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r I <br />coo-2020-181-co <br />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) 647-581s <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BTN 3?L/53 O <br />ulCaz <br />m <br />U) <br />CN <br />oonm <br />@a <br />INtslot- <br />Itr <br />Ir <br />Irt\l.- <br />l6' <br />l- <br />t$ <br />lp <br />N <br />*S <br />\) <br />iJ <br />$ <br />1 <br />&5+.#4BUSINESS ADDRESS <br />I <br />"2(u 371 r.lwtBUSINESS NAME <br />MD <br />OWNER'S NAME & TITLE <br />l/. <br />EMAIL AODRESS 5e4ru/ Aiob+BUSINESS OWNER'S MAILING <br />IF YES, NAMnsAtEo <br />t\ <br />YOU <br />r un(g lnc <br />(r F SUBLEASOR)FEET <br />l, <br />FLOOR AREA <br />a, tot'k <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME BUSINESS PHONE NO. <br />/a <br />4z*n-COMPANY ADDRESS <br />NAME <br />- e)r.a <br />OWNER'S PH <br />ADDRESS <br />/ <br />O RETAIL SALES <br />E WHOLESALE <br />E WAREHOUSE <br />O GROUP ASSEMBLY <br />tr,A.UTO REPAIR (I.!O WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />E AUTO BODY (SEE ATTENTION BELOW) <br />O WOODWORKING (SEE ATTENTION BELOW) <br />tr EATING ESTABLISHMENT (SEE PWA) <br />O OTHER (DESCRIBE ABOVE) <br />G <br />BUSINESS DESCRIPTION <br />OFFICE <br />n v"srt'o No. 1 Will you be storing and/or utilizing hazardous materials at <br />this facility?. <br />H ves dNo No. 2 Do6s your production process produce hazardous wasto? <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 <br />ATTENTION: ALL GROUP "N" OfiSEATICYS IIT.TCI-YAfiC, BUT NOT LIMITED TO. AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />INCIDENTAL TO WELDING WIff/OPEN F6ME, W6@WORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN <br />ANY BUILDING oR STRUCT/B€ uI.II.F65 TnTBts,gAN APPROVED FIRE SPRINKLER SYSTEM INSTATLED, <br />DATE I <br />, /t /a-', <br />SIGNATURE (l_eoTITLE <br />DEPAR{ME(TETSE OruIY EXPIRED/OPEN PERMITS? <br />YES NO Date of report: <br />PRIOR APPROVED USE <br />o(f\ce <br />PRIOR APPROVAL DATE <br />tolzz | 1{ <br />PRIOR OCCUPANCY GROUP <br />TB <br />PRIOR CONSTRUCTION TYPE <br />\JB <br />OATE3)\lzotPPLANNING <br />U){'z\ <br />ZONE CUP )hlt* , <br />APPROVED DENTEO , <br />CONSTRUCTION TYPEtlB L C,rlvtkAPPROVED DENIED <br />I <br />DATE€f z&>zoOCC. LOAD OCCUPANCY GROUPa <br />Note: One of the following n)ust be checked by the C of O lnspector. <br />I lYes I lNo Hastheinspectoridentiliedanyhazardousmaterialsatthisfacility? [ lYes I lNo lshazardouswastebeinggeneratedatthissite? <br />NorES:(LrMrrAroNSoFAppRovEDoccupANcyr rqed r cql O(Ttcg uSg -orld rtlcnor\ to Cof O <br />)o2{, - 23 <br />BUSINESS PHONE NO.EI\.4ERGENCY PHONE NO. <br />EMERGENCY PHONE NO. <br />1t1t*. Qnl (ntr,.rt.)tl <br />r4r4r?,t t- T?j? <br />EMERGENCY PHONE NO. <br />()