HomeMy WebLinkAbout15201 Triton Ln - CofO (7)GERTI`JCUP CFICAtY
CITY OF NUNTiNGY6N BEACH
Septembdr T26 1976
`OF Bl1tN& CCMMUNY DateDEPARTMINTfIIft
"
11urvtN610N erACtt
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This is to certif that theRENTA.TA THIS � tBT '� Pas. it and/or enta3.
y � � �•�� � � r- as airihtifiZed
purposes 'only)
under Buitdlrt ' F'err it iVo. and is identified as 1 Tr j ton .fi.,�, HUttin.�L on_
' iddrsss
Ded
C.h� CalifOl hill .._ and�`descdbe as 13� p 2 rt;� . T+r1' �Y� ' ....S agal-I
in the bdil lirtg 6whed by T. .�� r��, at �"� t_ 'i n .oa Ave . -Marina-Del
} = name audr4ss
fnrhj P complies with the' rovisians of all pertinent laws, codes, rirdinances and any imposed
condifi&ns fnr -the use described and classified as an--- V-9 occupancy.
4 t,'iAS�i�1lI�IIVi`000IPA.NT LOAta-PERNIITTEDQ__.__r
A10 tic o:
Tills, trer'0ica1e oVOcctiparicy JciNit`F. Behrens
SHALL BE posted In a cdotoicutius`place on
Director of 8uitding F. Community Development
the pterYiises and sail not be removed except
li by the Bui�di� g Off bial. By
APPLItAlfft' FOR
0
CERTIFICATE OF 'CCU AN&
a
untNt6n,Bbach Departme it 6 1 C unit Deoldo n fit
I FOR APPL-ICANT TO FILL IN (Print -or .type only) DATE
A'OpMait-ion is hereby made f6*!,, a Cerdficat WWUT c gf P1,
drif
Describe Business Use 7 1,rAotnj
4
To be kn'oWh'as 4A L
0 us Mess
}
201
Located at
BUsihess Address #Z1v
/G, coe-VCX4 903o,.-,
to c e-
N_ame: BUSINESS--OWNER Resifthda Addv*ess C i ty
-:377 Res i-d6hce: at 3 Z-�� - -t q C) L/
Phone No. 9U,sih6ss:
Name: 9 YtDTZ—"0W9rR Adaress
1"HI5 USE 4000*8E DESCRIBED AS:
&;;]I �ew I y co'h, § t r u 0- t e d B 6 11 d i I h-0,
= c:xisting Buildfing
Indicate f6ft6r use if any _
MChal6ge of Owher
[DCha"fi§e of Use
Charibe . of Occupahl,
E__] Additiohal Ocddpaht
Occu
_p#hpl: Gr. Di v.
s licehst-AviT -s s ued
Occupancy of any b-u-)Tffh§ is PrAIFt a bUsines -1 - not -bp i
until the building has been 1.9s'pecte'd and a Ceiftfficate of O'c'c'0`pahq is issued.
2. No electrical service will be releasedf6r any exi,sting b6il-dibq-Uhtil 'thp
service has been inspected acid certified safe. All cipplicaftits for �occ'0'166'cy
in an ex-is'tifig -b(iil'dith�, are rel'U :, ired to s^=hedUle an electHcal "fUse:-uV
inspection in the D6parfm6h't`df Building arid ComMUnity Devol-opm6nt at the time
this aop1icatioh is filed.
30 CHAZEOF OCCUPANCY OR USE . I h: SP , ECTIA FEE. Whenever it is necessary to make
inspection of a -p'rir6rdsjts in order to ,determine if a change may
be made in the character -6f occtioaky or use of the buildirig, :or promises Which
: wool - 4- p of occdpacy
would',pl�te the bufld'iffq in a diff6rditit di0sid-h-of the same gro'U
or in a diff&eht gt460p of" occo I p a �Kcy I a change of occupancy inspection fee of
$95.00 shall be pai-d to the City.
SUPPLEMENTAL INFOPMATION
Sq. f t. of building_ 6-00 t�17
Occupancy Gr00P____,
Occupant Load
No. of Stori s
�110
(FOR'OFFTCF USE ONLY)
DAKE
CHANG F
PI d"n Check 'No.
Permit No.
Admin. Action 77-102—
tic . ParkiAg Spaces ---
Health Dept. Aopr6va-'
utilities Released
CERTIFICATE OF OCCUPANCY FEE $ 5.00
OF OCCUPANCY OR USE INSPECTION- FEE
TOTAL