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I , . ^ , ,^ <br />I <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-s8ts <br />coo-2020-21s-CO <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BTN 3-l<r I U <br />TDC <br />@z <br />ma <br />U) <br />Io7m <br />@ <br />CN <br />t33.t t, FrnFst Se^\aa\q G Ql-to3 <br />BUSINESS ADDRESS UNIT OR SUITE ZIP CODE <br />BUSINESS NAME <br />C,, ..r^ D,, r,.{a,, t o I Sd^+1 Cl ncn <br />BUSINESS PHONE NO. <br />rll"1.I9l oB1+ <br />EMERGENCY PHONE NO. <br />nqft 6A\ :J -t 1-l <br />EMAIL ADDRESS <br />BUS <br />BUS <br />Yrs \*r* (^Ja\rj , nlC-r^L l.^1t <br />c <br />DO YOU SUBLEASE? tr Ye7trJ,lo (rF YES, NAME OF SUBLEASOR)SQUARE FEET <br />\$ oo <br />FLOOR AREA <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME <br />P.,\- 01,',. rr?V <br />BUSINESS PHONE NO. <br />r?tYrfvz- - L,Cz.C () <br />EMERGENCY PHONE NO. <br />LEASING AGENT'R PROPERTY MANAGEMENT COMPANY ADDRESS <br />B') o 9 l r\- s.t-<.,+ (r,^*2, Ctnc^ G cl t--l ot' <br />BUSINESS PHONE NO. <br />())( <br />EMERGENCY PHONE NO.PROPERry OWNER S NAi\,,|E <br />PROPERry OWNER'S ADDRESS <br />BUSINESS DESCRIPTION <br />E MANUFACTURING <br />E OFFICE <br />E RETAIL SALES <br />]I WHOLESALE <br />tr WAREHOUSE <br />tr GROUP ASSEMBLY <br />O AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />E AUTO BODY (SEE ATTENTION BELOW) <br />tr WOODWORKING (SEE ATTENTION BELOW) <br />tr EATING ESTABLISHMENT (SEE PWA) <br />E OTHER (DESCRIBE ABOVE) <br />D,, ,",i4' I o C-$,i, ., <br />tI Yes If,No No. 1 Will you be storing and/or utilizing hazardous materials at <br />this facilily? <br />El Yes fLNc No. 2 Does your production process produce hazardous waste? <br />I <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, 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. <br />l-4 6 r,lnXo.- <br />SIGNATURE <br />Or" "...rr <br />TITLE ll ll ll---* <br />DATE <br />DEPARTMENT,USE ONLY PERMITS? <br />Date of report:. YES NO <br />) <br />PRIOR APPROVED USE <br />ltulr'u^l 0(froz <br />PRIOR APPROVAL DATE <br />lV rq/b <br />PRIOR OCCUPANCY GROUP <br />B <br />PRif R CdNSTRUCTIOM TYPE <br />UR <br />CONSTRUCTION TYPEv DENIEDOCC. LOAD OCCUPANCY GROUP <br />[ ] Yes I I No Has the inspector identified any hazardous materials at this facility?[ ] Yes [ ] No ls hazardous waste being generated atthis site? <br />Dnul o(Ua/ <br />Note: One of the following be checked by the <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />nspector