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i <br />Planning & Building AgencY <br />Building Safety* Divisio n <br />20 Civic Center Plaza <br />P.O. 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-sEts <br />coo-11)),t - llf(-/n <br />OCCUPANCY INSPECTION <br />APPLICATION <br />-l <br />,-BTN 5I 1i-/s <br />EC <br />U)2 <br />maa <br />oUnmaa <br />\rt <br />sJ <br />f <br />\> <br />? <br />ADDP.ESS <br />5407 W. 1ST STREET <br />3USIN 92',703 <br />ZIPUNIT <br />etvileROrNcV PHONE NO <br />r714 t-722-9639 <br />BUSINESS PHONE NO. <br />fit4',723 -4029MOON CAFE <br />EI\,1A.IL ADDRESS <br />IMOONCAFE12821 GMAIL,COMJL,NNIFER N TRIEU, OWNER <br />OWNER'S <br />l2(182 KATHY LANE, GARDEN GROVE,cA 92840 <br />BUSIN MAI <br />SOUARE FEET <br />774 <br />NAME OFueLEeEEr trYes ENo (lFDO YOU <br />114 373 -4622 <br />NO.AffiEss pxoue uo. <br />fl14 1373 -4622 <br />@NAGEMENTCOMPANYNAME <br />P&DINVESTMENTCO. <br />AVE,92CAGEN 84+ROVGARD E,TERTMINS981IWES <br />INESS <br />gft,(EuOW <br />Cjtrt) <br />4tt t4 <br />ll Yes E No No. 1 Will you be storing ancuor utilizing hazardous materials at <br />this facility? <br />f,l Yes !l No No. 2 Does your production process produce hazardous waste? <br />lf you have a!''swerEd Yes to eiL'ler question ycu rnust contac-t Orange Collnty <br />Fire Authority:s Hazardous Material Disclosure Sectton at (714) 5736000' <br />!f YES, please describe <br />TT MANUFACTURING <br />g CFFICE <br />E RETAIL SALES <br />E WHOLESALE <br />g WAREHOUSE <br />tr GROUP ASSEMBLY <br />tr AUTO REPAIR (NO WELDING' NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />tr AUTO BODY (SEE AfiENTION BELOW) <br />EI WOODWORKING (SEE ATTENTION BELOW) <br />I EAT|NC ESTABLISHMENT (SEE PWA) <br />E OTHER (DESCR|BE AtsOVE) <br />BUSINESS DESCRIPTION <br />ORK STORAGEWORAUTOI\,'IOTIVEBODYAUTOLit/'llNCT TEDBUTSNCLUDiNG.OCCUPANCiE il"HGROUP NCN,TTENTI CONDUCTEDNOTBESHALLSANDINGCRuJooD)SiI{PINGCUTTING.ooD,t,ORKING.FLAI'/E.OPENU/ITHENT,!,VELDINGTO FIREAPPNJGOR <br />oz <br />TE <br />TURE <br />'lr{ @)YES Date of rePort: <br />q <br />DEPARTMENT USE O <br />APPROVEDP <br />NLY <br />DATEcuP <br />pto <br />-ZZtePLOAD <br />C of C lnspector.checked bYolving mustoi tho <br />i I Yes [ ] No ls hazardouswaste being genemted atthissite?Noie <br />[ ] Yes [ ] No Has the inspectoi identiied any hazardils materials at this facilitv? <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />\ <br />COFFEE SHOP <br />a