HomeMy WebLinkAbout15281 Graham St - CofOr
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APPUICATIGN FOR GATE t F OCC Pp:NCY
C17Y;OF}iI�f3T01� BE 'Ad
DEPARTMENT OF'DFVEt.dVMENT senvicts
t1UMTINGTQN BEACH
(phi1 T`OR TYPE'ONLY) DATE
Address
Occ `Gr"cSj3
BusinessTyp
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OWNpR[6jA M `FR
.. ajil a:ffd , LoYdbsen `Propel t i es me e- ------ Ja'k Loi^esert Na'r Raet
Ni;e 12731i&'lyer Fex Ro`d Address 5482 .AY o'�`�e
'Address 898=31
Y Ntti� Beach`, CA926'49
l_os Al r i ft's CA 9 620 Tet• 596-3I38_ y Te{.
City ctt
T4 `IS US "`4i 1112 bESCNft9b AS:
0 NEWLY CO;.NSTh`0CTE&'kLDG. FI
E?�fST�`fNGE��i LD�iVG ❑
Intlicatp`foP'�Q`r'tise, if`any ,, ..°'
CHANGE OF OWNER CHAGi`OF•°(3CCUf'A T
CHA`i\iGE OF`O�E ADi[ ONAL'OCCUPANT
O'C6 '6ncy Gr. -a `Div. ---
a' df anlid'iis prf�liih'fd ei atsiss license williot be issued u`nl1
Ir
No 1. Occt� n y Y
has hel�ecti "i e=e�tef occii "isEissUe h
2. Noelectrical service;irSlli�`be teieased`f6r ahy e�isti�t�l f�l�"e'`5er�iicehasbee�l �i�i�ected :.
and`cet't il'sefe. Ail ap li el is far &0-6�- y iner►�'e�ristifi
electrical 'fUse a inspectI& ih''�he1 Dep'a t df, Deveioof� b t„Services at the `tide this a i e�
this flied
.��
3. Change of occu�ei�ey ar`tise ir,specticin�fee. 'Whenever it Is necess��y toP�ke�iiispecfli�df e {i�f11d-
t.: 9 .e�iay'bente'{e''intEe ch'ecter ofocct'1y nrT�se
r% Iig or prises°iri c�rder`tbdete�ifftfie if a`�hv a'cliifirer►tiisiori cfha"s`aie ailnN
of the {ti{iriifg ori'eiises Wiich woi� place the'fii i y . -
,{ of `oc if e 'cy or In -a- di ferent'gl'o p'"bf occtrpaAr�cy, a ha ige` f accupa ic: t4i 0odti ri�fee `bf $
shall be pa Y. e res th 8 c�
id-t�i the cit tube ail... .
4. Ht fIh o`°�'. Beaeh' FIM Cotle' Sectiofitib r gCii at llbr of l >•s
.w M96k-
of fo r�(4i ii� hes In h'e j t with�ie`tiaif ('Iz) ih'chIf'f6ke, and 6f a col i?a
sft� e« iol`:fi=
d ,iih° eB"rb�li�i�lh°a locatlon'tht�is �ilsihie frcfi�#fie street.
�� gNdltsrti, These'rttihers'iGst tie poste �,
tt 5. HunliBeaclt 'Fire `Code `Secti'+cn 1r036T1 'ret{Ciires fire eittiisii' seiectiti`ailii's rlh tion
1� ,
per the`IVaii-on`a{ Fire Prdtectldh Assdclatir��i�' f l t-1d`(see reUerse ide .
�. � r-a r7G/� (FOR` 0"•FiCE�I�E`'ONLY}
SUPPI:EiVIi~NTAL i�i�i✓d�lli}A1'iOIV
SQUARE FT. OF g'i„LDNG� i PLAN CHECK NO. �__ ____ _ NO. PAii�1NG �SPAcE5
. __ PERMIT ( 0. HEALTH iji=pT ApPOVAL
OCCUPANCY GFiC P __--��
OCCUPANT LOAD �: �z_______ ADMik ACTION --- -- tJ7iLiTlES RELEASI~b
No,, OF S1`OR-�:x.r......rr'�i'G ,,k:,Lz•t::..,m.�„.,c. s��;.
CERTI ICATE OF' C1lPANCY F
tJATir CHANGE '{5F
APPOVFD OCCUPANCY�PEE $ _ --
BY'� $
r� TOTAL
Kr � > t:t• n, r-Z?`gf r'a'r_. t% '',f ,l� TT tl �• T � � � _��erei.-�
75-03�J Fi[V. 7) lix f.t. is ,:.t =N , { ..: t: c c !.-r'• _/