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APPLICATION FO�i CERjTE OF OCCUPANCY
CI fy OF UNTINOTON BEACH -
DEPARTMENT OF DEVELOPMENT SERVICES
(PRINT OR TYPE ONLY)
Addresser
Business Name
Business Type
S %—
'T a. 84
—�' DATE
..— District
Tel. - f-�c-i
Occ. Group
BUILDING OWNER OWNER! ANAGER
�
Name - Name _
Address Address _ rt
city �111� ?. ��'`� ��1.�3__ /____ Tel,wow City — .8j'"� AZ�ta►�
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG.
EXISTING'BUILDING
Indicate former use, if any
CHANGE OF OWNER
a CHANGE OF USE
CHANGE OF OCCUPANT
ADDITIONAL OCCUPANT
Occupancy Gr. Div.
Trani
NOTICE:. 1. Occupancy of any building is prohib`)ted and a business license will not be issued until the Uiiiltling
has been inspected and it certificate of occupancy is issued.
2. No electrical service will be released for any existing building until the service'has'been inspected
and certlfled safe. All applicants for occupancy in an existing building are required to schedule an
electrical 'fuse up' inspection in1he 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 buifd-
ing;or premises in order to determine if a change iffy be made in 1he character of'occupancy or'ilse
of the building or premises which would place the huilding 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'pald to the city. _
4. Huntington Beach Ffre' Code Section 10.208 regi ires that building numbers'inust be a mininium
of four (4) inches in height with one half ('/:) fnch"stroke, and'of a"contrasting color from'the back-
ground. These numbers"must be posted an your building In a location that is visible from the iteeet.
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution
per the National Fire Protection Association pamphlet 10 (see reverse side), �` /�� 1 ��' v�
SUPPLEMENTAL INFORMATION
SQUARE FT. OF BUILDING _—
OCCUPANCY GROUP , _,—
OCCUPANT LOAD
NO. OF STORIES --
APPROVED BY
DATE
(FOR OFFICE USE ONLY)
PLAN CHECK NO. — NO. PARKING SPACES —
PERMIT NO. _ HEALTH DEPT. APPROVAL
ADMIN. ACTION ____--___ UTILITIES RELEASED __..
CERTIFICATE OF OCCUPANCY FEE
CHANGE OF OCCUPANCY FEE
TOTAL 4
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7"39 REV. DEVELOPMENT SERVICES
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