Laserfiche WebLink
C <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O.1988 (M-le) <br />Santa Ana, CA 92702 <br />(714) 647-s8ts <br />COO- zozl-3rc-Co <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BTN K117A I <br />.t. tt <br />(D <br />CLz <br />mao <br />oo7m <br />ct)a <br />S..\qa <br />I\ <br />\ <br />F <br />+- <br />n <br />stt <br />$ <br />.l <br />o <br />) <br />tb u^/;t C 121o fztP <br />r rrJ VEo(L <br />BUSINESS PHONE NO. <br />YY6-ocoo11 <br />EM <br />5t1_1555-l'lgATTAF^'P dL"(-rrE <br />BUSINESS OWNER'S NAME & TITLE <br />A <br />EMAIL ADDRESS <br />L AGtr,"o tft llbs3H;5 <br />SQUARE FEET <br />/ooc>/ ooo <br />AREA(No (lF YES, NAME OF SUBLEASOR)O Yes <br />t)'E {L I <br />NO. <br />l'1 63 8 - lL,l <br />EMERGENCY PHONE NO. <br />1 Ste 3oo n 7COMPANY ADDRESS <br />t A,t IV <br />PROPERTY OWNER'S NAME BUSINESS?HoNE No <br />() <br />EMERGENCY PHONE NO. <br />() <br />PROPERry OWNER'S ADDRESS <br />BUSTNESS DEscRrproN 6t<il q +""tJ o+1,2 <br />O MANUFACTURING <br />YoFFrcE <br />E RETAIL SALES <br />tr WHOLESALE <br />BWAREHOUSE <br />tr GROUP ASSEMBLY <br />T <br />tr AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />O AUTO BODY (SEE ATTENTION BELOW) <br />tr WOODWORKING (SEE ATTENTION BELOW) <br />E EATING ESTABLISHMENT (SEE PWA) <br />O OTHER (DESCRIBE ABOVE) <br />El Yes F(No No. 1 will you be storing and/or utilizing hazardous materials at <br />this facility? <br />I Yes ,(No No. 2 Does your production process produce hazardous waste? <br />lf you have answered Yes to eather 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 />INCIDENTAL TO WELDING 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 />SIGNATURE C€o <br />TITLE DATE / I <br />oV/Zt / z r <br />DEPARTMENT USE ONLY YES NO <br />Nd ltradl <br />Date ol reDort:n;;;ii -'llr'r^r4 ll to v.H <br />EXPIRED/OPEN PERMITS? <br />PRIOR APPROVED USE <br />tvfaylfaCnltn l/ <br />PRIOR APPROVAL DATE <br />3l z-r lrO <br />PRIOR OCCUPANCY GROUP <br />€- t- <br />PRIOR CONSTRUCTION TYPE <br />vg <br />PLANNING <br />IND <br />zoNEu <br />NI <br />P DATE . . <br />sl slzr <br />DATE r I74/le 4OCC. LOAD OCCUPANCY GROUP <br />5-?I I <br />CONSTRUCTION TYPE <br />//R <br />Note: One of the following m(lst be checked by the C of O ln-pector. <br />I I Yes [ ] No Has the inspector identified any hazardous materials at this facility? <br />AOn(€0lr"C,,t <br />[ ] Yes [ ] No ls hazardous waste being generated at this site? <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY)