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CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES Date
HUNTINGTON BEACH
Address District
Business Name Tel.
Business Type Occ. Group.
BUILDING OWNER OWNERWANAGER
Name Name
Address Address
City_ Tel. City Tel.
Construction No. of Stories Occupant Load _Sprinklered_
Notice:
This Certificate of Occupancy DEPARTMENT OF DEVELOPMENT SERVICES
SHALL BE posted in a conspicuous place on
the premises and shall not be removed except
by the Building Official. by
1C I
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'd1 APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
HUNTINGTON BEACH (PRINT OR TYPE ONLY) DATE
i
!i 7 K. JJ� -) , District
UAddress ELT r7�—y y
I Business Name ' ' - Tel. �i --
c' 1� =�
GBusiness Type �� L� Occ. Group
BUILDING OWNER OWNER/MANAGER
17
Name ame --=�—L
Iddress
Address .
Ci Tel. City
ty • / -� Tel. .
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG.
(� EXISTING BUILDING
Indicate former use, if any
CHANGE OF OWNER CHANGE OF OCCUPANT
CHANGE OF USE ADDITIONAL OCCUPANT
Occupancy Gr. Div.
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 cf occupancy is issued.
2. No electrical service will be released for any existing building until the service IIr.; been inspected
and certified safe. All applicants for occupancy in an existing building are rec Ired to schedule an
electrical 'fuse up' inspection in the Department of Development Services at the time this applica-
tion is filed.
3. Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a build
ing or premises in order to determine if a 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 occupancy or in a different group of occupancy, a change of occupancy inspection fee of $30.00
J1 f g� shal! 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 ('/) inch stroke, and of a contrasting color from the back-
ground. These numbers must be posted on your building in a location that is visible from the street.
5. Huntington Beach Fire Code Section 10.301 requires fire extinguisher selection and distribution
7 `�� per the National Fire Protection Association pamphlet 10 (see reve se side)
/. d2
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
SQUARE FT. OF BUILDING 5' PLAN CHECK N(. NO. PARKING SPACES
OCCUPANCY GROUP PERMIT NO. HEALTH DEPT. APPROVAL
OCCUPANT LOAD ADMIN ACTION UT •LITIES RELE,9SE�. Qti�
NO. OF STORIE 4CERTIFICATE OF OCCUPANCY FEE
!-�
APPROVED BY DATE CHANGE OF OCCUPANCY FEE $
TOTAL
75-039 REV. dt
r
CERTIFICATE OF OCCUPANCY
CITY OF 1IlINTINGTON BEACH
Date
J.
DEPARTMENT OF DEVELOPMENT SERVICES
t1UNTINGTON BEA01
Address District ---
Business Name Tel.
Business Type Occ. Group
BUILDING OWNER OWNER/MANAGER
Name Name
Address Address
City Tel. City Tel —
Construction No. of Stories Occupant Load Sprinldered
Notice:
This Certificate of Occupancy ���NIDEPARTMENT OF DEVELOPMENT SERVICES
nc,
SHALL BE posted in a conspicuous place on �` p
the premises and shall not be removed I �1AN�"G��,-� by
by the Building Official. �(��
Ho"
APPLICATION FOR CERTIFICATE OF OCCUPANCY
N
CITY OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES 6
HUNTINGTON BEACH (PRINT OR TYPE ONLY) _. DA -
T L
Address �- S 2.3 101 PE )-llt Z � IV,17,/ , �%� ��j� ` � � District
Business Name R y 7 /7. S S O LI A/ .� Tel.
Business Type 4 L 6 (f Occ. Group *7 4:A—
BUILDING OWNER OWNER/MANAGER
NameAT /i{in, ��& ame n✓a/Y2,�j'Ll [..te'
Address (LLZMB 5`1 Address -5 %,
City a /S. -,4 /,;�`/ 6 9 Tel. City 7_Ai1V // aTPI.
THIS USE WOULD BE DESCRIBED AS:
NEWLY CONSTRUCTED BLDG. CHANGE OF OWNER
EXISTING BUILDING / CHANGE OF USE
Indicate former use, if any _ C-L�� % 20N/l J?EPA/%( Occupancy Gr
tJ CHANGE OF OCCUPANT
ADDITIONAL OCCUPANT
Div
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 ?-e required to schedule an
electrical 'fuse up' inspection in the Department of Development Services at the time this applica-
tion is filed.
3.
Change of occupancy or use inspection fee. Whenever it is necessary to make inspection of a build-
ing or premises in order to determine if a 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
ac %�
of occupancy or in a different group of occupancy, a change of occupancy inspection fee of $30.00
/
shall 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 ('/2) inch stroke, ano of a contrasting color from the back-
ground. These numbers must be posted on your building in a location that is visible from the street.
5.
Huntington Beach Fire Code Section 10.301 requires fire extinguisher selectiionyapd distribution
per the National Fire Protection Association pamphlet 10 (see reverse side "p� .�/
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
SQUARE FT. OF BUILDING �tsly_ PLAN CHECK NO. NO, PARKING SPACES _
OCCUPANCY GROUP] —2 PERMIT NO. HEALTH DEPT. APPROVAL
OCCUPANT LOAD ADMIN. ACTION UTILITIES RELEASED �'•
NO. OFS RIES _ `' r-e
A� t� ��L� CERTIFICATE OF OCCUPANCY FEE $
APPROVED BY DATE CHANGE OF OCCUPANCY FEE $ —
TOTAL $ —
75-039 REV.
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