HomeMy WebLinkAbout15131 Triton Ln - CofO (42)0
JJ CEATIFIGATE OP:Ou;CiP446Y
CITY Of- IfUW NO i ON BEACH
a" OEvARTMENT OFtEVEL.OPMEN ' SERVICES - Date
tttWIVictON ste01 �
y
Address_ _ .__.. ___....__ __..... __---•_--_- ___ _.-.--_•_-- G �._---. Disfrtct
Business Name__
.R)
Tel'
-- --- - rt . _
BucinpsS Type �� Occ. Group
i BUILDING OWNER
OWNEwMANAGER_
Name Name
F Cay_ _.: Tel. Tel
CohWuction ._--No. of Sti=ii•ies___ _Coup` nt i_oad __-__ ___.... Sprinkle',red___�_
Notice:
This Certificate of ticcuparcy DEPARTMENT OF DEVELOPMENT SEliftES
SHALL BE • OW-d in a cans icuous P p' puce on
the preitiises and shail'nof be removed except
by the Buildi6§ Official. by_—_______
iiaPth#i i \1
if
5 . y
*'UT\'ILI-TY R"ELEAS E
USE
ADMMS
� -- -Zk
i
XIS'PIjNG 'B 'ILD`LM
NEW BVILDiNG #�
POKIER'dYE ! t
TEMP. 40AK WITH POWER
1. Plt miffig''Inspector Clear
DATE
2. Kai Xt itis i ctbr Clet�r
.. �ATE
tf'CYLilt ELW't AU111GRIEED
EY LANDtSE
OA'I'E
GAS
UTILITY COMPANY NOr FIED
D TE
41
r�
e
APPLICATION FO��CERlIFICATEK����C��P�����
/
CITY OF 11UNTINGTON IMACH
—)
DEPARTh8FNTOFKjE0/E'LOPA1ENTSERVICES
,ww/Nu�.^ x�x/' '
�n|NTORTYPE ONLY) 'DATE
Address
District
Business Name
business Type
4`/ - Ocn.Gruup
-
��
�w=�~OWNERiMANAbOR
~~
�
Nbmo '___
N,n __--1�
--
Address
City '__'_-_____-_______'�----_________-
To . ____-___
�City
_-_ /�
'
.
*W01
THIS
NEWLY CONSTRUCTED t3L|G
EXISTING BUKDING
'Indicate f6raiee use, If any
[-1 (%HANGEC>FOWNER
[-1 CHA'F<�^'E
'`~ ' "�
CH/\NdF0FOCCUPANT
[-�
L_�
ADDITIONAL `(�CCU `
''^`'
MOM
NOME., 1. Occupancy of any building is prohibited and a business lice'nse W4111 not he issued until th6 bull4ing
has been Inspected and a certificate 6f,occuoan6y is issued.
2. No electrical ser4ice M11 belteleased for any existing btilldlhb-until%the sel"vicelias been inspected
and certified safe. All applicants for'dccupancy in awe)tkilrig bull&g are relbired to §ch6d6le an
`tibn
is filed.
^�I
Change ot occupancy or use in�pedfloh fee. Whdriever-it is necessary to'hiake'inspedtl6n'of a 6olid-
'
of the building or Wilth wobld'plaice the building in a different div'Isl6n'Of the same - r6tip
jm'6mises
`
'
of four (4) inches in height wl'th ohe, hzilf:(M inch stroke, and of a contrastinq'color frorti the ba*ck-
'
'ground.
These''hdiMers must be pt,)sted owyour building in a 100tiOn that is Visible from the street.
6. Hurfftqton Be*c" ^^.e Cuwn Section 10301 .sq""ex ,"° extinpkher selection
per theN0tionnf Fire (
.
�
(FOR OFr.-cEWSE ONLY)
SUPPLEMENTAL INFORMATION
FOUA| E FT. OF 8W|iD/NO �__
'
mh
^��__-
PL/\N('HECKNO.
