HomeMy WebLinkAbout15061 Springdale St - CofO (36)TE1
714/536-5271
Business License #
Business Address /
Business Owners Name
CERTIFICATE OF OCCUPANCY 020_LL - OOH 3�71 �
CITY OF HUNTINGTON BEACH
DEPT. OF PLANNING & BUILDING APPLICATION
(3`d Floor - Must Apply In -Person)
Business Name or- �,179i--jl--10-6,7r'
Business Type QOPR-t &-72
Telephone No.
Date
Zip Code Y
Telephone No 1 313 m
Bus. Phone
Tenant/Emergency Contact (re iced)
Namei66*,-J
Home Address /y3ff212iv r ,
City j�m i.JS?k,eZ- State/Zip C& 2e?8 3
Telephone No. W'V 7g-6t'014
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or f Existing Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner Change of Occupant ❑ Change of Use ❑
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? YesONo
■ Is the building sprinklered? Yes ANo❑
■ Will operations produce dust/wood shavings or similar material? YesONoi
■ Will operations involve the repair or replacement of automobile parts Yes ONo.K
Additional Occupant
If yes: Describe the
components repaired or replaced. _
Does the operation involve the use of welding or open flame? Yes ONo
Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONo x
The following best describes my operation: A' Office Only ❑ Retail Sales 0 Medical/Dental
❑ Restaurant/Take Out Food ❑ 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: i Area: Occ Load:_
Total Sq Ft Occupied: � No. of Stories: TIF Review: Y/
Bldg. Permit # Entitlement #: Zoning:
Plnr Initials: IA Date: Plan Chkr Initials: Date: Insp Initials: Date:
Conditions of Approval or Other Notes:
yMtE -tO nPE. '*(D G OF a VtJ904►i= .
Inspection Date:
(G:Building/Forms/document id goes here)