HomeMy WebLinkAbout15236 Transistor Ln - CofO (8)--^
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714/536-5241
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH — DEPT. OF BUILDING &SAFETY
Business License #
Business Address L5. a
Business Owners Name
Business Name (fir
Business Type WV\
Name -Vrnn M
Address PCoUo L
City 1'
Telephone No. 0 —
(3'd Floor — Must Apply In -Person)
n;n
Date tIJ31
Zip Code d
Telephone No.+jq- 53(o-gJc/0
Bus. Phone '3-1y•-g 9-X50
[formation (required) Tenant/Emergency Contact (required)
i1 a,nGa e rnQ/+, L LC Name
� Home Address l Q,f 1':
State/Zip C-h gajagj City State/Zip
Telephone No.�y-53(v
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or LY Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner )( Change of Occupant 0 Change of Use ❑
■ Indicate former type of business' ((—�
■ Are you requesting that the electricity be turned on? YesON0y
■ Is the building sprinklered? Yes 0No0
Will operations produce dust/wood shavings or similar material? Yes 0NoX
■ Will operations involve the repair or replacement of automobile parts Yes DNol
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes ONo Y
Additional Occupant
If yes: Describe the
■ Will the bu iness be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ❑No
■ The following best describes my operation: X Office Only ❑ Retail Sales ❑
❑ Restaurant/Take Out Food ❑ Warehouse /Manufacturing/Distribution
(describe process and end product)
❑ Other (describe)
For O fLicial Use Only
Occ Group:,
Area:
Occ Group:
Area:
Occ Group:
Area:
Total Sq Ft Occupied:
No. of Stories:
Bldg. Permit #
Entitlement #:
Plnr Initials Date: Ian Chkr Initials: Date:
F---"- 40b
Inspection Date:
Medical/Dental
Occ Load:
Occ Load
Occ Load:
TIF Review• / N
Zoning:
Insp Initials: Date:
(G:Building/Forms/document id goes here)