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CERTIFICATE OF OCCUPANCY
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CITY OF HUNTINGTON BEACH
Date
Address 710,61
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District
Business Name kiLlhL
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Business Type Li_LEI
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Occ. Group
BUILDING OWNER
BUSINESS OWNER/MANAGER
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Name —
Name
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Construction No. of Stories '
Occupant Load Sprinklers
CONDITIONS OF APPROVAL
This Certificate of Occupancy
SHALL BE poster] in a conspicuous place on the
premises and shall not be removed excepi by the
Building Official.
CErARTMENT OF C01MMUNITY DEVELOPMENT
by
COMMUNITY DEVELOPMENT
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT 1 �
HUNrnrcroN BEACH DATE
(PRINT OR TYPE ONLY)
"Addressa�/ ` "'"w"J"r (. wry District
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-Business Name 1a� dPe'G G's i `Qre—�cr�Y1 rOrJ/—�' Tel. '�Z"�d2c��` .
mousiness Type N040f�3fi,irZf� Occ. Group
PUILDING OWNER BUSWESS OWNERIMANAGER
Name-4- Ngs %% �o Itame eVOZT o
Address ! b d s �'r C7 �� /AAddress ��fy1,2 ZoA�-
City Tel._ iI 'DEN . I/�, r$ 9A"ome I el. J
THIS USE WOULD BE DESCRIBED AS:
❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER
WEXISTING BUILDING ❑ CHANGE OF USE
Indicate former use, if any ,/ Occupancy Gi
SQUARE FT. OF BUILDING TO BE OCCUPIED`
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 electfical 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' inspectic,, in the Department of Community Development at the time this application is filed.
3. Change of occupancy or use inspection 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 $ 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 (1/2) inch stroke, and of a contrasting color from the background. 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 side).
P
u n, (FOR OFFICE USE ONLY) ZONING � CSC
SUPPLEMENTAL INF RMATIUN
OCCUPANCY GROUP—� PLAN CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD PERMIT NO. HEALTH DEPT. APPROVAL
NO, OF STORIES ADMIN. ACTION UTILITIES RELEASED
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CERTIFICATE OF OCCUPANCY FEE gAPPRO ED BY CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $
75.039 Rev. 6/88 COMMUNITY DEVELP.
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