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Planning & Building Agency <br />B uilding S afety Divisio n <br />20 Civic Center Plaza <br />P.O. 1988 (M-r9) <br />SantaAna, CA 92702 <br />(714) 647-s8rs <br />No.804 17795 <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BTN j4b?,L1. <br />@Caz <br />m <br />U)a <br />ooTmaa <br />rS <br />(}O <br />rt\ <br />z <br />ua <br />H(l\I <br />I <br />) <br />UNIT OR SUITE ZIP CODEADDRESS <br />D <br />vt-C*'tctz,t u, <br />r{0)o <br />UL,(v4 k+V <br />NGMAILI <br />(4/\ <br />NO. & STATEDRIVERS <br />(IF YES, NAME OF SUBLEASOR)DO Yes <br />o <br />FLooRAREA II ooo <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NO. <br />tt <br />EMERGENCY PHONE NO. <br />r.,":.r <br />PHoNE No <br />() <br />EMERGENCY PHONE NO.PROPERTY OWNER'S NAME <br />PROPERTY OWNER'S ADDRESS <br />BUSINESS DESCRIPTION <br />{,uanuracruntNc <br />ATTENTI <br />NG <br />/nor-eser-e <br />REPAIR (NO <br />FLAMES, NO <br />AUTO BODY <br />NG ESTABLI <br />OTHER <br />OFFICE <br />RETAIL SALES <br />WAREHOUSE <br />GROUP ASSEMBLY <br />f4 veslQo No. 1 Will you be storing and/or utilizing hazardous materials at <br />/ this facility? <br />t t ves ffi{e No. 2 Does your production process produce hazardous waste? <br />lf you have answored Yes to either question you musl contac{ Santa Ana Firo <br />Department Hazardous Material Disclosure Section at (714) 647-5700. <br />lf YES, please <br />BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN <br />(r <br />FLAME <br />IS APPROVED FIRE SPRINKLER SYSTEM INSTALLED. S.A.M.C. 14-7.2 <br />INCIDENTAL TO <br />ORSANY <br />P "H" OCC <br />WITH <br />ATTENTION: ALL <br />TITLEU: ts <br />DATE <br />t-tG-rLJ <br />DEPARTMEN SE LY $0" ri/OPEN PERMITS? <br />YES <br />PRIOR APPROVED USE <br />Na4il4u/4 <br />DATE PRIOR OCCUPANCY GROUP <br />Usz <br />PRIOR CONSTRUCTION TYPE <br />lIL N <br />CUP APPROVED <br />A^J <br />DENIED 'l'jru -SPLANNING <br />tN? <br />ZONE <br />u-L <br />BLDG. SAFEW CONSTRUCTION ryPE APPROVED DENIED DATE <br />[ ] Yes [ ] No ls hazardous waste being generated at this site? <br />I <br />Note: One of the following must b€ <br />[ ] Yes [ ] No Has the inspector <br />NOTES: (LIMITATIONS OF OCCUPANCY) <br />by the C of O lnspector. <br />any hazardous materials at this facility? <br />lu lot^p @ 5 <br />I