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HWINGTON OCK"
APPLIC11MION FOR CERT!FICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF LEVELOPMENT SERVICES
(PWNT OR TYPE ONI. V)
4;
DATE
,Iddfes5 •District
Klllwoss Name
Tel
Erusine-. Type Occ.Group--
11*."LMNG OWNER BUSINESS OWNERWANAGER
Name
Address Home
Address,_,7N Alto
City city "4'__
Home Te(UD_Llml�
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG, Ch.%NGE OF ONNER CHANGE OF OCCUPANT
EXISTING BUILDING CHANGE OF USE
ADDITIONAL OCCUPANT
Indicate foriner if any Ozxupancy Gr, D'
SQUARE FT. OF 6'1JLLNNG TO BE
NOTICE: Occupancv of any buiiding is prohibitad and a business license will not be issued until the building
has been inspected and a certificate Ot occupancy is issued.
2. No electrical service will be released for any existing building until the service has been inspected
and certified safe. All applicar!s for occupancy in an existing building are required to s-hadule an
electrical 'fuse ua' inspection in the Deportment of Development Services at the time this applica-
tion is flied.
I Change of occupancy or use inspection fee. Whenever it N necessary to make inspection of a build-
ing or premises in order to determine if d 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 w-cupancy or in a different group of Occupancy, a change of occupancy inspection fee of
shall be paid to the city.
4. Huntington Beach Fire Corti. Section 10.208 requires boat building numbers mast be a minimum
of four (4) inches in height witti one half (V,.,) inch stroke, and of a contrasting color fcom the back-
ground. Tfiese numbers must be pos. 'ran your building in a location that is visible from the strset.
S. Huntington Beach Fire Code Section 10,301 requires fire extnguisher selection and distribution
per the National Fire Protection Asiociation Pamphlet 10 ',see reverse side),
(FOR OFFICE USE ONLY) (7� - r'
SUPPLEMENIAL INFORMATION ZONING . .....
OCCUPANCY GROUP PLAW CHECK NO. NO. PARKING SPACES
OCCUPANT LOAD PERMT No. HEALTH DEPT. APPROVAL
NO. OF STORIES ADMIN. ACTION UTILITIES RELEASED L)
A�l
CERTIFICATE OF OCCUPANCY FEE $
AVPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE $ A
TOTAL $
7"39 R:W
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