HomeMy WebLinkAbout15061 Springdale St - CofO (37)CERTIFICATE OF OCCUPANCY 0201 0 -
CITY OF HUNTINGTON BEACH
DEPT. OF PLANNING & BUILDING APPLICATION
(3'd Floor — Must Apply In -Person)
Business License # -7_ C q )
Business Address /S oG / Sir ; ,.,� �[a /� s'�� zit S', ,e- /a4/
Business Owners Name 3e r-1-1 • 14-7,,,C 1-1.,k"GS4", V""t,
Business Name � i�G /: , n �,., e,
Business Type /� �hetr+G• =. ( 1 e/ �'c 5
3•- S
Date G / /'b".
Zip Code 9-2G1-7
Telephone No. 7/ j-l/- e IF -1 -.23 Y {"
Bus. Phone
Property Owner Information (required) Tenant/Emergency Contact (required)
Name Name S ,
Address l Scta t 5 IU NG ✓ k L lf. Home Address 3 �/�iG t,1,-,.� �c•Z �e
City State/Zip 4.4 9 City /-bX-tS &�'L e-k State/Zip
Telephone No. " 71 q q�`1 L29 , Telephone No. 7/ 1/ - Y & .,1 — SZ c;,G
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner ❑ 'Change of Occupant ❑ Change of Use ❑ Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity turned on? Yes 0No
■ Is the building sprinklered? Yesl�No❑ /
■ Will operations produce dust/wood shavings or similar material? YesQNoff
■ Will operations involve the repair or replacement of automobile parts Yes QNo 0- If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes E]No
■ Will the bus be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes QNo T
■ The following best describes my operation: D' Office Only ❑ RetaiI Sales ❑ Medical/Dental
❑ Restaurant/Take Out Food 0 Warehouse /Manufacturing/Distribution
(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: Y/ N
Bldg. Permit # Entitlement #: Zoning: 0
Plnr Initials: _&Pate:����'''ll lan Chkr Initials: Date: Insp Initials: ' Date:
Conditions of Approval or Other Notes:
Inspection Date:
(G:Building/Forms/document id goes here)