HomeMy WebLinkAbout15202 Pipeline Ln - CofO (2)APPLICATION% FUR .,ERTIFIOTE OF OCCUPANCY
Department o Services
Depar f DeVolopmeht
'Reach 7 7 — 1 7�,
nArc -
FOR "APPLICANT '10 FILL IN (pi Wt'or type only)
of OccU:dhcy for a:
1VOP'fi-6 06h -i's heiktWy, made' for a Certificate' p
Dn-tbribe fttftess Use
To be known as
Name of usiness
AA
-9 71 f 1--L - -
) v- i t tv -,
Located at _��—Tu—slife—ss A6-3—re—ss
ptu Ao.y : Gr -,LAI
-Res ddftte Wress Name:dqffE R —Res'ide
-ff_U"9T _Nf phone No. - B . us ness: hce:
-7
9c
c- I I e- 0 rN L1PC.Mile
ty
—�dress
c V]Lme_!: ) �(N_
TO S USE `VOLO BE DBOYMO ':As -
Neely _ Con. s tebtt6d-Bui-ldifig Change of 'Owner O'Change'of-OCc0abt
E S`tihq°'Bu 1dirig Ad .1 di tib'M 1. Otc I u0afit
kI Change - 0 f Use
0 c Div.
I Indicate 'former use if any
ccupaiiSSUO,
li%ited and a bus n ss license
cy, !1 bi-, Oceupancy issued.
inspected and a Certificate pancy s s
until'the buildingAias beenji§ tj . 69' b U ii d i n g- t I he
0'tie dill 1 be releas
electrical ser
6 Wpdl c. Y
2. No 6166tr 6d'for any e A0pl-ic6hts for
-has been t"d and cert.ifidd'safe. , All'
service ih$poc 't
UP
in jst1,6§bufl,di6g are required to sch6d01e,6%'e1e'c'trjcaj "fuse an eX time
-n -the Npar -D6V6Vbpment at the
A�,_ _ n i of Build*i'Kg AAd' �M'ty
nspectib - tooft,
__x 'Z /i h'i s application is f i 'l Od -
w 11 1 - not` - �He_ , IMs 0 WE
Occupancy
'Wh"'n' necessary to ake
'0 R ' USE INSPECTION ' FEE. dioVdr �_i s
3. 0A NbiE OF OCCUPANCY
edt-idn -of a buildihO or promises 'in order toAeterm f a change may t h
irisp f the bur"ildibg -or premises whi,
be in the � charaeter 6f,od-dUpAncy or use 0 group -0 0
'-f ' occupancy
would place the b6fld-16g in a differelit division-ofthe same
or in a oe,6ti 6h:':fee of
-diffd'�eht,grolip-"Of'occupanc I y, a change of occupancy in
$16:00'shall'be-paid to the City.
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
Plan Che6k No. Y
uildirig
Sq., f t. of Permit Na.
06criopancy G '6up g-
'
Oft' pAh"t Load Adm1 in. Act-ibn
No. Parking S'aces.—
No. of Stories
Heal'th Dept Myou al
X Utilities Released
Jff� r 7 OF FEE _$6.00
JCIRTW . CTION FEE
C 14 A m C-� cr-1 OF OCCOANO OR USE -INSPE TOTAL
(#75-039)
i
i
i
CEt`t (IFiCATE of OCCUPANtY
CITY or- NUNTINGTON BEACH�—
`1 ' DEPARTMENT OF DEVELOPMENT SERVICES Date
- ttutirwcrov et.�i�+
b
Address District--_ _
BusinesrName—_�_— _.> ...
,_ __---..._._.-___-----_. _..-.----__________ TeL
Busir►ess Type _;._ _ __ ___ _—.� _- __._-:_____ _ _._ __ __ _ __�__ ._____ _. _ _ _._ "Occ. Gr"ou`p —_.______
E3tlICbiNG 6AER OWN>±WMANAGSR
Name .`_ _ _ �_____ _____ Name
Address _ _-----------.__._.______.___.. Address
Tel. ___._______ City _. ___ _ �_` ` �_ Tei.
