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tll€ t{-'70Y T2-& 4gt ,(sg <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. 1988 (M-r9) <br />Santa Ana, CA 92702 <br />(714) 647-s8ts <br />No. 804 -2925 4 <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BrN 37 Lt Ot t <br />u,CIz <br />m <br />@ <br />@ <br />(](Eamoo <br />J.s <br />Vg <br />s <br />+>-T <br />ZIP CODE <br />BUSINESS PHONE NO. <br />tp)() <br />EMEHGENC\rPHONE NO. <br />OWNER'S NAME & <br />E[^,. <br />/ <br />CYES ODO OF <br />o <br />BUSINESS PHONE NO.EMERGENCY <br />NAME <br />J{a (/PROPERTY OWNEFI'S ADDHESS <br />BUSINESS DESCBIPTION <br />. MANUFACTURING <br />II OFFICE <br />I RETAIL SALES <br />t]AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />O AUTO BODY(SEE ATTENTION BELOW) <br />D wooDli/oRKNqsEE ATTENToN BELOW) <br />I] EATING ESTABLISHMENT (SEE PWA) <br />U oTHER (DESCR|BE ABOVE) <br />N&ro,-="o.. <br />U WAREHOUSE <br />I] GROUP ASSEMELY <br />Disclosure Seclion at <br />storing utilizing <br />Jl to <br />@r <br />tI <br />nN*matedatsat <br />No.2 Does <br />this taciliq2 <br />s796000.honty's <br />dease <br />i"zaao* *"",", <br />Orange County <br />t tYes (No No. r witt <br />ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT <br />INCIDENTAL TO WELDING WITH OPEN FLAME, WOODWO <br />ANY ILDI E <br />MITED TO, <br />WOOD) SHALL NOT BE @NDUCTED IN <br />BODY <br />R <br />VE WORK OR STORAGE <br />Oq:4a.r <br />TTTLE DATE , //o/2/ <br />DEPARTMENT U ONLY (a-UNO OaEorrsport: <br />PRIOR APPROVED USE <br />;J{r4btlt}zn <br />PRIOR APPROVAL DATE <br />o K SPIE <br />lrl <br />DENIED <br />GROUP CONSTBUCTION TYPE DENIED DATE <br />[ ] Yes [ ] No Has the inspector identified any haardous materials at this facility? <br />wlvlts-l tkl^;L-Specu RAc*s ottt?[ ] Yes I I No ls hazardous waste being gBnerated at this site? <br />tfiU 2l4. <br />musl b€ cfEcked by the ol O lnsp€clor <br />NOTES:.(LIMITATIONS OF APPHOVED <br />Note:the <br />/ <br />.t <br />-76 <br />ALnu?:rr.:*PH'NEn.L// <br />Ptt(r{E No. <br />TT <br />EMERGENCY <br />PRIOR OCCUPANCY GROUP . PRIOR CONSTRUCTION TYPE <br />PLANIIING'La ( <br />CUP DATE <br />lo/>/rl <br />OCC. LOAD <br />I