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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 />-A , t/)r ./ /) <br />coo-2020-123-C) <br />| <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BrN 3-l5ro-l <br />TDCIz <br />moa <br />oonmoa <br />-\w\rt <br />E <br />F <br />s. <br />ts\f) <br />I <br />BUSz <br />I r35 w l,\t ,v[Uhrl Lv:q2lqlUNIT OR SUITENESS ADDRESS ZIP CODE <br />OinaS ftm \\lfuvzrnce tlqvuice s <br />BUSINESS NAME BUSINESS PHONE NO. <br />,k),'?ll LtoH <br />EMERGENCY PHONE NO. <br />c46l\,"*1 q3b <br />BIJSIINESS OWNER'S NAME & TITLE <br />U\ <br />ADDRESS <br />2 o C \ <br />IowNtrP'e nPr\/trPQ r TCENSE <br />DO YOU OF <br />t+ <br />M V I ( <br />1l-lo\ric atr No (lF YES, NAME <br />sq{. <br />\lo <br />?t^'o1.hrr"n <br />EMERGENCY PHONE NO. <br />FLOOR AREA LOY <br />() <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESSl4ot W lst S+. St i't<- \o t Sqrt{ra Af'a, Cl+ qalos <br />PROPERW OWNER'S NAME <br />F^ev'\di t llaqhorh <br />BUSINESS PHONE NO. <br />r1l4rt0l2-QttO () <br />EMERGENCY PHONE NO. <br />PROPERTY OWNER'S ADDRESY <br />BUSINESS DESCRIPTION <br />O MANUFACTURING <br />dorrrc;e <br />tr RETAIL SALES <br />O WHOLESALE <br />O WAREHOUSE <br />tr GROUP ASSEMBLY <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 />O EATING ESTABLISHMENT (SEE PWA) <br />O OTHER (OESCRIBE ABOVE) <br />El Yes I1 No No. 1 Will you be storing and/or utilizing hazardous materials at <br />this facility?. <br />ll Yes ![No No. 2 Does yourproduction 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 />TNCTDENTAL TO WELDTNG W|TH OPEN FLAME, WOODWORKING, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED rN <br />ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. <br />SIGNATURE (eoTITLE DATE*/rE/Je <br />DEPARTMENT USE ONLY w VYESDate of report: <br />PRIOR APPROVED USE <br />N(,,p <br />PRIOR APPROVAL DATE <br />@Fa/ra <br />PRIOR OCOUPANCY GROUP <br />b <br />PR|DR CONSTRUCTION TYPE <br />t/6 <br />PLANNING <br />Cc olZONE CUP DENIED OATE*/t/+e <br />OCC. LOAD GROUP TYPE DENIED <br />Note: One of the following musi be checked by the C of O Inspeclor v?r( <br />I I Yes [ ] No ls hazardous waste being generated at this site?[ ] Yes [ ] No Has the inspector identified any hazardous <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />materials at this facilitv? <br />Atfr"o <br />, <br />\_ <br />\\s,vmts BYbt:-€v\