Certificate Of Occupancy Form - City Of Aliso Viejo Building Division, Ca Page 2

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CITY OF ALISO VIEJO
CERTIFICATE OF OCCUPANCY APPLICATION
BUSINESS NAME:
BUSINESS ADDRESS:
TYPE OF BUSINESS:
DETAILED DESCRIPTION OF BUSINESS:
BUSINESS DAYS/HOURS:
EXISTING SQUARE FOOTAGE:
CHECK APPLICABLE BOXES:
CHANGE OF OWNER
CHANGE OF BUSINESS NAME
TENANT IMPROVEMENTS PERFORMED
NO
TENANT IMPROVEMENTS PERFORMED
NEW TENANT
SQUARE FOOTAGE BY USE:
(EX. OFFICE% / WAREHOUSE%, RETAIL%, STORAGE%)
NUMBER OF PARKING SPACES PROVIDED:
NUMBER OF EMPLOYEES:
NUMBER OF RESTROOMS:
OCCUPANCY GROUP:
OCCUPANCY LOAD:
TYPE OF CONSTRUCTION:
DOES THIS BUILDING HAVE FIRE SPRINKLERS INSTALLED?
YES / NO
IF YOU ANSWER “YES TO ANY QUESTIONS BELOW, PLEASE EXPLAIN IN DETAIL
YES
NO
WILL ANY TOXIC, HAZARDOUS, FLAMMABLE LIQUIDS, CHEMICALS OR ANY
SOILD MATERIALS BE STORED AT THIS LOCATION?
WILL ANY MATERIALS OR CHEMICALS BE MANUFACTURED OR
FABRICATED AT THIS LOCATION?
EXPLAIN: __________________________________________________________________________________________
____________________________________________________________________________________________________
OWNER OF BUSINESS
OWNER OF BUILDING OR MANAGEMENT COMPANY
NAME:
NAME:
ADDRESS:
ADDRESS:
PHONE:
PHONE:
FAX:
FAX:
OWNER OF BUILDING OR MANAGEMENT COMPANY:
NAME (PRINT): ___________________________________________________ TITLE: ________________________________
SIGNATURE: _____________________________________________________ DATE: ________________________________
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE:
BUSINESS OWNER’S NAME (PRINT)______________________________________________TITLE:___________________
BUSINESS ONWER’S SIGNATURE: _______________________________________________ DATE: __________________
PLANNING
APPROVED BY:
DATE:

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