HomeMy WebLinkAbout15061 Springdale St - CofO (14)CERTIFICATE OF OCCUPANCY 02015 -
CITY OF HUNTINGTON BEACH -
DEPT. OF PLANNING & BUILDING APPLICATION
HUNTINGTON BEACH 714/536-5241 I (3`d Floor — Must Apply In -Person)
an Business License # s Date - ;0 i Zj
Business Address STD ' -2k0 Zip Code C1
Business Owners Name 1(Qf"GU Q I-F-AetIV— V LI-S AM Telephone No.
Business Name \L�Pskvmo1 -f(' c t-)CL,C1 , T..c . Bus. Phone
Business Type d,, �I,,c c.le,lc�
P �
PropeEly Owner Information (required) Tenant/Emer enc Contact (required)
Name I Ct to cA,,r fjaName
Address 1 S' c19 l[ Home Address �! S[j
City. ate/Zip (` Ik-- 01? Q City jp l State,/Zip 2
Telephone o). — S(o2 3 Telephone No. 3l0 — 22 l L4 (!:�_q
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or @Ifxisting Building
CHECK ALL THAT APPLY:
❑ Change of Property Owner F'Change of Occupant ❑Change of Use ❑Additional Occupant
■ Indicate former type of business
■ Are you requesting that the electricity be turned on? YesO No
■ Is the building sprinklered? Yes C No ❑
■ Will operations produce dust/wood shavings or similar material? Yes ❑ N62_
■ Will operations involve the repair or replacement of automobile parts Yes No.Ffr' If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes O N
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONo
■ Will there be storage racks, gondolas, or shel.. n 5feet 9 inches in height? Yes ONo q/
■ The following best describes my operatio ffice Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution a e Out Food
(describe process and end product)
Other (describe)
For Official Use Onl
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/,'
Bldg. Permit Entitlement #:
Zoning:
Pinr Initials: Date: - 0.1 Plan Chkr Initials: Date:
Insp Initials: Date:
Conditions of Approval or Other Not s:
+
#4
UnhS zos �0.
t,G Toa
Inspection Date: