HomeMy WebLinkAbout101 Main St - CofO (51)��
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>d APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF COMMUNITY DEVELOPMENT 1 I�
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rrtr+nuaoN Ewa+ DATE
(PRINT OR TYPE ONLY)
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Address /District
Business Name Tel.
Business Type «'= 6WA6.9 Occ. Group
BUILDING OWNER BUSINESS OWNcWMANAGER
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Name KS �:,ze3c4q20,3 NameHome
AddressZ Mr` n-- Address
City /`% Tel. City— Home Tel,
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THIS USE WOULD BE DESCRIBED AS:
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❑ NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER 0—CHANGE OF OCCUPANT
❑ EXISTING BUILDING ❑ CHANGE OF USE ❑ ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr.—Div.
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SQUARE FT. OF BUILDING TO BE OCCUPIED l ��
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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. All applicants for occupancy in an existing building are required to schedule an electrical
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`fuse U inspection in the Department of Community Development at the time this application 1S filed.
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3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
premises in order to determine if a change maybe made in the character of occupancy or use of the building
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or premises which would place the building in a different division of the same group of occupancy or a
different group of occupancy, a change of occupancy inspection fee of $ shall
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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 ('/z) inch stroke, and of a contrasting color from the background. These
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numbers must be posted on your building in a location that is visible from treet.
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5. Huntington Beach fire Code Section 10.301 requires fire extinguisher ection nd distribution per the
National Fire Protection Association pamphlet 10 (see reverse side).
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TRAFFIC IMPACT FEE C
r
DATE PAID
ANIOUNT RECEIVED_ (FOR OFFICE USE ONLY)
NAME ZONING
OCCUPANCY GROUP PLAN CHECK NO. N0- PARKING SPACES
OCCUPANT LOAD PERMIT NO. HEALTH DEPT. APPROVAL
NO. OF STORIES - ADMIN. ACTION UTILITIES RELEASED
,i
CERTIFICATE OF OCCUPANCY FEE $
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE g
TOTAL $
75-039 Rev. vas COMMUNITY DEVELOPMENT
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH i
RUNTING1ON V*A31 DEPARTMENT OF COMMUNITY DEVELOPMENT'
_ (PRINT OR TYPE ONLY) DATE
Address 101 MF? m S? d 4n1TinlL�Tr+J k -key
District -
Business Namei�ts �ii�OTi i (AIIT tt
IT,
--
j
Business Type- C-1..0'i91mrv. T%I 1J / O -'-E
Occ. Group
BUILDING OWNER BUSINESS OWNEWMANAGER
Name -FUEL un D" 02 lj1Ek4 Co..Name
n.
.t
1
Address_lOL 104AIIIJ ST• Sul T ? Home
Address
lilt
City wy ►.'(t't.a1,Z b6x4 * Teh rQ�¢� City Home
Tel,
THIS USE WOULD BE DESCRIBED AS:
u NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER CHANGE OF OCCUPANT
❑ EXISTING BUILDING ❑ CHANGE OF USE J;;�
ADDITIONAL OCCUPANT
Indicate former use, if any Occupancy Gr. Div.
SQUARE FT. OF BUILDING TO BE OCCUPIED 0000
d
NOTICE: 1, Occupancy of'any building is prohibited and a` business license will not be issued until thebuilding 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 electrical
'fuse
up' inspection in the Department of Community Development at the time this application is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a building or
premises in order to determine if a change may made in the character of Occupancy or use of thebuilding ;
or pre f',seq 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 offour (4)
inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These
numbers must be posted on your building in a locationthatis 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).
`
TRAFFIC IMPACT FEE
DATE PAID
AMOUNT RECEIVED
K`4ME (FOR OFFICE USE ONLY)
ZONING l
OCCUPANCY GROU PLAN CHECK NO, NO. PARKING SPACES
OCCUPANT LOAD
PERMIT NO. HEALTH DEPT, APPROVAL
NO, OF STORIES ADMIN. ACTION UTILITIES RELEASED
e
CERTIFICATE OF OCCUPANCY FEE $
APPROVED BY DATE CHANGE OF USE OR OCCUPANCY FEE- $
5
TOTAL $
zs-oas Rev, use COMMUNITY DEVELOPMENT f