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�I CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
i d DEPAFt TiMENT OF DEVELOPMENT SERVICES Gate
HUNTINGTON BEACH
Address _ District
Business Name. Tel.'
Business Type Occ. Group
BUILDING OWNER OWNERlMANAGER
Name l:, Name —
Address --- A -,.dress-..
City Tel. City Tel,
Construction_ —No, of Stories __Occupant Load____.__Sprinklered
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Notice:
This Certificate of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on -
the premises and shall not be removed except_
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by the Building Official. by
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-,,,C;TY OF HUNTINUTON BEACH
Phone 536-=41
Kt DEPARTMENT OF
DEVELOPMENT SERVICES
_.,❑ INSPECTION REPORT
❑ CORRECTION NOTICE
Building ❑ Electrical ❑ Plumbing
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PERMIT NO.
JOB ADDRESS (�
1
Itwf[I be necessary to notify department For re -inspection
Signed Date Time
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CASH RECEIPT
CITY TREASURER —WARREN G. HALL
CITY OF HUNTINGTON BEACH '
., Address All Correspondence To:
DEVELO^MENT SERVICES DEPT.
P.O. BOX.190. .,.
HUNTINGTON "EACH, CAI FC,RN,IA 02648 ..
OR CALL (714) 536.5247
DATE, -
Nz
RSCEIVED FROM
ADD HFSS
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FOR.— fsr t
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AMOUNT RECEI FD--""'
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CASH 0 CHECK
A. B.A. # 7
RECEIVEDBY.�`.__�_...�,__,_..�., ."".-.'___........_�_....+'�.
DESCRIPTION
REFERENCE CODE ~ AMOUNTJ
4
i. 0307
BUSI.+IESS LICENSE 4031)Eit
BUILDING PERMITS
0307
PLUM6117G PERMITS
030E r
ELECTRICAL Pe. '0'IITS
HEATING PERMITS
_...- t{0315
POOL PERMIT f ..»_...,.-.-.`._._- ---
.-- 'S ---
ZONING APPLICATIONS y ----
0705 '
PLAN CHECK FEES
0713
EXEMPTION DECLARATION
07
CERTIFICATE OF OCCUPANCY
SION LiCEN a�= FEE)
t 1907 !
PARK & AEC (SUBDIVIt�..—
__.. 190E
PARK &REC (UNIT LOP FEEF
,*tSERVATIONFEE5
iL� ALSW -- -
p 5 27 S 5 CUSTOMER
1 APPLICATION FOR CERTIFICATE_ OF OCCUPANCY
}c4 CITY OF HUNTINGTON BEACH
l DEPARTMENT OF DEVELOPMENT SERVICES
WNTINGION BEACH (PRINT OR TYPE ONLYi
DATE
Address _ District .�
Business Name t - itlr h �. <./u — r f3 �._ Tel.
f Business Type Ct.tff L=��t {t �Cees Occ. Group t�
/ILL-5l1JZ BUILD t G OWNER 0 NERIMANAGER
Name 6u u� ( — Name --- =iA r 1_ G>eL7Cle'?,
Address frd�: (L�Lzrov✓ Address a /2 r7lYeis��
City CA
Tel. — City }} / J)ynr (-b �q /� j j Tel.' r^
THIS USE WOULD BE DESCRIBED AS; 61. "a r,, E)'9 —9G I I
❑ NEWLY CONSTRUCTED BLDG.CHANGE OF OWNER, � CHANGE'GF OCCUPANT
EXISTING BUILDING CHANGE OF USE ADD, ITIONAL OCCUPANT
Indicate icrmer use, if any Occupancy Gr. --Div.
NOTICE. 1. Occupancy of any building is prohibited and a business license will not be issued until the building
has been inspected aM a certificate of occupancy is issued.
�;/r' t 2. No electrical service will be released for any existing building until the service has been inspected
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and certified safe. All applicants for occupancy in an existing building are required to schedule an
a`t' electrical `fuse up' inspection in the Department of Development Survices at the time this applica-
tion is filed.
. " 3. Change of occupancy or use inspection fee. Whenever it is necessary o 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
of occupancy or in a different group of occupancy, a change of occupancy inspection fee o $$30.00
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 2n height with one half (32) 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 Sectiot, 10.301 requires fire extin wisher selection and distribution
per the National Fire Protection Association pamphlet 10 (see rev ryve,
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
✓ ,:Y,.
SQUARE FT. OF BUILDING PLAN CHECK N0. ....._. N0, PARKING SPACES
OCCUPANCY GROUP- .. »_ PERMIT NO, HEALTH DEPT. APPROVAL
OCCUPANT LOAD ADMIN. ACTION UTILITIES RELEASED
NO. OF STORIES �c
6�� -p x y"S? / CERTIFICATE OF OCCUPANCY FEE $
APPROVED BY DATE CHANGE OF OCCUPANCY FEE $ _Y
� 114 h q ,,�e . r: - fi ra. TOTAL "
75-039 REV, DEVELOMMENT1+"I r.. F'