HomeMy WebLinkAbout1118 Pacific Coast Hwy - CofO (7)Certificate of Occupancy No. 0201,
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714/536-5271
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH — DEPT. OF BUILDING & SAFETY
(Y" Floor — Must Apply In -Person)
Business License # L-- V Date
Business Address 41 ` f; - / �?&PZip Code J"'Zo ttf
Business Owners Name cs,,J c�j-Z -e Telephone No2ry OO Sized
Business Name e,<-c� %'E�c— Bus. Phone 7fq f6a M—a
Business Type
Property Owner Information (required) Tenant/Emergency Contact (required)
Name T Q ✓ �s �• Name e (,rt * b f-L- C.
Address /-s 4 0 % Home Address !s'y I C
City hi State/Zip cA f Ze, City gL,. 'ec,4 State/Zip
Telephone No. Telephone No. -7/V 117 C,% O��a
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner x Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? Yes QNov
■ Is the building sprinklered? Yes QNA
■ Will operations produce dust/wood shavings or similar material? YesQNo*
■ Will operations involve the repair or replacement of automobile parts Yes QNo V If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes QNo
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes QNo V
The following best describes my operation: b. Office Only ❑ Retail Sales 0 Medical/Dental
❑ Restaurant/Take Out Food ❑ Warehouse /Manufacturing/Distribution
(describe process and end product)
❑ Other (describe)
For Official Use Only
Occ Group: Area:
Occ Group: Area:
Occ Group: Area:
Total Sq Ft Occupied: No. of Stories:
Bldg. Permit # Entitlement #:
Plnr Initi s: rate:, - 4Plan Chkr Initials: Date:
Conditions of Approves Other Ngtes: x_
Inspection Date:
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: 23 c-c--'—
Insp Initials: Date:
Co!'
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