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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. r988 (M-r9) <br />Santa Ana, CA 92702 <br />(714') 647-5815 <br />S Litog.< | <br />No.804-27 719 <br />OCCUPANCY INSPECTION <br />APPLICAT!ON <br />BrN j?rJEl_l <br />(D <br />C <br />9,z <br />m <br />@ <br />U) <br />oo1mao <br />8zo \sf S+.aeL wiL S0O Quo <br />BUSINESS ADDRESS UNIT OB SUITE <br />*<vBUSINESS NAI\,1E BUSINESS PHONE NO.PHONE NO <br />6\t\s <br />BUSIN EMAIL ADDRESS *l ltsMAILING <br />3o ellrs$E- <br />(IF YES, NAME OF SUBLEASOR)DO YOU ? Yes SOUARE FE AREA <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME <br />A <br />BUSINESS PHONE NO.\#9?EMEFIGENCY PHONE NO <br />RTY MA <br />\00 I rvivtg.C.4- ]t-btt-SU <br />PROPERTY OWNER'S NAME <br />() <br />BUSINESS PHoNE No. <br />() <br />EMERGENCY PHONE NO. <br />PROPERTY OWNER'S ADDRESS <br />RETAIL SALES <br />IWHOLESALE <br />. WAREHOUSE <br />GROUP ASSEMBLY <br />AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />i AUTO BODY (SEE ATTENTION BELOW) <br />L , WOODWORKING (SEE ATTENTION BELOw) <br />EATING ESTABLISHMENT (SEE PWA) <br />I OTHER (DESCRIBE ABOVE) <br />\orrrce <br />BUSINESS DESCHiPTIoN <br />MANUFACTURING <br />t I ves )( frfo No. 1 Will you be storing and/or utilizing hazardous materials at <br />this lacilitv? <br />1 1 Ves [(o No. 2 Does your production process produce hazardous waste? <br />lf you have answered Yes to either question you must contact Orange County <br />Fire Authority's Hazardous Material Disclosure Section at (714) 573-6000. <br />lf YES, please describe <br />ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />TNCTDENTAL To wELDTNG wrrH gy'EN FLAME, wooDWoRKrNG, currNG, sHAprNG oR SANDTNG wooD) sHALL Nor BE coNDUCTED tN <br />ANY BUILDING OR STBUqI\UREI$ILNHERC IS AN APPROVED FIRE SPRINKLEB SYSTEM INSTALLED. <br />NATURE <br />bust^oss lt11cq(g_ <br />TITLE '^'3vlul.bg <br />DEPARTMflNT USE ONLY .EXPIRED/OPEN PERMITS? <br />,fllfEs No Date of report: <br />PRIOR APPRAVEQI USE <br />Cr1-tCC <br />PRIOR APPROVALr\.DATE <br />I c't PRIOR <br />",-iffi'UI DENIED DATE, I ' <br />\.tl z" I t1 <br />OCC. LOAD OCCUPANCY GROUP6 CONSIFIUCTION TYPE-{o *<IED <br />J^W\ria,rut'- <br />Nole: one ol the lollowing must be checked by the o ol o lnspector. <br />[ ] Yes [ ] No Has the inspector identified any hazardous materials at this facility?[ ] Yes [ ] No ls hazardous waste being generated at this site? <br />NOTES: (LIMITATIONS OF APPBOVED OCCUPANCY) <br />,qifi, 4Llt- 8H nn (t <br />BUSINESS OWNER'S DRIVERS LICENSE NO. & STATE <br />C-