OWNER CHANGE OF OCCUPANT
El E X I T4146 BUILDING dHAAGEhbF USE Air')M`116NAL OCCUPANT
Indicate former use, if any —.Occupancy Gr.
ng
A MTT t 1. OdMiii-ricy of -.any building i hITSTied and a business license will "A(144ju issue"('4 MR-111he builr1i
has Peen' I iid and a CorP of occupancy is Issued.
el"M
nspect
I I
2. No ilclal IrMce will he r'ei'leasedl'o'rt!64rhy exisiffiij buildhig until service' nspectdd
and 'eekliied safe. All applicinis for occupdioidy in an existing b6ilditirl
'-"i--- hrb�rertli%ed to sched I
eleMr!661'fuse6pinspection n rite ent of bevelopment Ser0Ices at,'Aldltiiie ilisap"
Ilca.
3. Grange ot"Uc-.6jim4cy fee. Wh'e'-n-ey"efif Wnecess'ity 16"make -Insiieclion of a Al
ing or It' e Ises; Be rrodde in"Ofe'60-flaitei 6f'o6d1j'ancy or -Tie
6f'We"';b!'2MM1B'Rng' br pr6��'SIPO MM would place the P21ri(Irg'In
of 68cMicy'pi 'Afe"it�'i'oroul)'bt6ccupan'cy, a chgirogelof nccumin'6VInspe oction'tee 0"Vtzid.bo
511,a11 130"""id"to"Ne'City.
Q. H ni*T('gg+5a"H"' 8 a 6 c h Fire'Co a Section, 'UCO'.20'8.'re'q'-uir4e-'s-'Ttiat"i3'611(IM"fi"'Frut'nRer's 6MVbe a Im"In"'I'MV&
of fo6r-(4�lffEhes In hbl6rii �IWKWrie"Wrjt4) Tn""E'Wif-rafke,� hir'id '6'f a c'n'ntea)tfhi"c'o'loy"fr'om'-the*back-
9"ihihNtl. These oitim"bers must be posted (in your bijit ding in a lnr..-!tiron iiii'It h visibIr frotr the street.
5. HUAftg'156' Beath Fire r .)tll sec"lim 10'30I requires fire extinguisher selection and distrib0to-h
per the'National Fre Protection Assovi-ation pamfifiloit'lo (see reverse side).
(FOR OFFItEUSE'*6h!_Y)
SUPPLEMEIK L W"F—OR M"A'Th 6 N
`r98Q AE'F-T.'7 'B "T1'L'DB1N'G PLAN CHECK NO.
0 06q H6'6P PERIAITNO,
OC6'v'P'MT'LOAD AwIN ACTION
NO. OF Sfb'AIES
CE I n I TfF'1CATE'OF'OCCUPANCY FEE
korn"*b V"rz ty 6 Y DATE CHANGE OF OCCUPANCY FEE
TOTAL
1 ro P t or
NO. P411KING SPACE-5
HFALMDEPT. APPROVAL
I JT11 Mr.cz nF:! rmczrn
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