Construction No.'of'Stories--_._.__..-Occupani l.u►ri_____._ _6_____Sprinklered_�._____.__�_
1VOtlG�':
This Certificate of Occupancy G AbcPARTMENT OF DEVEL()0NI1=NT SERVICES
SMALL BE posted in a conspicuous plate onC:�
the premises and shell not'be removed except,:P�, �$�L
liy the Building Official. .kprj��1 l iw_..__—.___._______._,___
tAo
i
r
uJily I&
ar A000CATION FOR ICdAf 1 01CATE OF OCCUPANCY
city 00 WOWHNObN BEAd"
DtDEVELOPMENTMENT OFDEVELOPMENTSERVICES H IMTON 611k0l (MINT OR TYW 05MLY1 DATE
YAddress /5 R_ 0 2 1-,�,\-,77A-J6%-7,z,,_>
-Au-Oness Name /L-Af 3rj'o 1 .°.ej 6,_ )FO
Tel.
---.AUIS;ness Type 1:;nbj AW R..
Occ.*Gr6Ljp
SUI LO , ING OWNt'll BUS'WESS OWNER/MANAGER
Name
dome
Ad&ess A' r Zclo/
Add esr,
City Tel.
7 2
AS:
f4IS 'USE W C
NEWLY C;bNs-TJAuCTED'BLDG. OV&t R CHAINGE OF CHANGE OF OCCUPANT
EXISTI►VG BUILDING CHANGE OF USE AobhIONAL OCCUPANT
Indicate formerUse, if any Occupancy Gr.
SQUARE FT. OFB'U!LbiNG-to)(B3EOCCUPI
.14
NOTICE: 1. Occii0atidy'Of Any'bdilding is pro'hibited and fi° bUsIness license Will `ho't be'
has bee0tisped tact and 92certificate cc 0 Of 6" U0'a, Vjsissued.
2. No eledile'61'servic'e will be released for a'ny,extitirig.b6ildi6otj'ritil'the servicezhaslicen lnsoedted
abd`ceetifi6d safe. All applicants for occ'fjpaqcy Iti-a"n e�dstliig''bt ilding jWr , 6 . 11weid to schedule an
electrical Juse'op' inspedtion In 1he Depar'trneht- oif 'Develol)meht Services at the tHrie'this ap' Uda-
3. Change Of ocddpah inspection V
inspetWhenever it is necessary to make insliedtloh of a bdild
n fee. Whene
ing or pr'&mises in, order to deterrh1he if a change`'may be made In the character 'of -6ccb'06ficy or use
fit of the b0ildihg,or'premises which would place the Wilding'In aAlffere'nt di-Asibn of the same greup
of occupancy or in a-ciffferent group"Of occupancy, a change of occupancy inSoe"ction"fee'of shall-be
pa,ld'to ' tl.io city.
4. l46Mfk6t6n" Beach: Fire Coda S66tion 10.208 iequires that bididing nUrnbers must,be a minim
um
moib
of four (4.) inches inHeightMth one half W�) inch stroka, and of a ciahtrasting COlor1rom the -back-
IR grot'jhd. -These numbers must ust be posted on your building in a location that is visible"frotn'the street.
5. Huntinglit'956"Beach Firo Code Section 10.301 requires fire extIng'Dist', —s—eledfl6h 8-fid'dittribilfl6h per the National Fire Protection Association "paiii-ohl6t 10 (see ide).
(FOR'OFFICE USE ONLY)
SUPPLEMENTAL INF60, MAT-10N ZONING
OCCUPANCY GROUP
PLAN CHECK NO. WO.'PARKING SPACES
OCCUPANT LOAD PERMIT No.
HEALTHH DEPT. A040RO"VAL
NO. OF STORIES
ADMIN. ACTION uyfu-NES PIFLEASED
CERTIFICATE OF OCCUPANCY FEE_
APPROVED BY '[)AT[- CHANGE OF USE OR OCCUPANCY FEE $
TOTAL $ J
Vj
7IV,
5-039 Mv,