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{ qqr 6r <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-s8r5 <br />coo-2020-142-co <br />OCCUPANCY INSPECTION <br />APPLICATION <br />nrN )-J5 rrX <br />(D <br />Caz <br />m <br />ct)a <br />oUvmaa <br />t-o <br />Pnun hngsam. sPA <br />BUSINESS NAME BUSINESS PHONE NO. <br />156> r2?8 - b>Yx <br />EMERGENCY PHONE NO, <br />rhLr)D _tr)r3 <br />INESS OWNER'S & TITLE <br />I <br />B['SINFSS OWNFR'S DRIVERS LICENSE NO. & STATE <br />IN <br />(. Crrn <br />L ADDRESS <br />Wn <br />DO YOU SUBLEASE? tr YCS d NO (IF YES, NAME OF SUBLEASOR)SQUAR€ FEEV <br />Iq"l <br />/FLooR AREA(\fl <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME <br />kuma So.ah I .a At Rca- <br />BUSINESS PHONE NO. <br />(91> 6t)- Dl> <br />EMERGENCY PHONE NO. <br />,ilJ,,>D ()f\ <br />LEASINgAGEN,T oR PRoPERTY MANAGEMENT CoMPANY ADDRESS r <br />k-vuts Soon l"ee ArRcR <br />PROPERTY OWNER'S NAME BUSINESS PHONE NO. <br />,ib>, All Af ?, <br />EMERGENCY PHONE NO. <br />[6] , frt 5l?> <br />Ito4\ Gl€noa3, P,ld . Po,oirno,. ile 1t'>l t <br />PROPERTY OWNER'S ADDRESS <br />H Yes Il No No. 1 Will you be storing and/or utilizing hazardous materials at <br />this facility? <br />ll Yes d No 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 />INCIDENTAL TO WELDING WITH OPEN FLAME, WOOOWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN <br />ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. <br />TITLE <br />,Dwner <br />DATE <br />d/ >+ t >e).o <br />DEPARTMENT USE ONLY PERMTTS? \.toate ot rcport: U'i! .7E 7 D VVr YES <br />PRIOR APPROVED USE <br />.Jrcrsswr<- UIJSU h,"2o r\APPROVAL DATEPRIOR <br />,n\ <br />PRIOR CONSTRUCTION TYPESP\ <br />PLANNING - <br />DC <br />ZONE <br />GS <br />CUP <br />(tU^.L ,rmn <br />APPROVED DENIED 'Tl ,ql zv?$ <br />OCC. LOAD OCCUPANCY GROUPe CONSTRUCTION TYPEyb 5?K Ac tt*rr-q. <br />TiPPROVED DENIED DATE U <br />S/q/r.> ")Note: One of the following must be checked by the C of O lnspector. <br />[ ] Yes [ ] No Has the inspector identified any hazardous materials at this facility? <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />/7 <br />[ ] Yes [ ] No ls hazardous wasle being generated at this site? <br />\ <br />v <br />o <br />\ <br />( <br />BUSTNESSDEScRTeToN l$l'qsr-,\. I Maay blAea <br />E MANUFACTURTNG tr AUTo neFlrn (ruo wElorruc/No opEr.r <br />E OFFICE FLAMES, NO SPRAY PAINTING <br />E RETAIL SALES tr AUTO BODY(SEE ATTENTION BELOW) <br />tr WHOLESALE O WOODWORKING (SEE ATTENTION BELOW) <br />tr WAREHOUSE tr EATING ESTABLISHMENT (SEE PWA) <br />tr GROUP ASSEMBLY ffTHER (DESCRIBE ABOVE) <br />PRIOR OCCUTvt