HomeMy WebLinkAbout15061 Springdale St - CofO (70)APPLICATIO LN FOR. CERTJL
IFICATE OF 'OCCUPANCY
' �`,I�'V OF 7 (UNTINGTON BEACH - DEPARTATE VT OF BIJIILDTP1TG & SAFETY
(3"dFloor -:1lustApplylu Pepsoll,
( Business License #
i Address ;' 0 (gyp({d�4i t Il' E I vtJ?►N61�, �L�At� `�-6`i�ate
j Business Naixze _ UJen.c.b C' S Ss S Telephone } Q� �.•'i 1
Business Type �SA4--- C
ProOiAnerInformation Business 0imer
` Name �� t Name (luectic �,y,
`r Address I <-!a 9,r'6
Home Address l S, ^ ,A -Z
City +„t ,J Tel'(I�i 1i'�Sj_City lr Tel. fct!tiIAS2
THIS USE WOULD BEDESCRIBEDAS:
{ ClNewly Constructed Building or , Fisting Building
i CH THAT APPLY
I 'iarige of Owner Change`of Occupant CJChange of Use ❑Ad4itional Occuprs~r
s Indicate former use, if any )4r ,}� � ,, s
r -_
j
Does the building have electricity? Yes, No[J
If No, are you requesting that the electricity be ttu-ned on? Yes ❑ No Lj
The building is sprinklered? Yes NoO
Operations will ,product dust/wood shavings or similar material? Yes Q No 11
Operations will involve the repair or replacement of automobile parts Yes Ll No
If yes: Describe the components repaired or replaced,
Dees the operation involve the use of welding or; open flame? Yes ® No �n
The business is drinking, dining or assembly use that will .result in an occupant load
of more than SO persons, Yes Q No
The following best gescribes my operation:
1�(Office Only, etail Sales ❑Medical/Dental LJRestatu•ant/Take Out Food UWarehouse
❑iv.[antafacturing/Distribution (deseci.be process and end product)
Other (describe) 1�
t:
s
Office Use Onlil:
Zoning: '' Sq Ft Occupied: Occ Group; Occ Load:
nStories: _ Parking Spaces: TIF Review,; YIN ^Amt Paid$:
Paid BEFORE Final Inspection
Building Permit Entitlement m: i
Comments:
Planner Initials• Date: Ian Checker I itials: Date: CafO 41
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