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CERTIMCATE OF OCCUPANCY
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DEPARTMENT Of DFrVELOPM: tit SERViCE5
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Name J A C k K. C l a p,12
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Construclion NO of
SPr,aklered
This Certificate of Occupancy
DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on
the premises and shall not be removed ex.
CePl by the Building Official
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES (j
+ RUNtIIJcroN WAGi ;Farrar r_.ra 1 rue 01,4 y, /DATE
Address Lei Cfi.7'Cf�%d! %i'fw�io�C Districf
k Business Name � �fJG�.�II``f�✓J' � Tel.
i3LISlrteSS Type ` C [/� _.__ Occ. Group.
BUILDING OWNER SUSiNEGS OWNERROANAGER
6� t�.-r� �.r rA��
�}arne». Name ;� o
v ,l Home '
Address ._,��, Address--- �--.---�----
Oily _—Tel i°_ City -Home Tel i
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THIS USE WOULD BE DESCRIBED AS:
077 �t� WLY CONSTRUCTED BLDG. t_ CHANGE OF OWNER El CHANGE OF OCCUPANT t
L_."] CXISTING BUILDING El CHANGE OF USE El ADDITIONAL OCCUPNN i
Indicate former use, if arty �i� /� OC., , ,jr (r.—Div
SOIJARE FT OF BUILDING TO BE OCCUPIED ole,1' to �hn9 47
t �IOTLCF: f . Occupancy of any building is prohibited arm a bwiness license will not be issued until the building .ias
1 been inspected and a certificate of occupancy is issued
x No electriical service will be released for anv oxistinq building ;tntil the service has been inspected and
certified safe. All apoficants for occupancy in an "'astir build±ne are required to schedule an electrical
`fuse up' inspection in the Dppartrner„ u` Development Services at the +;:rre this application is filed.
3- Change of occupancy cruse inspectlun fee. Whenever It Gnece. ,a+y to make inspection of a building
or premi; es in order to determine if a c'-s%nge may be shady in tho character of occupancy or use of the
building or p-eniises which would place the building in a different division of tne'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. :::ntington Beach Fire Code Section 10.208 requires that building numbers must be a minimum of four
(4) inches in height with one half (1,110 inch stroke, and of a contrasting color from the background. These
numbers must be posted on your building in a location that is visible from the street.
i 5. Huntington Beach Fire Code Section 10 301 requires fife extinguisher selection and distribution per
( the stational Fire Protection Association pamphlet tC (see reverse side).
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(FOR OFFICE USE ONLY) ZC7NING_�r
SUPPLEMENTAL INFORMATION
OCCUPANCY GROUP � -��- PLAN CHECK NO NG. PARKING SPACES
OCCUPANT LOAD PERNtT NO, HEALTH L)EPT. APPROVAL
NO OF STORIES _ ADMIN. ACTION_—_ ;._. UTILITIES RELEASED
le,011�, - CERTIFICATE OF OCCUPANCY FEE S
APPOVE RD 89Y �c f3A l CHANGE OF USE L+R C7CCtlf°ANCY FEE S�
TOTAL $ _ _ T