HomeMy WebLinkAbout101 Main St - CofO (69)J�
HUNTINGTON BEACH
CERTIFICATE OF OCCUPANCY 020 - OMV
CITY OF HUNTINGTON BEACH —
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241
Business License # f
Business Address 0/ h
Business Owners Name
Business Name
Business Type
i/n/ Si. 501T
F0161 a /n/6,
(3d Floor — Must Apply In -Person)
Date 10-2-0-10
Zip Code Z&I�
Telephone No.
Bus. Phone
Property Owner Information (required) Tenant/Emer enc Contact (required)
Name Ag ELri9clT/ E✓ELO m LLG Name iYl/KE OPTo
Address '7576 Home Address /ZOZ , t30041 �?
City�tfdfi_6i_'i _ "H State/Zip&4 2(v / City 0611 1& State/Zip 64 (p�
Telephone No. 7/4- 274" 01P77 Telephone No. IN- lO�?5-/')/21
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 be turned on? Yes[] No
■ Is the building sprinklered? Yes Non
■ Will operations produce dust/wood shavings or similar material? Yes[] , NOK
■ Will operations involve the repair or replacement of automobile parts Yes(] NoA If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? YesEl No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes 0No x
■ The following best describes my operation: ) - Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product) %1i0iC'T�A(9j� $,eoK�� - h'lOk�'G�fICE GE�JrS/.JGi
Other (describe)
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Occ Load:
Occ Load :
Occ Load:
TIF Review
Zoning:
Plnr Initials-11A — Date: 0Plan Chkr Initials: Date: Insp Initials: Date:
Inspection Date: