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^-'{> <br />Planning & Building Agency <br />Building Safety Divlsion <br />20 Civic Center Plaza <br />P.O. 1988 (M-r9) <br />Santa Ana, CA 92702 <br />(714) 647-581s <br />No. 804-28238 <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BTN Za'+ qol ?_ <br />@CIzm <br />CN <br />@ <br />o.c6F,rl <br />m <br />U' <br />@ <br />,+ <br />$O <br />BUSINESS ADDRESS UNIT OR SUITE3r CODE <br />L, <br />M Lollcl t Eil r <br />BUSINESS NAME BUSINESS PHONE NO. <br />iVlV\b3" -zgDa <br />EMERGENCY PHONE NO. <br />86 6tzJtlo <br />Dt*t- <br />& <br />oI <br />NO. & STATE <br />BUSINESS OWNER'S MAILING ADDRESS EMAIL AI]DRESS <br />t'7,3 This <br />DO YOU SUBLEASE? r Yestillo (lF YES, NAME OF SUBLEASOR)SOUARE FEETSsz 9aPr' <br />FLOOR AREAShPAo*- <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAMEPA* ?4- 5nn* /w* 6?u'ce LLe- <br />BUSINESS PHONE NO. <br />A/q qqL-g/)EMEBGENCY PHONE NO. <br />-,?+11 - 2Zr-5k <br />14 >eL A4*+ Afuru-w /K, tzL,nite, Q qltu >6 <br />N V*q.fu"t-b <br />NAME PHONE NO. <br />VYt-, <br />EMERGENCY PHONE NO. <br />PROPERTY OWNER'S ADDRESStq?+ n/t<-Hra+/Lr/w fl f. szr',ie, ,tx ?rA- <br />BUSTNESS DES.RTPT.N WPg/. <br />I J RETAIL SALES <br />TWHOLESALE <br />LT WAREHOUSE <br />r I GROUP ASSEMBLY <br />D AUTO REPAIH (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />I] AUTO BODY(SEE ATTENTION BELOW) <br />L wooDwoRKlNG(sEE ATTENTON BELOW) <br />D EATING ESTABLISHME}.IT (SEE PWA) <br />L OTHER (DESCRIBE ABOVE) <br />I ] MANUFACTURING <br />yArr,". <br />t t Ves Mdo No. 1 Will you bs storing andor utilizing hazardous materials at <br />lirj:: <br />|ft <br />No.2 ooos llour prcducrion procsss produc€ heTanrous wasts? <br />lf you have answered Yes lo eilher question you must contact Orange County <br />Fire Authori!y's Hazardous Material Disclosure Seclion at (714) 57&6000. <br />lf YES, please <br />ATTENTION: ALL GBOUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />TNCTDENTAL rO WELDTNG WlrH OPEN FLAME, WOODWORKTNG, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED tN <br />ANY BUILDING OR STRUCIURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. <br />tAr.LA cSSIGNATURETITLE p/az,/tqDATE <br />DEPARTTVGNT USE ONLY YES t I NO Dato of report:4 l <br />PRIOR APPROVED USEP/n PRIOR APPROVAL DATEtv/<PRIOR OCCUPANCY GROUPA PRIOR CONSTRUCTION TYPE// A, ePK <br />PLANNINGDc ctZONE VA CUP APPROVED <br />NP <br />DENIED tzy'>1rtDATE <br />occ. LoAD OCCUPANCY GROUP <br />13 <br />CONSTHUCTION TYPEE* *c Z.&9^-?, <br />APPROVED DENIED <br />'o->lo-4-ZrDDATE <br />Not€: One of the ,ollowing mfst be checked by the C ot O lnsp€ctor. <br />[ ] Yes I I No Has th€ inspoctor identified any hazardous mat€rials at this [ ] Yes [ ] No ls hazardous waste being generated at this site? <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />t