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I <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. r988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s8ls <br />il rOA 0t <br />- coo-2021-164-C) <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BTN 4]1?-?t <br />0 <br />(D <br />C <br />9.z <br />maa <br />oo7ma <br />U') <br />h <br />\ <br />f.-, <br />c-J <br />\ <br />1L144 alZ SouTu r4A,r., ST , S+^,rA ANA <br />ZIP CODE <br />921 ctBUSINESS ADDRESS uril{:F€Fl€u++€' <br />BUSINESS PHONE NO. <br />r?llr(io - QC39 <br />EMERGENCY PHONE NO. <br />awt3y- h6 89SAppHir; nAs5AGE <br />BUSINESS NAME <br />KiM PHuonlG Tu; N(,UYeM 0r,.,1Nt(, <br />BUSINESS NAME T <br />T/cA42t44 4 SouTu Lql, rv S u t 2,tto"tb@icAIN <br />EMAIL ADDRESS <br />o <br />(IF YES, NAME OFO YesYOU <br />BUSINESS PHONE NO.EMERGENCY PHONE NO.COMPANY NAME <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS <br />PROPERTY OWNER'S NAME <br />bp. SoTR oMo icvl <br />BUSINESS PHONE NO. <br />(1to3+S Dtrql <br />EMERGENCY PHONE NO. <br />6DtfuS-oK4'l <br />4nIQ rY),R$ECRAN, filE, ANUITTbR.NE , CAqMSO <br />PRbPERTY oWNER'S ADDRESS <br />,f <br />I!l Yes lfNo No. 1 Will you be storing and/or utilizing hazardous materials at <br />this facility?,, <br />El Yes E/l,,lo 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 />BUSTNES. DES.RTP.oN MASSAGE SPA <br />O AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />tr AUTO BODY (SEE ATTENTION BELOW) <br />O WOODWORKING (SEE ATTENTION BELOW) <br />tr E/rrING ESTABLISHMENT (SEE PWA) <br />Eirxen (oescRIBE ABovE) <br />ATTENTION: ALL GROUP "H' OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />INCIDENTAL TO WELOING WITH OPEN FLAME, WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN <br />ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. <br />2-lLl lz o rt <br />DATE <br />6? -- <br />,TURE <br />0wNPa <br />TITLE <br />qXPEEEYOPEN PERMITS?DVEs- - No -o"t"oireport' z,lp (ElDEPARTMENT{'SEoNLY <br />PRIOR APPROVAL DATE <br />blL, l r? <br />PRIOR OCCUPANCY GROUPg PRIOR CONSTRUCTION TYPE{hPRIOR APPROVED USE <br />9e*vr1p vtt <br />DATE .3llol"-lPLANNINGbct€4ZONE CUP FKAPPROVED DENIED <br />OCCUPANCY GROUP6 CONSTRUCTION TYPElz potsrbAPPROVED DENIEDry /-e -2tDATEocc. LoAD <br />I lNo ls waste being generated at this site?[ ] Yes [ ] No Has the inspector identified any hazardous materials at this facility? t I <br />Note: One of the following must be checked by the C of O lnspector <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />{i, <br />I <br />l <br />E MANUFACTURING <br />E OFFICE <br />tr RETAIL SALES <br />O WHOLESALE <br />OWAREHOUSE <br />tr GROUP ASSEMBLY <br />I