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Please turn in this completed form with your Ceftificate of Occupancy application. <br />Company Name (Print):Alpa Structural, lnc. <br />Contact Name:Lorraine Moreno <br />-,-SANTA <br />ANAJIiili} <br />Planning and Building Agency <br />Planning Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-20) <br />Santa Ana, CA92702 <br />(714) 647-5804 <br />www.santa-ana.org <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />Address (business mailing address):8334 Foothill Blvd. <br />City:Sunland State:CA 91040 <br />phoneNo.. (323) 258-5482 E-maitAddress: Legal@Alphastructural.com <br />! Change of Property Owner E Change of Occupant ! Change of Use ! Additional Occupant <br />1. The following best describes my operation: <br />E Office Only ! Retailsales ! Medical/Dental <br />E Warehouse/Manufacturing/Distribution E RestauranUTake Out Food <br />E Ottrer (describe) <br />2. Please provide a brief description of how the business operates at this site (for example, please <br />describe the general nature of the business, what activities occur on-site, the hours of operation, <br />open to the public)' office for Structural Engineering and Construction Company <br />3. What was the former type of business or use of facility? (Please contact the leasing agent or building <br />owner to determine prior business use.) <br />4. Has the building or space been vacant or is this a new building? Yes ! No E <br />lf vacant, for how long? <br />5. Are you an independent contractor? Yes E No E <br />6. Location of the business and suite numbe r, 1st and 2nd Floor No suite number <br />E lstfloor tr 2ndfloor ! _floor <br />7. Do you share the floor or business entrance with another business? Yes n No E <br />8. What is the amount of square footage leased?1,750 sq ft <br />9. How much of the space, which you lease, is office? <br />E looo/o tr so% n 30% <br />lf other than 100%, how is the remaining space used? <br />tr Less than 30% <br />S:Planning\Clericalcounter Forms\ <br />CofC Questionnaire 08-27-'l 8