HomeMy WebLinkAbout15061 Springdale St - CofO (59)FOB
714/536-5271
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Business Addrf
Business Owne
Business Name
Business Type
Pr ert'
Name
Address '
City
Telephone No.
CERTIFICATE OF OCCUPANCY 020 10 - 00 H 3i (0
CITY OF HUNTINGTON BEACH
DEPT. OF PLANNING & BUILDING APPLICATION
(3rd Floor — Must Apply In -Person)
Date
Zip Code
Telephone No.71
Bus. Phone 7' /
T ant/E er en Contact (required)
Name - �M (e kazc�'1
Home Address /LWeA (t U
City _ State/Zip
Telephone No.
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 2 Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity e turned on? Yes []No
■ Is the building sprinklered? Yes No❑ /
■ Will operations produce dust/wood shavings or similar material? Yes ONo h— /
■ Will operations involve the repair or replacement of automobile parts Yes ONo 0 If yes: Describe the
components repaired or replaced. _
■ Does the operation involve the use of welding or open flame? Yes ONo
■ Will the busi s be a drinking, dining or assembly se with an occupant load of more than 50 persons?
Yes ONo V
■ The following best describes my operation: Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Restaurant/Take Out Food 0 Warehouse /Manufacturing/Distribution
(describe process and end product)
❑ Other (describe)
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Area:
Occ Load:
Area:
__ Occ_Load-:
Area:
Occ Load:
No. of Stories:
TIF Review: Y
Entitlement #:
Zoning: 6*`
Plnr Initials: Date: $ Plan Chkr Initials: Date:
Conditions of Approval or Other Notes:
0rf1(116w-OrIZ-,V C,Of0' PCW10
Inspection Date:
Insp Initials: Date:
(GSuildingTorms/document id goes here)