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HomeMy WebLinkAbout15177 Springdale St - CofO (5)Business Licen Business Addn Business Owne Business Name Business Type Name - Address City j Telephone No. CERTIFICATE OF OCCUPANCY 0200-7 - CITY OF HUNTINGTON BEACH — DEPT. OF BUILDING &SAFETY APPLICATION (3'd Floor — Must Apply M-Person) h^` Date ©% ` i Z- 0 Zip Code Q Telephone No. �g 1 Bits. Phone )rmation (required) Tenant/Emer enc Contact (required) Name Home ddres State/Zip CA T407 City Q State/Zip q� Telephone No. THIS USE WOULD BE DESCRIBED AS: ❑ Newly Constructed Building or *xisting Building CHECK ALL THAT APPLY: ❑ Change of Property Owner Vane of Occupant ❑ se ❑ dditional Occupant Indicate former type of business �--• -- C L ■ Are you requesting that the electricity be turned on? Yes No❑ ■ Is the building sprinklered? Yes❑ No❑ ■ Will operations produce dust/wood shavings or similar material? Yes❑ NZo ■ Will operations involve the repair or replacement of automobile parts Yes 0 If yes: Describe the components repaired or replaced. ■ Does the operation involve the use of welding or open flame? YesO No[] ■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons? Yes ONo� ■ The following best describes my operation: Office Only ❑ Retail Sales 0 Medical/Dental ❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food (describe process and end product) ❑ 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 #: Plnr Initials--,�-- Date: Plan Chkr Initials: Date: Conditions of Inspection Date: Other Notes: (G:Building/Forms/PermitApplication/CoID2006) Occ Load: Occ Load Occ Load: TIF Review: Y/ N Zoning: Z t.__ Insp Initials: Date: