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IIU%171'tiGTOIV BfACIi
CEMf(F-''ICATE OF OCCUPANCY Novomber 17,E 1.970
C{TY'6FI4(JI4 'INGT0N BEACH Date
DEPART IEt T t"F t3 eblG & SAFETY
This is to certify that the f efMix*_of (10'ln, Operitt(;{.t_ :, afi o'Am..r{nd__ as authorized
�:�.� �v'raa•i�
tinder Btttlding Permit No. __ _ A ? 1 ____�___�__� and is identified `as Ig2 .Ilgtn }jtxio f_._�__
AOC1fiF_SS
_-f{ttrt ra,tr�r i; wrtx�� ,_ � I�. 1� .n �. x�t�{3 t � ificrirs
-----___._.and `described as _ __ __----__ _
f in the buitding owned by C�ii ,zi��€� .��;�'r`���?£��' ______... ___..._. at 122 �Jnj.ti
____ji~u�_ }33�t; .._._._.__._,:. roiniilies with the provisions df ,ail pertinent laws,€�ries, ordinncPs and any imposed
` conditions for the use described and classified as an ......?�-_.._�_.�.__ occupancy,
MAXIMUM OCCUPANT LOAD PERMITTED .___.._--.- ._.._..... ��.___._____._....._ ._.__._.____._.
Notice: Cylltir)io}s vmst half of 3.W.2di.iig
Tbis Certificate of Occupancy
SHALL BE posted in a conspicubus place on -
the premises and Mall not be removed except 0. C. Cleveland
by the Building Official. Director of Bonding & Safety
A-pollcati-on 110 r
Cortl,-firate of OCCIIIIA110-Y
-C,L ty 0 f 11fint ington Beach, Ca 11 f Orill.1a
A P.Certificate of ,0ccdpn,ncy o-r-a
ica'tion is hereby made for a f,
P t 0
1)6scri.be use
To be knownasz
Name of 1)usinoss
Located at A/i
Add,ress
By C
-Owner of Building Address Th6he No Date,t. %; .���,
This use w661!d be described as:
New 16i1di-ng Exist 1h&,Btfilding]�ChAn"ge of Us6 mtffige of 6wh2e t
T-ftd,ica-te Comer use if ailY
PERSON TO NOTIFY "IN CASE OF E0k;E NCY:
J- f i j At' z, 111) 13vi I
Nafne BI18INESS OWNER Addre__JS
'1'1-01,7 1,A/
-NOTE: A business licotise Will not be issued -dn-t'il
inspected and a'Ceiti:fitate 'of OCdA06hey is
� E -ATMENT4
�P
ptaihning Depatt'M-'eft't
'Name
2 F. ix e Depa t t-fiie'n t
:Nai' e
3. Bt�,tl-dtng Departffidtlt
Name-
Date
161
Date
Re''mArks :
-Remarks:
Ph6he No
j.
the 'buiiildlng has Vee'n
issued.
0 C
96nia s.
Date
4. 'Hea-dth De'partfront Remarks:
f'•c % `_. <`1 r� .. 'r `: _ .^ � % ='fir--=--_._. ---•--•
Naive Date
f.
SUPPLEMENTAL INFORMATION
Sqft. of building2 No. Parking spates
Occupancy Group C. E. or U.P. No.
Occilpant Load Utility Release
Permit No.
1 CERTt 1CAT� 0� t CC.U'A Y Nowin})er 17, 1970
GITYF`tT�I BEAC�r Date
�jEp ,ttri t� 'Y`�r• au1I c & Si PETY
Hu. TIw;T04 SE:iCfl
i This is to Mt!f that the . I!q9_ t9:;._Iair Ktax"0. cc _ as authorized
}
f :hider Building Perriiit No. ?'".r____and is`identlied`as.� ��'� _
i ADDRESS
1unt3.rigton Beach
descf`ibed as Joy: ► rz 61i0s3hGp
x i ding owred'�v Gt���-�s }��rN�:an the builat 122 1'�x�-�i
-
--
NAME ADDRi_SS
Hi ll'1:lnc� toii Betich
_.--. _ . - complies v�i#h the ptr�visions of all`�ioftl` 111`fiaws, codes, ordPOW6s and on y into osed
i
3 corlditions for the use described and classified as --------occupancy.
OCCUPANT i
i
PR�I�Xlhttlii� OCCUPANT LOAD PERMITTED
i�lotice: Occupies earn half of BuUrl:l.ng. )
This Certificate of Occup; cy
Sr✓IAI_L BE posted in a conspicuous. place on
the' re► ises and shell riot be `removed except ;0. C. CleyeN d
by the Building Official. Director of Biildiig & Safety
0
ApIl I i bi'u i on For
f; i Ca t: e OCC- 1.1 pancy
C
C t-y of 111,111tinf.Aml Beach, Col j fc) 1-11 i ;i
App i 0Y, hS [AC-1-ebY 1118de I"()r �I Clet-Li ficat.e of Occupaticy
A
Ntime of hus iiess
1 0 a t. C (I rI t
Address
/ 410-f—
OW11 e r o A d d e s s Pbone, No. Da Le
This tur;e w6uld be descr,ibed a s
Ovi iige o I Owtie r
I,x i i 111 PI I i, i 11
ev,�- Bu i I (11 I)i, I .[ ;l
I I -Id i Ca L C- f ,OrMC,F use ally
1) E R S 0 N TO NOTI VY I NN C, AS E 0)-,' EMERGI"'NCY:
Name i vj; Addr ss /* Phone No.
Sm'i r-/N A
NOTE': A hjsijie-;s hceiise r-)(.)L be issue(f t-wLil Lhe bul,lding hi.vs been
1. C., -) I- ` -Icy i 'I(- (
I i s p e c L (I a r)'d a C c, r L i. I c a t, e ( I OC-CLIJ),-11 S !SSI -� I-
OFFICI- U'SE ONLY
DFI)ARTMENTAL. APPROVAI-r-3,
I'. lljantvhi,� PeparLment
— Nt-11A I —n�
Remarks:
Date
Fi re DeoartmenL
,N`ame DaL
Da L e
r I i i e I I L
HealLh Depa
ell
N,,i-me Da L
,)IJPPIJ-,:ME,NITAL INFORMAIJOIN,
Sq. I.L. of bul-I.ditl�z,
tlp/El
OC(-,:,911L Load
CL
in, rk Re L' 01
Remarks:
No. Parking spaces
or U.P.
L! tL i I i L y Re I zas e