HomeMy WebLinkAbout15061 Springdale St - CofO (62)FIE
HUNTINGTON BEACH
Business Licen
Business Addr(
Business Owne
Business Name
Business Type
CERTIFICATE OF OCCUPANCY 020 it) - 3�12Z
CITY OF HUNTINGTON BEACH —
DEPT. OF PLANNING & BUILDING APPLICATION
714/536-5241
(3`d Floor —'Must Apply in - Person),
Date 1 -jr �
Zip Code ZLj f
Telephone No.'%/y• y(o C?Z �{/
Bus. Phone '-)/L/> 1110-o IT
Property Owner Information (required) Tenant/Emergency Contact (required)
Name � r�� c„r(�c.� Name
Address b >6 5t Home Address q— c ✓�
City /(/�� ri > f ct &-rc-'A State/Zip Cod} 17 City r' /w State/Zip C—A- of Q
Telephone No. q�q -2GjO• 2(00 Telephone No.
THIS USE WOULD BE DESCRIBED AS:
❑ Newly Constructed Building or I` 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 Noy
■ Is the building sprinklered? Yes' No❑
■ Will operations produce dust/wood shavings or similar material? Yes ❑ Nov
■ Will operations involve the repair or replacement of automobile parts YesD NoK If yes: Describe the
components repaired or replaced.
■ Does the operation involve the use of welding or open flame? Yes El No)]
■ Will the business be a drinking, dining or assembly use with an occupant load of more than 50 persons?
Yes ONo K
■ Will there be storage racks, gondolas, or shelving exceeding 5feet 9 inches in height? Yes DNo
■ The following best describes my operation: V Office Only ❑ Retail Sales ❑ Medical/Dental
❑ Warehouse /Manufacturing/Distribution ❑ Restaurant/Take Out Food
(describe process and end product)
Other (describe)
For O jficial Use Only
Occ Group:
Occ Group:
Occ Group:
Total Sq Ft Occupied:
Bldg. Permit #
Area:
Area:
Area:
No. of Stories:
Entitlement #:
Plnr Initials:i, Dater Plan Chkr Initials: Date:
Conditions of Approval or Other Notes:
Occ Load:
Occ Load:
Occ Load:
TIF Review: Y/ N
Zoning: cv
Insp Initials: Date:
Inspection Date: