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CERTIFICATE OF OCCUPANCY
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CITY 4F HUNTOTMON DEPARTMENT OF DEVELOPMENT SFRVICLS
Huismi,; N. BEACH
Address
'
Business Name
_
Business Type.
BUILDING OWNER
Narne
V. ...,.
Address .�?
C ty
Construction
No of Stories
TI.is Certificate of Occupancy
SHALL BE posted in a conspicuous place on
the premises and shall not be removed ex-
cept by the Building Official.
Date
District —
Tel
Occ. Group "1 _
BUSINESS OWNEMMANAGER
Name l
Home
Address
Tel. City __Home Tel-
-Occupant Load Sprinklered
DEPARTMENT OF DEVELOPMENT SERVICES
by_
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINfTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
HUNnNGFpy BE40i 1?RINT OR TYPE ONLY'r
Address
Business
Business
BUILDING C VNER
Name �' r �tit�1 1 t t f� Name —
Home
Address_ }
c �(_ Address
City—" ¢ �^ P , •�, r Tel. City
THIS USE WOULD BE DESCRIBED AS:
'�
❑ NEWLY CONSTRUCTED BLDG. i _1 CHANGE OF OWNER
EXISTING BUILDING ❑ CHANGE OF USE
DATE
District �y
To I. + '1 �OQ k - -1
Occ, Group
BUSINESS OWNERIMANAGER
Tel
❑ CHANGE OF OCCUPANT
❑ ADDITIONAL OCCUPAN
Indicate former use, if any Occupancy Gr, Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED
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. been inspected and
2. No electrical service will be released for any existing building until the service has
certified safe. All applicants for occupancy in an existing building are required to schedule an electrical
'fuse up' inspection in the Department of Development Services at the time thi3 application is filed.
3. Change of occupancy or use inspection tee. Whenever ;t 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 tour
(4) inches in height with one half (112) 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).
(FOR OFFICE USE ONLY) ZONING
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP
OCCUPANTLOAD NO, OF STORIES —
APPROVED BY DATE
75.039 REV
PLAN CHECK NO
NO PARKING SPACES ------ — -
PERMIT NO.
HEALTH DEPT, APPROVAL=.---.—�—.--
ADMIN. ACTION
UTILITIES RELEASED
CERTIFICATE OF OCCUPANCY FEE
S, -
CHANGE OF USE OR OCCUPANCY FEE
W - --
TOTAL
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