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CERTIFICATE OF OCCUPANCY
I • - CITY OF HUNTINGTON BEACH
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_N DEPARTMENT OF DEVELOPMENT SERVICES Date
i. HUCTON BEACH '
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BUILDING O'JdNER !
v a0Sl� NESS OWk[,RJMANAGFR {�
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Address Home i o.i..x, - ---
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No. 3f Stories
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This Certificate of Occupancy DEPARTMMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on
t the premises and shall not be removed except
by the Buiidng Official. by
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� APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
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DATE
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THIS USE 'WOULD BE DESCRIBED AS:
D NEWLY CONS'i RUCTED ELD(i. �ff I t i ^+I' _" �CHANGE OF OCCUPANTF FXt$TING m3Ult.DiNG L] IHAN6E O J; L El ADDIT;MAL OCCUPANT
Indicate ; yrr m, r use if aily _A;, '�� _.
5QUARt FT OF BUR DING T(� BE C's _ UPi
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NOTICE: 1 0. :> aoancy of any buil ng ; nrt hd�acCl air:# r� t .a ..,rr'.,: iceosr will not t.e issued unfit the bui?dmng has
been inspected an-d a r rrtificate, of z 4,varu,, 1 ued
(' o electrical service m1i be rely, ,,,ed fm ,iny ,. 6.,t !� bm ii�Jti't'x "r,3STrmI the service has been inspected aria
ct'°rtified Nate. Aft ap0°_an!,; for cccup�inny in art-xistinq bu Ming are rc�quir;.;d to schedule an electrical
fuse up' inspect , on in tl;e De artrr;rro-t of 11 evcl QorniUn1 Services at the ii~re this application is filed.
3 Change of occupancyor use inspection fee. Wlierever ,t ir: r eces;ar Y<:c make inspection of a building
or promise` in order t doTerm n P f a ange ri, iy 'n rna(;{. !in tf Character or accupnncy or use of the
r ) building or prenN.•ds �yh.ch ovcuid p,ac>; rri: ur ,r;°dn of the some group of occupancy
of in a different group of Uc�MaIICy a Cnavoe of oc�;uoincy rnapection the of S.
I strait be paid io the cita'
4. Huntington Beach Fire Cade Section V, '�C8 rera 4nr t� lhat building nun,, ,ors must ba a minimum of four
I 14) inche in heigh" with one halt t' f in4 n of ri rdntra,,*:.tg Color from the background. These
numbers must he postw,,d Or your bonding in a itar ation tiat m ; vlsibie from the sire,.
S. Huntington Beach Fire Code Section 1i'i 311, rC guveq ftre extimqui:;her,! selection and dislunbution per
f the National Fire Protection Associafto , pamphiet 1C fseo rr ferse .!de) � , tv
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(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION ZONiNC
OCCUPANCY GROUP_,.... L ' �. __ PLAN CHECK NO NO PARKIIiA�GPAC§
OCCUPANT LOAD _. _ PERMIT NO. HEA!jq DEPT. APPROVAL
NO. OF STORIES ADMIN. ACTION--_ UTILITIES HELE.4SED
e _y�, / r ..CERI9(IGA7F OF ! ^l".1JPAt.!t r r`E $_i
APPROVED BY - "a`�L.t� CHANGE OF USE OR OCCtJPAN FEE $ � ^
TOTAL $
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APPLICATION
ROUTED
DEPT,
HOLD
DE'PT,
CLEARED
REMARKS
PLANNING
FIRE
HEALTH
- �L
BUILDING