HomeMy WebLinkAbout15131 Triton Ln - CofO (123)hj
I
r ,
i0-11
� APPLICATION ;'OR CERTIFICATE OF OCCUPANC�
CITY OF HUNTINGTON BEACH
DEPAR"MENT OF DEVELOPMENT SERVICES
suwp4moN ki UH
,Fr;r.r r,r, " tit r�rtt �; DATE
�. /� ,' ��",%r'i�,�, %�±j.._.,..-,..J.._.�._� f :'C" �.L:�-U1'�t..r.•%sr �J----^.1' �� �lC: (.iiStClGt. i
Address Tel.
Business Name _ ° ,._ ,------
Occ, Group
Business Type
�.���.�t.i i
6lflti.fJ:tvG OWNirR ) 9t.51NFSS OWNERttvlANAG6R
Narie /; L--- - Home li
L 63��' ll% Address
r�
AdG. es� / C•, ,,",� '71i1s:-�!r.�f� Home Te( Z'' G.�r ;
City
1.
THiS USE WOULD BE DESCRIBED A:: i
CHANGE OF OVVNi R 0 CHANGE OF OCCUPANT
NE;M1}LY CONSTRUCTED BL DG ��---�� n
t�i CHANGE OF USE I.._.1 ADDITIONAL CCCUP.4NT
EXISTING BUILDING
i O,.c, tpancy ter
indicate former
SQUARE t~T. OF BLill-DI G TO BE t JC ' IED
NOTICE. 9CE: 0.� �)Cctjp nuq of any ruil&ng to prohtl",i=ecz and a busirieSS ;cr:rtae will not be issued until the building has
w, o inspected a �d � C4rtjf.Gdt' Of G Ci p �f16 j/ ! r i5�il�d
bee
? No electrical service vAi lie rel a^rid for any i;xisting building untit.tne service has heel inspected and
certilied s?te All applic"IntS for OrcuCancy iri an Oxiatinq t"widing are rGClulteCl to SGhGG tiC111r15 filed electrIGaI
$g 'fus'a asp, .nspc:ction in the Departm0nt of p.evelepi-n nt Se!W-es at the time this app
li
i i . Change of occupancy of use inspection fee. Whenever it i3 to make inspection of a building
o ptrjmist t, in order sr., dett !tIlinrw if ? c1langv I-Ijav Lr4 made in the character of occupancy or use of the
hq b tildina ,n adifferent division of the same group Of Occ` irancy
L,uttdi�tt Or premises v�hict? wOu;t pl, v e
j}j r r in e differea�t group of t�ccupariry a change u* (11=10 ncy nuA ct:o r fee Of
shad be paid +o the City,
k t 4: Huntington Beach Fire Code Section t 0 20B require• that but[dirtg nt.mcrers must be a minimum Of four
l ,'} {4i Inc e in heir�ht With One half%' n} inch -jroke. and of a contrasting cOior from the background. These
(` nV r s^rs crust e po5tpC1 On vos; building in a IcCaticn 1 at is visible from the Street.
b. Huntington Beach Fire Code Section 10 stet requires file extinguisher seleGtiOn and distribution per
the Nationai Fire Frotectirrt Association parr phlei 10 tsee reverse side't
(FOR OFFICE USE ONLY)
SUPPLEMENTAL INFORMATION NO PARKING SPACE;
2 . •. ' _ PLAN CiiEG't NOHEALTH DEPT. APP'OL.1L
OCCUPANCY GR')UF•--•.�1'i :--------�-- PERMIT NG. �_
OCCUPANT LOAD - - - — '� Ati MIT UTILITIES RELEASED
NO. OF STORIES _ _ . _.
GEFI!`IPIGATE OF k�CCUPANCY FEE S
--�....�4!EL CHAtf I !)F'USE-OROCCUPANCY FEE S
TOTAL
I APPRC�V D BY
a