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� CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH Apr 1 14# 1977
DEPARTMENT OF BUILDING & COMMUNITY bEVELOPMENT —Date
19"INGTON If ACH
This is to certify that the 4'1?lex as authorized
under Euilding Permit Nc& 0462 and is identified as 140/ California. Hratttington Beach
address
and described as
in the building owned by FKA-11k J. iiola at 417 Hats! St:., H=t1&%toti Beach
name address
complies with the provisions of all pertinent laws, codes, ordinances and any imposed
conditions for the use described and classified as an occupancy.
MAXIMUM OCCUPANT LOAD PERMITTED
IVo rice:
This Certificate of Occupancy John F. Behrens
SHALL BE posted in a conspicuous place on Director of Building & Community Development
the premises and shall not be removed except
by the Building Official. By
. 1��r1-a. �F [Jr.n f-i.r r. !-r.r• flntini.
APPLICATION FOR CERTIFICATE OF OCCUPANCY.
llnr�ar4-mnni- of *tvtlAlni' 'r. rnmmunity nnualoninnnt
FOR APPLICANT TO FILL IN (Print or type only) DATE
pplication is hereby made for a Certificate of Occupancy for a:
A UNIT APARTMENT
Describe Business Use
To be known, as _
Name of Business
Located at 1407 California
Business Address
Frank J. Piola. 417 Main St. H.B. 536-2547
Name: BUILDING OWNER Address City Zip Phone No.
THIS USE TIOULD BE DESCRIBED AS:
0 Newly Constructed Building F--j Change of Owner Change of Occupant
Existing Building Q Change of Use Q Additional Occupant
Indicate former use if any
SAME
Name: BUSINESS OWNER Residence Address City Zip
Phone No. - Business: Residence:
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 inspectee and certified safe. All applicants for occupancy
in an existing building are required to schedule an electrical "fuse up"
inspection in the Department of Building and Community Development at the
time this application is f-led.
3. CHANGE OF OCCUPANCY OR USE 'INSPECTION FEE. Whenever it is nevessary 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 o.�: 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 the City.
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
Sq. ft. of building .UC/v20
Occupancy Group
Occupant Load
No. of Stories ��.--
,s
APPROVED BY
DATE
07 `i-039 )
Plan Check No. ,,2—�
Permit No.
Admin. Action
No. Parking Spaces
Health'Dept. Approval
Utilities Released
CERTIFICATE OF OCCUPANCY FEE
CHANGE OF OCCUPANCY OR USE INSPECTION FEE
TOTAL $