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Jj cEATIPICATE`OF OCCUPANCY
CITY OF MN INGT(�N f3F�',CN
i
DEpACi Nil t�IT0 "btvEl:OPMENTSEAVICES Date
1104rr,rc,IM 81 Wit
i Address
Business Name_ . -- _ ht;� _z? x St 'k' �1,`�'s — _ _—_ _______._ ._....__ -- -- ._.___.___...- ___—. Tel.
M1'TAL S¢� StF'iic;i!1';_; I Ixt�i:t; .� _..__.'?i`� , .'=_ t s .I��c._{'%_ Cjcc. Group_ yl Business Type ___ __ _ _.__._ _—__ __ _
f
StJ1U)IN(3 C}WtJt:fi E3USItJ[SS OVINFF`t/MANAGER
i Norne
Horne _
# Address ____ __ _ __ _ _ _ ___.__ _ -_- Addressi 13 3� M14� C .i!tk-t3rtY t .
f _ _ Huntington t;r i c�ti 13e=E�t'i�l 3._�� � `2 5296,
City__ _ __ _ _._ _. _____ -_ Tel. __._._.._____._ City _._._— _----_--..__ __.__.___.._ _ ._Home Tel_-._._... _ _.
Co-nstructloh —No. of Stories.____._..._ Occulsant nklered._.
...Notre:
7t;Ss Certificate ofoccupancy DEPARTMENT OF DEVELOPMENT SERVICES
S}fAl [ BC posted In a conspicuous place on
the prernises anti shalt not be removed except , +
? by the Building Official. It:.�;'
vt.:l_t)t311W#S i �sE:Izvl(:I.'i
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0
APPi*iCAT,01\11,FOR CERTIFICATE or- OCCUPANCY
CiTY CMF tIUNTINGTbN PEACH
DEPAAYMENT'OF Dt:yt OPMEWT SE :(VICES
(PRINT OR TYPE't3WY)
D. \ T E
Address __ '_: rJ i __,� .�' : t, -`; r �� 7 F j{': _�_ ____ __ ___ ___ District
Business Name __1_l' .c=.1 ��' _s�%w e Tel. _ - --
Busiriess Type _.` �` `� _ _ t�1' ' <� r�=_ ° k !-, :? __ _ _�_ _ _____ Occ. GroGp __�.�
81JIMINt3 )WNEH Rai—" ' SLISiIdt'SS OWNE0JiAANA0ER
Namn ame
Address Address .lam? j..%'Q,'%?
city�__._ _._"__ ___ �___.. ___ ___ ___ Tel, _ _. City'c�' Nomefiai..�•?
THIS UPE WOULD BE DE;;CR.ISED AS:
NEtiNLY CONSTRUCTED BLDG. � DifANGC QF t?WNER � CHANGE OF OCCUPANT
EX13TlNG BUILDING CNANGF OF USE
ADDITIONAL OCCUPI#N`T
(ndicate f6impruse, it any
SQUARE FT. OF BUILDING TO BE OCCUPICD�
NOTICE: 1. Occupancy of ahy building is prohibited and a business iicr:nse will not be issued until the building
has been, Inspected and a certificate of &6pancy is iss(led.
2. No electrical service will be released for any eaisting'Wrilding'Uhtil the s4rvice has been inspected
and certified safe. All applicants'for occupancy in an existingj60ding are rerruired,'to schedule an
electrical 'fuse up' inspect'ton'IWthe Department of Oevelppment Services at the thnie this ap ilica-
'tion is filed.
3. Change of occupa,hcy or use inspedtlon fee, thrlie► over it, is necessary to make inspection of a build-
ing or premises in order to deterenine if a change may be made in the character of occupancy or uss
of`the building or premises which would placeAhe building in a different division of the same group
of occupancy or in a different group of occupancy, a change of occupancy inspec'Ion 'fee'of
shaill'be paid to the city.
4. HOntington Beach Eire Cdde Section 10,208 rertuires that`buildhig n4inbers MUst'he a mitilnuirn
of four cal inches in height with one half I'Jzy: inch stroke, and of a contrastinn color from the back-
grotnui. These numbers rntist`be Oosted or, your I)ui!ding in a location'that is Visible fro ri the st:cet,
5. Htirftltigton Beach Tiro Code Section 10,301 regUires the extinguisher selection a nd-distribution
per the National Fire Protection Association ptanphlet 10 (seem reverse side).
(l-Ufii OFFICE VSC ONLY) � -� t__ - I
1 `G
SUPPLEMENTAL INFORMATION ZC>NIN(G______
OM FANCY GROUi' PLAN CHECK NO. _.. . ............ .: NO. PARKIN., SPAC FS
OCCUPANT LOAD 3 r� ` ______ __ ._ __.. PFRMIT NO. ....... _ _ ._ _.__ HEALTH DEPT. APP11OVAL
N0.0F ST0RIVF, ___._____ _... .......... ___ ADMIN, ACTION __ _._ 5-f F' .__..... _ .._. __ .. Ul"It.I7iE�S I�t:LFASCD __-.:._ ,v5 ,.f`._�.,.__._._.
�`- CFRTIFiCA"fE OF OCCt.tf'AhlC'•Y FEE
APPROVED BY D TE C14ANGE Cl' USF Of, OCCUPANCY F( t_
TOTAL
76-039 REV. i `''