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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. le88 (M-le) <br />Santa Ana, CA 92702 <br />(714) 647-s8ts - BTN Tz|rl t . <br />TDCaz <br />ma <br />U) <br />oonma <br />U) <br />8g <br />-l-rQ\ <br />Ctr <br />d <br />A,D- t-in oo2E <br />To b" oZ .4 ,rlNAME qa lu- &4 o-? <br />Tarb- <br />OWNER'S NAME & TITLE OWNFR'S DRIVERS NO. & STATE <br />It ?>- <br />BUSINESS OW NER',S t\4AtLtNG ADDRESS <br />5,al;ue h! D o 01+ ?o'+ t <br />(IF YES, NAME OFDO YOU SUBLEASE? Yes <br />loo / ct. <br />tlLEASING OR PROPERTY NT NAME PHONE NO <br />o <br />EMERGENCY PHONE NO <br />ol <br />Ala irt ocADDRESS <br />( <br />rlkE <br />/ <br />PROPERTY OW <br />ol E <br />NER'5 <br />PROP24 ERTY OWtl4o ,r*l-o <br />BUSINESS DESCRIPTION <br />MANUFACTURING <br />OFFICE <br />RETAIL SALES, <br />WHOLESALE <br />VwnReuouse <br />AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />AUTO BODY (SEE ATTENTION BELOW) <br />WOODWORKING (SEE ATTENTION BELOW) <br />EATING /FOOD SERVICE ESTABLISHMENT <br />CONTACT PWA FOG PROGRAM REVIEW AT <br />7 1 4-647 -3380. <br />OTHER (DESCRIBE ABOVE)GROUP ASSEMBLY <br />sfivlrffi * /'At;ct <br />lrLl::,}lf," <br />No 1 will vou be storins and/or utilizins hazardous materials at <br />t I Ves }(o No. 2 Does your production process produce hazardous waste? <br />lf you have answered Yes to either question please contact the Orange County <br />Fire Authority (OCFA) 71 4-573-61 00. <br />lf YES, please describe <br />ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />INcIDENTAL TO WELDING WITH OPEN FLAME, WOODWORKTNG, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED tN <br />ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. S.A.M-C. ,I4-7.2 <br />SIGNA TITLE DATE <br />DEPARTMENT USE ONLY <br />I /-6nrOPEN PERMITS? <br />YES <br />PRIOR APPROVED USE <br />ftquOu*tt- <br />PRIOR <br />o Y <br />PRIOR OCCUPAIICY GROUP{5-PRIOR CONqTRUCTION TYPE <br />lll o/ , <br />PLANNING <br />( <br />ZONE <br />tA <br />CUP DATE / I <br />{ /so /trx3BLDG. SAFETY CONS'TION TYPE <br />6 <br />DENIED '*' f/r/ /r"l <br />il Yes [I No Has the inspector identified any hazardous materials at this facility? [l Yes [ ] No ls hazardous waste being generated at this site? <br />utwarluls{. <br />f-uurL <br />W,_, -TE{91 <br />NOTES; (LIMITATIONS OF APPROVED OCCUPANCY) <br />Note: One of the following must be checked by the C of O lnspect6r <br />r.,- ,/ <br />,fffi No8o4 1,8224 <br />occuPA-'i'J;.1Eili3il <br />BUSINESS PHONE NO.EMERGENCY PHONE NO. <br />4