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CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPf-.RTMENT OF DEVELOPMENT SERVICES Date
HUNTINGTON BEACH
Address District
Business Name Tel.
Business Type
Occ. Group
BUILDING OWNER OWNER/NIANAGEP.
Name Name
Address Address
City TeL City TeL
Construction No. of Stories_. Occupant Load Sprinklered
Notice;
j, This Certificate of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
° SHALL BE posted in conspicuous place on
the premises and shall not be removed except
1 by the Building Official. by
ae ,¢
APPLICATION FOR CERTIFICATE OF OCCUPANCY ry
° CITY OF HUNTINGTON BEACH Jy y S
HUNnvcroN eEncr� DEPARTMENT OF DEVELOPMENT SERVICES
(PRINT OR TYPE ONLY) DATE
Address 0 l Wil A District
Business Name — A P TP � . Tel. gj_7 1Z I C,2
Business Type I " 1" —X Occ. Group
���� �ILDING'OWNER � 'OWNER/NiANAGER
Name e�
_ rXtro ®w� Name
Address � �� d � C� W T LAAddress
City Tel, City Tel. �.
THIS USE WOULD BE DESCRIBED AS:
NEINLY CONSTRUCTED BLDG. R-11C'HANGE OF OWNER CHANGE OF OCCUPANT
L i EXISTING BUILDING (_I CHANGE OF USE 0 ADDITIONAL OCCUPANT
Indicate former use, if any �'X Occupancy Gr. Div. ,
NOTICE: 1. Occupancy of an building is rohl., om,`, ^�`
l p y Y 9 P---,....�� - tse 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. All applicants for occupancy in an existing building are required to schedule an
I electrical 'fuse up' inspection in the Department of Development Services at the time this applica-
tion is filed.
3. Change ofoccupancy or use inspection fee. Whenever it is necessary to make inspection of a build-
ing 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
-lei of occupancy or in a different group cf occupancy . change of occupancy inspection fee of $30.00
shall be paid to the city,
1 4. Huntingtors Beach Fire Code Section 10.208 requires that building numbers must be a minimum
of four (4) inches in height with one half C/2) inch stroke, and of a contrasting color from the back-
ground. 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 rev Vol
' SUPPLEMENTAL INFORMATION (FOR OFFICE USE ONLY)
SQUARE FT. OF BUILDING PLAN CHECK NO. _ii4o. PARKING SPACES
OCCUPANCY GROUP PERMIT NO, HEALTH DEPT. APPROVAL
OCCUPANT LOAD ADMIN. ACTION UTILITIES RELEASED
NO. OF STORIES
CERTIFICATE OF OCCUPANCY FEE y fr
APPRO DATE CHANGE OF OCCUPANCY FEE $
TOTAL Y
I
75-039 REV. DEVELOPMENT SERVICES
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