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,Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s8ts <br />No. 804-282LG <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BTN 3qqqt s <br />u,C <br />@4=,m <br />(n <br />@ <br />N <br />u\ <br />\$ <br />h# <br />\t <br />1. <br />L7 <br />BUSINESS <br />\J <br />qqq a1. tt <br />BUSINESS OWNER'S NAME & TITIIE BUSINESS OWNER'S DRIVERS LICENSE NO. & STATE <br />t nja-r(onr zbaT at\i<o <br />BUSINESS OWNER'S MAILING ADDRESS C0fhnrtjv'ttI sY>Tbrk C11 <br />(IF YES, NAME OF SUBLEASOR)DO YOU SUBLEASE? Yes SQUARE FEET <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME <br />A <br />LEASING AGENT OR'PROPERTY MANAGEMENT COMPANY ADDRESS <br />f I nJY -f ( rv\ L,? <br />PI]OPERTY OWNER'S NAME BUSINESS PHONE NO. <br />fiq-U b1, t7yLl <br />EMERGENCY PHONE NO. <br />,7V?,1 b1 t 3 ,i '/ <br />Tfla UrA o?o rW .U)t Nuhrz qcrt cn qLuG3PROPERTY OWNER'S ADDRESS <br />I BETAIL SALES <br />r I WHOLESALE <br />WAREHOUSE <br />I GHOUP ASSEMBLY <br />iT AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />tr AUTO BODY(SEE ATTENTION BELOW) <br />D wooDwoRKlNG(sEE ATTENTTON BELOW) <br />n EATTNG ESTABLTSHMENT (SEE PWA) <br />D oTHER (DESCRTBE ABOVE) <br />(1-orrrce <br />BUSINESS DESCRIPTION <br />i- MANUFACTURING <br />I I Yes D{ No No. 1 Will you be storing and/or utilizing haradous matarials al <br />thisfacilffi <br />t I Yes }{,No No.2 Does your production procsss produc€ haTanlous waste? <br />ll you have answered Yes to eilher question you must conlact Orange County <br />Fire Authority's Hazardous Material Disclosure Section at (714) 573-6000. <br />ff YES, please <br />ATTENTION: ALL GBOUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />TNCTDEALTAL TO WELDINGIVITH OPEN FLAME, WOODWORKTNG, CUTT|NG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED tN <br />ANY6UA\I,G OT6fFUCTIBE UI!,#STHERE IS AN APPRoVED FIRE SPRINKLER SYSTEM INSTALLED.mrc f(Al@-{nG<' <br />DATE . <br />tr/ ezlutq <br />DEPAHTMENT IISE ONLY YES r I NO Date of roport: <br />t L <br />PRIOB APPROVED USEa/a PRIOR APPBOVALDATE+/n -PRIOR OCCUPANCY GROUP.u/<PRIOR CONSTqt,CTION TYPE <br />^/< <br />UAl <br />PLANNING $-?LZONE CUP DENIED DATE ,tt,/z-2,/t t <br />OCC. LOAD OCCUPANCY GROUPb CONSTBUCTION TYPE <br />lF. t/8. rPK <br />APPROVEDT\\ <br />b"tMd\ <br />DENIED <br />6*zz'?>lDA'TE <br />Note: One of the following must b€ chscked by the C of O lndpector. ' <br />[ ] Yes [ ] No Has the inspector identified any hazardous matedals at this [ ]Yes il ls hazardous waste being <br />- <br />site? <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) _ <br />I { <br />(I