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coo-2021_209_CO <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. 1988 (M-le) <br />Santa Ana, CL 92702 <br />(714) 647-s8ts <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BrN 3?+-5?Z <br />u,C <br />9.z <br />ma <br />cJ) <br />oUvm <br />U) <br />U) <br />tsFr <br />tr <br />.c <br />rA-F <br />)- <br />q2 D <br />B <br />-q <br />NAME DRIVERS LICENSE NO. & STATEBI.IS <br />EMAI <br />DO YOU O Yes (IF YES, NAME OF q lt ,r lltLo <br />PANY NAME BUSINESS PHONE NO <br />b w EMERGENCY PHONE NO. <br />I ec', <br />BUSINESS PHONE NO.aNJh qryb EMERGENCY PHONE NO. <br />() <br />Ztb .=t trrv,{-, C,rvto, Co "1?-?p ) <br />BUSINESS DESCRIPTION <br />O MANUFACTURING <br />D OFFICE <br />E RETAIL SALES <br />E WHOLESALE <br />tr WAREHOUSE <br />tr GROUP ASSEMBLY <br />FLAMES, NO SPRAY PAINTING <br />O AUTO BODY (SEE ATTENTION BELOW) <br />tr WOODWORKING (SEE ATTENTION BELOW) <br />tr EyrG ESTABLTSHMENT (SEE PwA) <br />turrHER (DESCRTBE ABOVE) <br />WaA* Sahn <br />*.rrldr*otr AUTO WELDING, NO OPEN <br />Or* Ky. 1 Will you be storing and/or utilizing hazardous materials at <br />lhis facilily? 1/ <br />El yes E/(o No. 2 Does your production process produce hazardous waste? <br />lf you have answered Yes to either question you must contact Orange County <br />Fire Authority's Hazardous Material Disclosure Section at (714) 573-6000. <br />lf YES, please describe <br />ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />tNctDENTAL TO WELDTNG W|TH OPEN FLAME, WOODWORKTNG, CUTT|NG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED tN <br />ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. <br />SIGNA <br />Ott)noy <br />TITLE DATE <br />b trt [ ?pzr <br />DEPARTMENT USE ONLY EXPIRED/OPEN PERMITS? <br />iT priJX ,*'^iH{,'il'!, stzq6D <br />PRIOR APPROVED USE <br />Q,nrnt U U <br />PRIOR,APPROVAL DATEu I tlt, llilt1 <br />PRIOR OCCUPANCY GROUP <br />fl <br />PRIOR CONSTRUCTION TYPE <br />]il R s?/.r <br />PLANNING <br />DL <br />ZONE <br />eDgq <br />CUP APPROVED <br />/^./nnqwz <br />DENIED j/ 25 / auDATE <br />OCC. LOAD OCCUPANCY GROUPE CONSTRUCTION TYPE <br />VB-s?t< <br />DENIED 'ff'tg -z/ <br />Note: One of the following must be checked by the C of O-lnspector. <br />[ ] Yes I I No Has the inspector identified any hazardous materials at this facility?[ ] Yes [ ] No ls hazardous waste being generated at this site? <br />l-/ <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />l