HomeMy WebLinkAbout15131 Triton Ln - CofO (136)to
jt APPLW4TION FOR CERTIFICATE OF OCCUPANCY
erry OF HUNTINGTON BEACH
DEPARTMENT OF DEVELOPMENT SERVICES
HUNrINI."TON 9fAQ{ tFRiNT G r TuPL CNLY4
Addrass
Business Name
i� �� .'.J1Cca Occ. Group _
Business Type__—
dViLDlNG t;WNER 6ltSEt�ES� 5 C1WPsER?WA^1gGER
�I �'��'" ,.. � � ✓F .l rt may__ �..__--.--.° Name
Name Home,
Address.�'T.�L�! :eta Adnres�sr �f `
r1Y �fdtAb F �Je G"c[.�. ._.Home Tel;
City Tet_��`t City.
1}
THIS USE WOULD BE DESCRIBED AS: �I
NE6't1LY GO�}8TE31«OTED RLIXI
L _f CHANGE OF OWNER L/J'1QL+ANGE OF OCCUPANT
CHAN6E OF USE � ADDITIONAL OCCUPANT
XISTING BUILDING
'Js tV\ N1__JGcupanry fir Div._.
Indicate former Lie. if any _ r
SQUARE FT. OF BUILDING TO BE'JCCUPIED Z�
NO i ICE: 1 occupancy of any bui;dinib is prOhitlited and rah :inQ isc°ense t;".iII not be issued unfit the buitdir3 has
been inspected of d a Mtlficate Of ticcupancy 13 ;ssalc C.
r.. No electrical service viiit be released for any existing tli'. ing unlit the service has been inspected and
No tl lec sate; All applicants for t�ccupanGy to an existing building are required to schedule an electrical
his application filed.
ju se ::p' inSpCGiir�n in Vie Oc-,Partrflr?nt Gt Deveippment Services at the time t
Change of occupancy or use inspecticn fee �rh never it is recev`;ary to rrlakr inspeGt.i>n of a building
3. orpremises in order fa deter if a change may be made In *he character of occupancy or ise� of the
l building �r p .muses Which �"OLitrj piuc e t. to tau lding in a uifferent division of the.nle group Of occupancy
(,of
or in a different rrgroupofOccupancy, a change of occupancy inspection #eb,
i� ,halt be paid to the city. must be a minirriuM Of four
4. Huntington Beach Fire Code Section ng coltrt
(,ontrastfrom the background. These
(4) Inches in height ~With one na ) inch tr ke and of
,
' umber! midst be posted on your bui!d,ng in a location tkiat is visible from the street
r
5. Huntington Beach Fire Code Section 1CI 3C,t re u;res fire extinguisher selection and distribution per
the Nationa; Fire Profectsoil As:ociat'0 pamph!rq 10 (see reverse side)- � 2-11
(FOR OFFICE.. USE ONLY) +-
zarstNC_.1
SUPPLEMENTAL INFORMATION
_- . __ PLAN CHECK h{)...�.a.�, _ _...._.,-- Pit7 PACKING SPACE:.,
�._
OCCUPANCY GROUP PERM I6 NO - ..-_._- HEALTH DEPT. APPROVAL
occuPANT LOAM _._,_ --- ._. _..- -.,
NO, OF STOME5 --, _ -- _-_.., _�. -- ADMIN AGTtCral.� _ _..., UTILtTtES RELEASED
a'� CERTIFICAIE, OF Cat C-UPANCY FEE S
D�,TF OHAN(ip Or JSI )I OCCUPANCY FEE _ ---
APPROVED BY TOTAL $
r:y_' h':4 k:"' 1