HomeMy WebLinkAbout15321 Transistor Ln - CofO (5)CE 'FUCATE OF OCCUPANCY 02dCl
CITY OF HUNTINGTON BEACH
11jPT OF PLANNING & BUILDING APPLICATION
(3'd Floor —Must Apply In Person)
1
3
Date
Zip Code
Telephone N
Bus. Phone
ition (required) Tenant/Emer enc Contact (req�
Name V `; %2 eU Name
AddressIf Ar Home Address�13 bra
City ; / ��r t%ti S fog �3C4 State/Zip Z6 City Go�1�� 'State/Zip
Telephone No �1 `E � - 92 94� Telephone No. 71 � l l fO5 J
THIS USE WOULD BE DESCRIBED AS:
❑ Newl :Constructed Building, or �Exi uildin
Y.:.. g g_.
CHECK ALL THAT APPLY:
❑ Change of Property Owner , -Change of Occupant ❑ Change of Use a .-dditional `Occ
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? YesQNoW
■ Is the building sprinklered? Yes DNo❑ i
■ Will operations produce dust/wood shavings or similar material? YesONo
■ Will operations involve the repair or replacement of automobile parts Yes ONo gh If yes Dscr
components repaired or replaced. _.777777777777
Does the operation involve the use of welding or open flame? Yes EINO/
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 54perst
Yes' ONo
■ The following best describes my operation: ❑ Office Only, ❑ Retail Sales ❑ Medic
❑ Restaurant/Take Out Food l , Warehouse /Manufacturing/Distribution
(describe process and end product) i,y
Other (describe)
For Offreial Use Only
'Oce Group: Area: , Occ Load:
Occ Group: e SP, Area: 3 V _Oce Load: =
Occ Group: �� Area: Occ Load:
Total Sq Ft Occupied: No. of Stories: TIF Revi T Y/ N
- Bldg. Permit # Entitlement M Zoning:
Plnr Initial . Date:% Tql Plan Chkr Initial�� Date: t®I 0 Insp Initials: "ic_'._ t Date:
Conditions of Approval or Otbpr Notes
g1 fC'C?z y �U -"" ✓ Do()f'1 J �IJs � ��' �j'(�t �.. ow4A e
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