NO�pAM�)N[}SPACES '-__-_________
OCCUPANCY GROUP
OCCUPANT LOAD
PFRM/TNO. __-'_-____ _'
/\DKS)R. ACTION
HE/\LTHD[PT.APPROVAL --_
Ur!L}T|ESRELEASED
NO. OF - - -- --
----- -
/
C[Pr|HC�TE OF OCCUPANCY FEE
APPROVr-DBY
DAT[
CHANGE OF OCCUPANCY FEE
TOTAL
\�-
� ` \ `
7�0z9ncv y '`
\)
\
` ()\�Fk)y�(
:
`
r
Ho:j
Ct�R*lFfCATE OF O bl)`Afi&
CITY Or 1IUNTING'TbN y� dti� Dr-PARTTMENT OF DEV{ LOF T SEPSVICES We
liu. Tinftov BtACIe
Address
BUSinCSS N1nir Tel.
eusinetsType
BUILOING OWNER OWt4F-R/4tAN/k(3ER
Na'rne Plante_ --
Address
City --------- Tel. ___ __...__: City .-_-_
Cotistructioti ._____.---_.Nn of Stories-_____.____-_Occtjpiht Load_._ ..___
Noticer:
ThWrertMcata_3f'Orcuriainey DEPARTMENT OF DEVELOPMENT SFV'ICFS
SHALL BE p60eu in a Conspicuous'place on
the pr6ibises and shall not t:n removed except
by the BUitdlhgOfficial. by
t
APPLICATION FOR CERTIFICATE. OF OCCUPANCY
City of Nuhtington Beach Deparin�ent: of eve-lopment Services
FOR APPLICANT TO FILE. IN (Print or type only) DATE_
Application is hereby made for a Certificate of Occupancy for a: �
AL v rtj to jvt RI i5 . �. r_ _ `Occupancy: Gr.
Describe Bar *lifiess Use
To ' be Mo, hi as _,� �-� f
, Fame of _ Bis ness
F Located at I ! 31 `7-ai rr- ,U C- iYi e �..�,.4"tr
/ `s I k'uss Address
�1of'rq ai'(. i s ct ei. � • r_ y J G
�"IL.,
Name: P I ESS OWNER NER esi ` ence Address city zip
Phone No. - Business: _ � _ Residence: _�'_VG�.`ZLl_.,_L? _
��t.S'_`1�+�-C7�t/itc, t ;,,�'Ift �,�'S�f
�ame:`U'f t ____,ddre ss i tyzip ---phone o.
THIS USE Wd D'BE DESRI9rD AS:
Newly ConstrUcted 1330lding C t Change -of Owner L_ ] Change of Occupan t
�j Existing Building �_ Change of Use Additional Occupaf t
Indicate former use if any X
Occupanc Gr. Div.
—1.� Occupancy of any ui r3ing zs p�r`oi�iibited-attd abti-sTh—ess license will not e jssued�`
until the bdi-lding has been inspected and a CertifFicate of Occupancy is i sued.
2. NO' electrical service w011 be released for any existi6g-huildirg until the
service has been inspected and certifi�ad safe. All applicants for 'occupancy
in an exist ng,building are required to schedule an M ectrical "fuse up"
i nspe'cti on in the Departmthi t of Building aid Community De- vel opm M t at the tiMe
this application is filed.
U ..
3. COANdE OF OCGUPA1�Cif `QR USE INSPUT;11ON FEE. Whenever At is necessary' to make
inspection of a boil-ditig `or premises in order to determine if a change mayy
be mane in the-charat.;ter of occupancy or use of the bIilding or.,premises itiich
would 'pl ace the bui Iding A n a different di vi s ion 'of the same group of occupancy
or 'in a different group of occupancy, a change of occupancy i s'poction fee of
$30.00 shall be paid to the "ity. --�
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION
Sq. ft. of building ,,' J Plan Check No.
Occupancy Permit No.
Occupant Load Admin. Action
No. of Stories __. -. m_ .._. _ _ No. Parking Spaces
Health Dept. Approval._
_._ . Utilities ReleasedPFIF
CERTI F ICATE OF CCCUPANCY FCC � _ 6_r00_
CHANGE OF -OCCUPANCY OR (,!Sr--MpI:Cnm FEF
TOTAL