HomeMy WebLinkAbout15246 Transistor Ln - CofO (6)I
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Y Certificate of Occupancy No. 0200
0� APPLICATION FOR CERTIFICATE OF OCCUPANCY
CITY OF HUNTINGTON BEACH - DEPT. OF BUILDING & SAFETY
714/536-5241 (3'd Floor — Must Apply In -Person)
Business License # � "P' `�Date
Business Address 1 S a V 1, % rq A s Zip Code � � y
Business Owners Name 13%lh��%lI« %ore se / Telephone No.76 o 1-3-1
Business Name s+; Q+/`o u s Bus. Phone
Business Type ��; �Q� e u ve s�; �-� r
Property Owner Information (required) Tenant/Emergency Contact (required)
Name Uqh Oer J4ye Name ; tt Koresse/
Address a 6 Y yo top (1, wed a z�� Home Address 6zo/ it1nr rook
City M�ss,ate V; �i p State/Zip C,t 9916 �l City 0 L3 State/Zip ��6 Y8
Telephone No. 7g ?- 3 V 8 - r69,9 Telephone No. '7/Y-66' 6- 77�S
THIS USE WOULD BE DESCRIBED AS: /
❑ Newly Constructed Building or O 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 QNo ❑
■ Is the building sprinklered? Yes gNo❑
■ Will operations produce dust/wood shavings or similar material? YesQNoZ
■ Will operations involve the repair or replacement of automobile parts Yes QNo/23 If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes QNo JZ
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes QNo 0
■ The following best describes my operation: f Office Only ❑ Retail Sales ❑ Medical/Dental
0 Restaurant/Take Out Food 0 Warehouse [Manufacturing/Distribution
(describe process and end product)
0 Other (describe)
For Offlicial Use Onlv
Occ Group: Area: Occ Load:
Occ Group: Area: Occ Load:
Occ Group: Area: Occ Load:
Total Sq Ft Occupied: No. of Stories: TIF Review: Y/ N
Bldg. Permit # Entitlement #: Zoning:
rnnaitions-1-onroval
itials: Date:2 28 Plan Chkr Initials:
Date: Insp Initials: Date:
or Other Notes:
Inspection Date:
(G:Building/Forms/PermitApplication/Cof02006)