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a <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Ccnter Plaza <br />P.O. 1988 (Nr-re) <br />Santa Ana, CA 92702 <br />(714) 647-581s <br />coo-2020-66-CO <br />OCCUPANCY INSPEGTION <br />APPLICATION <br />BrN 3?qnot- <br />@C <br />9.z <br />mo <br />@ <br />(]o7m(/) <br />U) <br />\q <br />\ <br />I c 5t til fr .* [/4,'f tr 4L'7 al <br />ZIP CODEBUSINESS AODRESS UNIT OR SUITE <br />BUSINESS PHONE NO. <br />0ti\qbb' 2t LL <br />EMERGENCY PHONE NO. <br />oti ful1 - 8,3'tl <br />BUSINESS NAME <br />& i,.. L^rnLr,r <br />\(l14, <br />RS LICENSE NO. & STATE <br />Po. B"* sDg }r'n L q7't8\NESS EMAIL ADDRESS <br />DO YOU SUBLEASE? trYes ENo (lF YES,OF SUBLEASOR) <br />8cr)\\N <br />BUSINESS PHONE NO.LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME <br />5he Ao- <br />PROPERTYLEASING AGENT <br />20L <br />BUSINESS PHONE NO. <br />\ t\\.,".\ <br />\L Az-Ae< Af .,',..< Lf 4ZUzn <br />PROPERTY OWNER'S AODRESS <br />EI Yes f,No No. 1 Will you be storing and/or utilizing hazardous materials at <br />this facility? , <br />Jt Yes [No No.2 Does your production process produce hazardous waste? <br />lf you have answered Yes to eilher question you must conlact Orange County <br />Fire Authority's Hazardous Malerial Disclosure Section at (714) 573-6000. <br />lf YES, please describe <br />fo.^ Lar,',\ rqBUSINESS DESCRIPTION <br />E MANUFACTURING <br />O OFFICE <br />E RETAIL SALES <br />O WHOLESALE <br />EWAREHOUSE <br />g GROUP ASSEMBLY <br />O AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />OAUTO BODY(SEE ATTENTION BELOW) <br />E WOODWORKING (SEE ATTENTION BELOW) <br />O EATING ESTABLISHMENT (SEE PWA) <br />tr OTHER (DESCRIBE ABOVE) <br />ATTENTION: 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 BUILqNG OR STRUC-TURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED, <br />SIGNATU it^be/TITLE DATE <br />tlzz\zo zo <br />DEPARTMENT USE ONLY EXPIRE <br />YES <br />PERMITS? <br />Datc of report:\ <br />PRIOR OCC1.,'PANCY GROUP <br />A <br />PRIOR COI]STRUCTION TYPEVBPRIOR APPROVAL DATE <br />4,/tr /t7 <br />DENIED DATE//zz-./z ., <br />PLANNING6c CIZONE CUP o"""2517 <br />OCC. LOAD CONSTRUCTION TYPE <br />VB <br />DENIED 1-6-adATE , <br />Noter 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 <br />(J <br />lity? t I <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />[ ] No ls hazardous waste being generated at this site? <br />APPROVEkwKt))