HomeMy WebLinkAbout15061 Springdale St - CofO (40)„/1L
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HUNTINGTON BEACH
Business Licen
Business Addr(
Business Owne
Business Name
Business Type
CERTIFICATE OF OCCUPANCY 020
CITY OF HUNTINGTON BEACH —
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241
(3`d Floor — Must Apply In -Person)
Date G( )� �!
Zip Code 16
Telephone No. "7/1-/, y/o •OZ q{y
%*y Bus. Phone -7/!-/• y/p=d 2�41
Property Owner Information (required) Tenant/Emergency Contact (required)
Name / ( qC L% Name Dit, e—
Address '36 36 l3, 2`-, Safi' , Home ddress ✓�
City /f%ft fir• &i State/Zip C,,i } City State/Zip Gf�
Telephone No. �y�• Z�. �(00 Telephone No, 6 Z6 • G(� ' �/ 6
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or Ik 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 N0
■ Is the building sprinklered? Yey, No❑
■ Will operations produce dust/wood shavings or similar material? Yes ❑ No'4
■ Will operations involve the repair or replacement of automobile parts Yes NoK If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? YesD NOW
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONo KI
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height?.Yes ONO
■ The following best describes my operation: )A Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
Other (describe)
For Official Use Onl
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:.
Bldg. Permit #
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Plnr Initials: Date: A Plan Chkr Initials
Conditions of Approval or Other Notes:
Date:
Occ Load:
Occ Load:
Occ Load:
_ TIF Review: Y/ N
Zoning:
Insp Initials: Date:
,..
Inspection Date: