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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-s8ts <br />S4rt -bY <br />BTN <br />coo-2020-303-CO <br />OCCUPANCY INSPECTION <br />APPLICATION <br />TDCaz <br />ma <br />U) <br />oo7m <br />U)o <br />d"BUSINESS ADDRESS UNIT OR SUITE ztP>T <br />LIusron 3an1c*- Ana LLcBUSINESS NAME BUSINESS PHONE NO. <br />&14t 6ib tro{EMERGENCY PHONE NO. <br />r7l{rcll6 %4q <br />ADDRESS EMAIL ADDRESSsli(ursrcn <br />Do YoU SUBLEASE? tr Yes Fqo (lF YES, NAME OF SUBLEASOR)SQUARE FEET <br />t q00 <br />FLOORIqREAl,qoo <br />BUSINESS PHONE NO. <br />,3m {00 ssqq <br />EMERGENCY PHONE NO. <br />r)ro rGQs }.sa:< <br />LEASING AGENT OR PROPEBTY MANAGEMENT COMPANY NAME <br />l'lo"vtc,.. t)tt.lor e LLC <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS <br />)oet\ g.cF.q,cr\crn huc + tLSh Or6,nsaq ch tl2:sg9 <br />EMERGENCY PHONE NO. <br />rVi rr(&r- asq4 <br />PROPERry OWNER'S NAME'T-ornn BUSINESS PHONE NO. <br />6t0$oo 3s \V <br />aq r-a.a 1} J Ctb Ct ,.-O <br />PROPERTY OWNER'S ADDRESS <br />tr AUTO REPAIR (NO 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 />tr OTHER (DESCRIBE ABOVE) <br />r.teret seles <br />BUSINESS DESCRIPTION <br />E MANUFACTURING <br />E OFFICE <br />tr WHOLESALE <br />O WAREHOUSE <br />tr GROUP ASSEMBLY <br />El Yes{o No. 1 will you be storing and/or utilizing hazardous materials at <br />this facility? <br />!l Yes F! No No. 2 Does your production process produce hazardous waste? <br />lf you have answered Yes to either question you musl 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-)AIIIH OPEN FLAME, WOODWORKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN <br />ANy BUTLDTNG orsrnudrunbuNlEss TllE:RE rs AN AppRovED FIRE SpRINKLER sysrEM TNSTALLED <br />SIGNATURE <br />\Dft! M r <br />lrLE <br />0 -22 - <br />DATE <br />DEPARTMENT USE ONLY PERMITS? I <br />Date of report: p TA 1/)YES <br />PRIOR OCCUPANCY GROUPg PRIOR CONSTRUCTbN TYPEvQPRIOR APPROVED USE <br />Ope- v Ce, <br />PRIOR APPROVAL DATE2o\ Z_ <br />PLAUNINGbr LZ <br />ZONE CUP <br />(cr.,rg.t4 r/\\ <br />APPROVED DENIED DATE , <br />h I Z>l2c'zc, <br />DENIED,A<DATE , \ <br />74-loao <br />occ. LoAD OCCUPANCY GROUP <br />,/2 <br />CONSTRUCTION TYPE/6 <br />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?[ ] Yes [ ] No ls hazardous waste being generated at this site? <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />\P <br />\I" <br />, <br />\IiPFROVED <br />EarEuA