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43_,1 f+n=3 <br />Planning & Building,4gency <br />B uilding Safety Division <br />20 Civic Center Plaza <br />P.O. t988 (.Vr-19) <br />Santu .4na, C,4 92702 <br />(:lt1 64t-58l/5 <br />(':jJi.i),ls c-r;{t <br />2" <br />#rqv <br />No.804 12015 <br />OCCUPANCY INSPECTION <br />APPLICATION <br />ItT,\', 3 3 os)-\ <br />{. <br />@C <br />U)z <br />maa <br />oUn <br />maa <br />b <br />ccet &a f- Sa"".t. ew\c. C4 4z--t oS <br />UNI ZIPBUSINESS ADDRESS OR SUITE <br />BUSINESS OWNER'S DRIVFRS I ICFNSF NO & STATE <br />BUSINESS Ol,VNER'S lllAlLlNG ADDRESS <br />5<.^.c <br />SQUARE FEET FLCOR AREA <br />,rFl YL\-( <br />tsls-f <br />)6t <br />ql <br />I HON= N' E]IIERGENCY PHOIJE \O <br />,St<t-- Lq,64 65\ _ \r-r-E <br />2-G3\ t-. ts <br />€ftgt+a".rn M fttl t <br />\ ttoo sa. ttr. <br />Pcas r <br />A.LFV c. <br />B.lS |.raSS NAl\,1= <br />F\rrr's =-f.!\ t|'ln <br />3i-IS]NESS OIVNER'S NA|\,IE & TiTLE <br />x <br />EIVIERGENCY PHONE NO <br />/tr <br />BUSINESS PHONE NO <br />EAS AGENTI'l G PORL <br />EASING AGENT OR PROPERTY IVIANAGEIVIENT COI/IPANY NA,VIE <br />)( <br />EMERGENCY PHONE NOPROPERTY OWNER'S NAIVIEL e.< KYu '^'3 9oo n BUSINESS PHONE NO <br />r,l/3r\}j ^1c'l L <br />Jo3\ C \S1. S\ Sq.^\c. Nrnq- C\1]-1 C< <br />PROPERTY OWNER'S ADDRESS <br />BUSINESS DESCRIPTION <br />MANUFACTURING <br />OFFICE <br />RETAIL SALES <br />WHOLESALE <br />WAREHOUSE <br />. GROUP ASSEMBLY <br />AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING) <br />AUTO BODY (SEE ATTENTION BELOW) <br />WOODWORKING (SEE A-]TENTION BELOW) <br />}.EATING ESTABLISHMENT <br />OTHER (DESCRIBE ABOVE) <br />t I Ves fi No No. 1 Will you be storing and/or utilizing hazardous materials at <br />this facility? <br />t I Yes [.No No. 2 Does your production process produce hazardous waste? <br />lf you have answered.Yes to either question you must contact Santa Ana Fire <br />Department Hazardous Material Disclosure Section at (714) 6a7-5700. <br />lf YES, please descnbe <br />ATTEITION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />INCIDENTAL TO WELDING WITH OPEN FLAME, WOODWORKING, CUTTING. SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN <br />ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. S,A.M.C. 14.7.2 <br />TITLE <br />P/?61/Dt\rf <br />DATE <br />[at/-t ., Mo /r'l\ <br />SIGNATURE <br />OPEN PERMITS? <br />YESDEPARTMENT USE ONLY <br />PRIOR APPROVED USE <br />hlr^ k l^,1,4r,a.1,."- <br />PRIOR APPROVAL DATE <br />f I - >-?)61 <br />PRIOR OCCUPANCY GROUP <br />B <br />PRIoR CoNS.IRUCTION TYPE <br />T'Ai - SPA <br />ZONEor CUP APPROVED <br />4,^J <br />DENIED DATE <t,-t- loDC <br />PLANNINOJ <br />ED <br />ztt <br />DENIED "^'1lul,oBLDG. SAFETY OCCUPANCY GROUPb CONSTRUCTION TYPEU6-W <br />Note: One of the tcllowing must be checked by the C of O lnspector. $ <br />I I Yes [ ] No Has the inspector identified any hazardous materials at this facility?[ ] Yes [ ] No ls hazardous waste being generated at this site? <br />!- <br />IIt <br />trNOTES. (LIMITATIONS OF APPROVED OCCUPANCY)(,-t^ hl* g-,n,-e.-[^l'r' r''a*S <br />_a <br />)fu