HomeMy WebLinkAbout101 Main St - CofO (34)® CERTIFICATE Or OCCUPANCY 020 -
�� CITY OF HUNTINGTON BEACH
DEPT. Or, PLANNING & BUILDING APPLICATION
HUNTINGTON BEACH 714/536-5241 (Ya Floor - Must Apply In -Person)
Business License # A21(U 541 Date 11
Business Address 101 Zip Code
Business Owners Name --TR&L ' EMI Wo✓IdwidtF:- Telephone No. 'I Ir4-Slr► - 5211
Business Namemviiia e,/A✓I WrNlrlwirlE Atr igvicaS , LLc Bus. Phone —1 W - 8(0l - 5 7- 0
Business Type l Vt-
Pronerty Owner information (required) Tenant/Emergen2y Contact (required)
Name _ -,A -elvoltt 1r 97vcloRmcv►0. LLC Name fn� n Ji Lf
Address 5�-e 16t,; Civdr Home Address , W.!s 3f:
CityI State/Zip CA 12 LI41 City- fas-ftyl State/Zip CA- q:Z IED
Telephonel,ro. `114 -53(v- los(rI— Telephone No. -114- BIoI- 721
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or gExisting Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner ❑Change of Occupant ❑Change of Use ❑Additional Occupant
y Indicate former type of business
o Are you requesting that the electricity a turned on? YesQ No❑
• Is the building sprinldered? Yesp No❑
• Will operations produce dust/wood shavings or similar material? Yes❑ Nw
• Will operations involve the repair or replacement of automobile pails YesQ NW:r If yes: Describe the
components repaired or replaced.
Does the operation involve the use of welding or open flame? YesQ NOV
Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes PNo:V/
a The following best describes my operation: - /office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
Other (describe)
r,or Official Use Onl
Oce Group: Area:
Oce Group: Area:
Occ Group: Area:
Total Sq Ft Occupied: No. of Stories:
Bldg. Permit )Entitlement #:
Plnr Initial : V Date: S I l Plan Clilv Initials: Date:
Conditions o Approval or Other Notes:
Occ Load:
Occ Load
Occ Load:
TIF Review
Zoning:
Insp Initials: Date:
Inspection Date: