HomeMy WebLinkAbout15081 Edwards St - CofO (13)0 (460
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUNTIN61ON BEACH (PRINT OR TYPE ONLY(
Address l '57 � n l�r/ )W_ 7 6 , c_-4 - Dis
Business Name , IJ6- GQL7Z6/4 1,1412� �l�P�n�NI , "/lCY Tel
Occ. Group
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Business Type ` h> e e,? ,,
BUILDING OWNER
Name Ad_l e
Address—/ -7-----
City
BUSINESS OWNER/MANAGER
Name
Home
Address..-3—�?.L c7-� ���
City _ CI Hom Tel._ �e z.
THIS USE WOULD BE DESCRIBED AS: 1/'
❑ NEWLY CONSTRUCTED BLDG CHANGE OF OWNER
EXISTING BUILDING ❑ CHANGE OF USE
Indicate former use, it any3.11i�1!1 --_-.
SOUARE FT OF BUILDING TO BE OCCUPIED-M%P
❑ CHANGE OF OCCUPANT
❑ ADDITIONAL OCCUPANT
Occupancy GO —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 electrical service will be released for any existing building until the service has been Inspected and
certified safe. Alt applicants for occupancy in an existing building are required to schedule an electrical
'fuse up' inspection in the Department of Community Development at the time this application is tiled.
3. Change of occupancy or use inspection fee. Whenever it Is necessary to nake'nspection 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 g - 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 ('h) inch stroke, and of a contrasting color from thF background. These
numbers must be posted on your building in a location that is visible from the street.
5. Huntington Beacli Fire Code Section 10,301 requires fire extinguisher selection and distribution per the
National Fire Protection Association pamf�hlet 10 (see reverse side).
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NAVE
(FOR OFFICE USE ONLY) 7CINING
WOCCUPANCYGROUIR PLAN CHICK NO NO PARKINGSPAC;fS - _ A[?IMIT NO MIN AC TIC1N. _._ L1TIiIITSTH 'RE'L(ASEDEPT (�VALCEt.TIFICATE OF OCCUPANCY FEEATE CHANCE OF USE OR OCC°UPANCY FL E $
TOTAL
7G-039 ROV,1/07
SUPPLEMENTAL INFORMATION
1. BUSINESS ADDRESS
2. Person to contact in case of emergency.
Telephone number:
3. Does the building in question have electricity?
(a) If No, are you requesting that the electricity be
turned on?
4. The building is sprinklered?
5. Operations will produce dust/wood shavings or similar
material?
6. Operations will involve the repair or replacement of
automobile parts?
If Yes:
(a) Describe the componentu repaired or replaced.
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
(b) Does the operation involvr the use of an open flame? ❑ Yes
❑ No
7. The business is drinking, dining or assembly use that will
result in an occupant load of more than 50 persons. ❑ Yes
❑ No
8. The following best describes my operation;
Office Only
Retail Sales
Warehouse
Manufacturing / Distribution (describe process and end product)
Restaurant/Take Oui Food
Medical / Dental
Other (describe) __ ----
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