HomeMy WebLinkAbout14928 Springdale St - CofO (3)ti1111 'SING UW 1( ti 01NNER1wIAN1C�ER
Vanier«ia!):C:#tt.�!
AddteSs _ __ Address_?'__
city_ Tel. City
. T el;1
0)46betlon �_:-..-_No. c,f Storles_._._.._._____--__Occupant
I N�tico: —
1`his Cart�Iicate of 6ccupancy DE'PARTMtNT 6r-,bEVELOOMFNT Sr:RVlces
SHAL BE jiostd-dIn a coMOlcuous place ort
tlie`hremises'and OWI'nd be rerobved eiice t
hy' fh Ruilffing O016111.
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APf'L WAT 6 FO 'C" Ell'im" PICATE OP cc' u0hNCY
CITY OF F�ICC)i`� �I�I��'ltiPf t3EACN r
bEP/�fti'M�f�i"tt�D��trL"t�t'MEN�` S�Ft�fC�S
(0-04t-61 TYPE ONLY)
DATE
Address.__ 1!4 1]C�.ZL'? `� i{i�r,-�uaton ao'a Disttict
13usiness`i�nme f,nw' ^ t,int�nr _ _._ Tel. CyIt- = —
Business CNP& -- �-1 it i — ',� �' _ Ucc: G bilp v ?
130i:O NG OWNER UYiWer#/MANAGER
I'a:L,_at .isNair__
11'cidress . P.0. D o x r791_
City Tel, _ _ city Tc1.
-���{c;
t0lt USE li1►00L0 6E'DESC1j19Eb As:
NEWLY CONSTRi1CTED BL bG, t' CHANGE`OF OWNECHANGE`OF"OCCUPANT
I �iSTING 'DWILMNG CHANGE OP'USE Ab[kh6NAL O" Ct1PANT
lndica•te former use, if any Occupancy Gr. Div.
1 0" f E: �.
Occi pancy�of any Wilding Iis Proh16' 'd aid "a business ticense-w�il! hot`be issued iaiifi! t to bitil °a7hg
hasylieerr inspected and'6'certlflcawbf of cupartoy is issued.
2.
Nn' elec#rich! service �ciilR be`reteased'for any exi0ing'biliiding �urtitil fhe"service has be°n.ispsc�ted
- All a6plicant's1 r occupancy In 'an existing 011dlhb req�lireti'-to'schedul8, an
and'certified safe. are
electrical lusnYiip' insj ection'iri 'he Department of `Deve1d15'6i6nt Services 6t 4he'tlr66 tills zibolica-
titinis=filetl.
3.
.,
Change cif at;ctlp`attby, r use i t3peution fee Whenever it is`necessary`ta fftake inspes ttcitr'of a biitld
ing or preiiiises in ordar4toiterr�iire if a cltaige may tie made In the �iia`racterfif nt;cilbanby-oruse
=, Si
��of
of the h6I1diflg-oriprel�ises vvliich Wi uld lace' he bttl 119'Irr a d(fferent dI0lsion of fho saMd gr tip
-occilpal ay or;in differMt`g'rducp' 6f occujiaitcy, a change` df`occufiancy'ins`peeilo t`fee' tf $30.150
shall'be paid}toth'e city.
4.
Fire Code Section 10.A requires'tMtAt'be a r�IWI IS
of "fo`tir (4} irtcl�'es,in ileiglrt �Nlth'iftte' half (1:i in`ci� shake, and cif a ci �tlasting c6lor fxdri�"tiie: ki`ack-
`groti'lid. These ti l if3i rs--must` be iiosted"r�n your biI,d(64'16 a locati6it" that is vidble' f►'6m the strm.
5.
N: n lfit6n, Beach"Fire, C6do Sectio'h 10,01 `regilires firs' extlri isFier selection and'cfi tfibtitio t
per the Natio nal Ore'' Probtebtlan Association pa—M"Ohlet 1'0`(see reverse Id •-�
(FOR QFFICE U$E`t`1NLY1
SUPPt:,FM N`t.Ai, IIC1FO MAT10N
SQUARE FT. OF BUILDING
OGGCJPANCY GROUP ..—1 __ _
OCCUPANT LOAD ___:_ __ _ __ __
OIsES r' _...:..
QZA
f "
PLAN CHECK NO. NO. PARKING SPACES
PEt2MlT tJO. _ _ _ _ _HEALTH DEPT. APVA OVAL
ADMIN. ACTION UTILITIES RELEASED ..__ _ z
CCi2TIFICATE bF OCCUPANCY FEE $ A':�._
APPROVED BY
AT
CHANGE�OF OC60PANt;Y FEE
TOTAL_