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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 />coo-2020-391-CO <br />OCCUPANCY INSPECTION <br />APPLICATION <br />[n t??v t <br />qqq 3Q <br />) <br />TDcaz <br />maa <br />oovm <br />U)a <br />\.Nc <br />O <br />H <br />o3 <br />UNIT OR SUITE <br />N <br />ztP <br />M As9 nq Ttt INAME BUSINESS PHONE NO. <br />,bi' {ds- o77 )EMERGENCY PHONE NO. <br />t,Ut >b- qq q1 <br />L^ilnc'? <br />BUSINFSS OWNER'S <br />MAILING ADDRESS EMAIL ADDRESS <br />Wefi Codna fc <br />L <br />BUSINESS <br />ic,ertmua <br />NO. & <br />DO YOU SUBLEASE? tr YES fYt.IO (IF YES, NAME OF SUBLEASOR)SOUARE FEET <br />/ 0 ,,'() <br />FLOOR AREA <br />lort o <br />() <br />BUSINESS PHONE NO. <br />() <br />EMERGENCY PHONE NO.LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS <br />EMERGENCY PHONE NO, <br />tK?ot 2b ???7'Dv*w D lt,n <br />PROPERry OWNER'S NAME <br />OWNER'S <br />00 cI <br />BUSINESS DESCRIPTION <br />O MANUFACTURING <br />E OFFICE <br />tr RETAIL SALES <br />E WHOLESALE <br />tr WAREHOUSE <br />tr GROUP ASSEMBLY <br />' Af acaqc're Dcor[r, <br />o orio REPATR t,/o *=.r,"6, No .PEN <br />FLAMES, NO SPRAY PAINTING <br />tr AUTO BODY (SEE ATTENTION BELOW) <br />tr wooDwoRKrNG (sEE ATTENTION BELOW) <br />O EATING ESTABLISHMENT (SEE PWA) <br />x oTHER (DESCRTBE ABOVE) <br />t- <br />No. 1 Will you be storing and/or utilizing hazardous materials at <br />this facility? <br />p1 Ves /No No. 2 Does your production 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 />p ves S/o <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.?- L^SIGNATURE <br />0 r1h?'r <br />TITLE DATE, It/>sl>a <br />DEPARTMENT USE ONLY PERMITS? <br />Date of report:YES 1 <br />DATEutqPRIOR <br />q <br />PRIOR POCCUPANCY GROUF PRIOR CONSTEOCTION TYPE <br />VB I STFPRIOR APPROVED USE <br />M6SS qa)LTU"evt1|1 <br />PLANNING <br />Ct) <br />ZONE CUP APPROV <br />VN,='lt t DENIED DATE I I <br />llZSlUttn <br />OCCUPANCY GROUP3 CONSTRUCTION TYPE <br />t/6 ?K <br />APPROVED - \ <br />B c t5nt*i <br />DENIED <br />S <br />DATEI a-azzocc. LoAD <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 [ ] Yes [ ] No ls hazardous waste being generated at this site? <br />ss(t/M <br />U <br />facilitv? <br />Vt/111[,(50,NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />^\fl <br />( <br />1 <br />t