HomeMy WebLinkAbout10111 Adams Ave - CofOVUV
J� CERTIFICATE OF OCCUPANCY 0 -
CITY OF HUNTINGTON BEA
DEPT. OF PLANNING & BUILDING APPLICATION
HUNTINGTON BEACH 714/536-5241 I (3'd Floor — Must Apply In -Person)
Business License # Date Y-l6��-3
Business Address ,1qp,4MS Av& Zip Code V'Z,�/S
Business Owners Name 479-15- 2Q5U47/-O/ C.157V MR Telephone No.
Business Name ems" Lbyo- Bus. Phone
Business Type - 4-Y7-7,C—X SC17�DL 7-070 h-t—
Propelly Owner Information (required) Tenant/Emergency Contact (required)
Name S(2 1) k=, 90AS7 4 ADAys LLL Name LUI sl4w,4
Address �7C�0 g�F SPP-/nr6 CT &-eD Home Address 1-471t �J 6h /DO
City l"Pl & AF/744 State/Zip City /P,VIlVi5 State/Zip C,4 9Z-4,/,9
Telephone No. fU/Z r ¢9� f dG q9 Telephone No. 9 - 6/6 -
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or xisting Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner Change of Occupant ❑Change of Use ❑Additional Occupant
■ Indicate former type of business acu/p/c—�
■ Are you requesting that the electricity be turned on? Yes1 NOD
■ Is the building sprinklered? Yes V , No ❑ ,�/
■ Will operations produce dust/wood shavings or similar material? Yes❑ NoC
■ Will operations involve the repair or replacement of automobile parts Yes0. NoPl"" If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yeslj No
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes QNo b/
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes ONO P--111
■ 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) _�/ L/455-�qOOjn AP-�rf M!Z T7/Too1_//i-
For QfLicial Use 0n1
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #�'-
Area:
Area: T—
Area:
No. of Stories:
Entitlement #:
Plnr Initials: Date: Plan Chkr Initials: Date;
Conditions of Approval or Other Notes:
Occ Load: 4;2,S;
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning:
Insp Initials: !� Datef'
\'-+ Inspection Date: