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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. 1988 (l\t-19) <br />Santa Ana. CA 92702 <br />(7 t4) 647-5Er5 <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BTN 1€\ ?< ?_ n'1) <br />(E <br />Caz <br />m <br />@a <br />o <br />Bma <br />U' <br />o <br />z <br />61pI <br />J <br />P. <br />p <br />1I <br />Cq <br />5 c1 <br />UNIT OR SUITE ZIP CODEAUSINESS ADORESS ot <br />NO <br />s <br />BUSINESS EMERGENCY PHONE NOBUN <br />EUSINESS OWNE E NO & STATES ORIVERS LICEN <br />L <br />ESS ITLEBS <br />EMAIL ADDRESS <br />l; <br />AUSINESS OWNER S MAILI G ADDRESS ?L C..r;DirC (L <br />C'a <br />SQUARE FEET FL AREANo (lF NAME OF SUALEASOR)DO YOU SUALEASE? t] <br />EMERGENCY PHONE NO <br />r-trs?.J.rr <br />CoMPANY NAMETEASING A NT R <br />,/ct - Zi?sl <br />BUSINESS PHONE NO <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADORESS <br />Oenvar. <br />BUSINESS PHONE NO <br />ftsl ,'JtD - zt; /() <br />EMERGENCY PHONE NOPROPERry OWNERS NAME <br />6":r.J"Io,-*"j3( <br />PRoPERTY owNER's AbDREss <br />D.r..,r. <br />BUSINESS DESCRIPTION <br />O MANUFACTURING <br />D OFFICE <br />D RETAIL SALES <br />O WHOLESALE <br />OWAREHOUSE <br />O GROUP ASSEMBLY <br />O AUTO REPAIR (NOWELDING, NO OPEN <br />FLAMES. NO SPRAY PAINTING <br />O AUTO BOOY (SEE ATTENTION BELOW) <br />E WOODWORKING (SEE ATTENTION AELOW) <br />qEATING ESTABLISHMENT {SEE PWA) <br />E OTHER (DESCRIBE AEOVE) <br />El Yes XNo No. 1 will you be stonng and/or ulilizng hazardous matorials al <br />this facility? <br />El Yesjlia lo No. 2 Does your produclion process produce hazardous waste? <br />ll you have answered Yes lo erther questron you musl conLact Orange County <br />Ftre Authontys Hazardous Malerial Drsclosure Sectron et (714) 573-6000 <br />lf YES please descibe AA <br />ATTENTION: ALL GROUP 'H" OCCUPANCIES (INCLUOING, BUT NOT LIMITED TO, AUTO BOOY, AUTOMOTIVE WORK OR STORAGE <br />INCIDENTAL TO WELDING WITH OPEN FLAME, WOODWORKING, CUTTING, SHAPING OR SANDING WOOO) SHALL NOT BE CONOUCTEO IN <br />ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED."*[5.L TITLE <br />P,e=?&'t\. <br />DATE <br />i>/;f'u',-1 <br />DEPARTMENT USE ONLY PERMITS? <br />Dale ol report 7lzt lo-Q-Q-at\2r-NO <br />PRIOR APPROVED USE <br />€orltn " €.i-aL li<hnar.t <br />PRIOR APPROVAL DATE <br />O< loc f a-o,s <br />PRIOR OCCUPANCY GROUP <br />I <br />PRIOR CONSTRUCTION TYPE <br />VB <br />PLANNINd <br />GC <br />ZONE <br />CI <br />CUP APPROVEDP--'-s\DENIED oAIE / <br />1i1611_dL- <br />occ. LoAD OCCUPANCY GROUP3 CONSTRUCTION TYPE//t 2-aryclt <br />APPROVED L,,DENIED <br />\ <br />DATE//3-22 <br />Nols One ol the lollowlng musl be checked by lhe C ol O lnspector <br />I I Yes I I No Has l]E inspector ldenliffed any hazrrdous malerials al this facillly? <br />J <br />t I Yes )€lo ls hazadous waste being generated at this site? <br />€qt ..", oslab\i sh.ncni <br />NOIES: (LIMITAIIONS OF APPROVED OCCUPANCY) <br />a\sa <br />coo-2021-561-CO <br />I