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Home My WebLink About117 Main St - CofO (7)n ® J0 � HUNTINGTON BEACH CERTIFICATE OF OCCUPANCY 0200' - 7 CITY OF HUNTINGTON BEACH - DEPT. OF BUILDING & SAFETY APPLICATION 714/536-5241 '*, (3'd Floor — Must Apply In -Person) Business License # JX a� 13 Date ( . dq Business Address // '7 M 4-1 Z' S 7- ';f 2 6' Z H d 9 2 G f1t Zip Code Business Owners Name All- p o/ &- r-S e A-n 1 rA-c c- &4 /° Telephone No._7 /`F - JL-M � f/7Gli Business Name C.+,01 TA L !3 tiF F 4? tZ1AAfF_ of L rA-SI a1G 4- FINAA Bus. Phone Business Type Property Owner Information (required) Tenant/Emergency Contact (required) Name g� +t*2 // 411_/6�11_ ti Name S`C 0 T % C L �:= L ,+ Al ✓-1 Address z R tti �S 7- 2 G -7 Home Address T-G 94 4-k .C-. Is-r City � ' State/Zip fZ 2 6 S' F City A 6 State/Zip CA- 9 2 G 4- E Telephone No. %/ !f ` .5 3 � - /'K._S Telephone No. ? 1,74 3 ? fe` Z 2 P9 THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or :Existing Building CHECK ALL THAT APPLY: ❑ Change of Property Owner )4�hange of Occupant ❑Change of Use ❑Additional Occupant ■ Indicate former type of business ■ Are you requesting that the electricity be turned on? YesQ NpV ■ Is the building sprinklered? Ye� No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ , NOW ■ Will operations involve the repair or replacement of automobile parts Yes El N< If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? YesQ ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes 0 NO ■ The follddwin--g best describes my opera on:��0 fice Only ❑ Retail Sales ❑ Medical/Dental ❑ Warehouse /Manufacturing/Distribut' ake Out Food (describe process and end product) ❑ Other (describe) For Official Use Onl Occ Group: Area: Occ Load: Occ Group: Area: Occ Load: Occ Group: Area: Occ Load:_ Total Sq Ft Occupied: No. of Stories: TIF Review�}- Bldg. Permit # Entitlement #: Zoning: S C`� C-'2 Plnr Initials: Date. '� • Plan Chkr Initials: Date: Insp Initials: Date: Conditions of Approval or Other Notes: c C- us 1* corms LAI _ o b�? . LA-OtQ da� lc. ^r b ©mil GCuse — N a C o n Inspection Date: