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APPLICATION FOR CERTIFICATE OF OCCUPANCY.
CITY OF HUNTINGTCN BEACH _ 20 - �
DEPARTMENT OF DEVELOPMENT SERVICES ex
Hinrtmicrav SEACK kPM14. OR TYPE ONLY, DATE
Addressry District
Buskress Name Tei —
sin ss Typed �- aa11 CzC d /� z. lr srGrr ✓ _ i cc, Group.
BUILDING ON4NF8 BUSINESS CiWNEPdMANAGER
Name N�fne� .+.�lydcc /r'1Gr 1
Name gj,ova
Address
Norge Tek�La#)
T�HHIIS USE WOUI D BE DESCRIBED AS:
L1 NEWLY CONSTRUCTED B!_DG, CHANGE OF OWNER CHANGE OF CICGL) ANT
EXISTING BUILDING � CHANGE OF USE El ADDITIONAL occuPANT
Indicate former Lsa if any _ 0ce:uFancy Gr. —Diu.
SC'UARc FT OF BUILDINGTo BE t3�1 UPIEl7D,. - --
NOTICE- + . occupancy of any building is prr titL.4ted and a tusis?oa� license will not be issued until the building I as
been inspected and a certificate as occuuancy is issued.
No elect cal service will be reie aced for any existing building until the servic,a has been inspecz,ed and
certified safe. All a pticants for occupancy in an existing building tiro required to schedule an electrical
I, `fuse Lip' inrpection in the Department of Development Services at tk3e time this apktSicatkon is filed.
3. Change of occupancy or use Inspection fee. tiYnpriever it is necessary to make inepe�:tion of c aullding,
or premir-es in order to determine if a change may be made in the character of Occupancy or use of the
building or premises which would place the building in a different division of the S�nle group of Occupancy
JJ or in a different group of Occupancy :Lange of obcLipancy inspection fee Of 6
shalt be paid to the city,
ii 4. Huntington Beach Fire Code Section 10?fit; req&e; i that building numbets crust tie a minimum of fr ig
i (4) inches in height with one halt I',,hi inch strolw, and of a contrasting color fron, the bacicgmund. These
( numbe's must be posted or your building in a location that is visiufe from the street,
luntington Beach Firs Code Seotlon 1Ct, i01 reou+res fire extirguisher selection acid distribution per
i the National Fire Protection Associaticli pamphlet to (see reverse side)
(FOR OFPIc51 USE ONLY) ZONING
SUPPLEMENTAL INFORMATION 1
OCCUPANCY t;RpOP- PLAN CHECK NO: NQ PA8KING SPACES
OCCUPANT LOAD --—r��'----_ P�F#t�1T tvC �- - � --•. 1{I ALTI C CREPT A{�PFiC?VAi
NO, OF STORIES AOMIN. ACTION --- UTILITIES RELEASED _-
y.-
§���..., ti CI~k1Ttf-tCAiiy C.rk•' OCCUPANCY
�_
AF OWED B LA TE%HANE OF USE OR Gr GUf>Atr'L Y FEE
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10 AL .aC
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