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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. r988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s8ts <br />No. 804-245 2 5 <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BrN e b1 a=a <br />(D <br />C <br />@zm <br />@a <br />ooD <br />m <br />U' <br />U' <br />orC <br />-a <br />E <br />-lf <br />e\, <br />VPD ST. Sfrtrf* ftT\)ft 9>7olUNIT OR SUITE P <br />h <br />PHONE NO. <br />%tz 77-7L MDIO B fts Y bv<V€l-kEUSINESS NAME <br />\oa/e OUVft<-6 <br />NAME &BUSINESS OWNER'S DRIVERS LICENSE NO. & STATE <br />s crbf )li 010 u / <br />OWNER'S MAILING ADDRESS EMAIL ADDRESS <br />AREA(IF YES, NAME OF SUBLEASOR)DO YOU SUBLEASE? Yes <br />I 5u) <br />nl'77)NO.COMPANY NAME <br />0 k (* 4e1qLEASINGORP <br />L <br />EMEBGENCY PHONE NO. <br />() <br />PEOPEBIY OW,TE8.:.M!dEAVru UCnt,t-r L,LrL <br />tn lcwP u+ q)8V <br />t I Ves2XNo No. 1 Will you be storing and/or ulilizing hazardous matorials at <br />this lacility? <br />t I vesXno No. 2 Does your production process produce hazardous waste? <br />ll you have answered Yes to either question you must contact Orange County <br />Fire Authority's Hazardous Mat€rial Disclosure Seclion at (714) 573-6000. <br />lf YES, please describe <br />BUSINESS DESCRIPTION <br />I ] MANUFACTURING <br />I OFFICE <br />RETAIL SALES <br />t ] WHOLESALE <br />tI WAREHOUSE <br />r GROUPASSEMBLY <br />L] AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />I] AUTo BoDY (SEE ATTENTION BELOW) <br />i J WOODWORKING (SEE ATTENTION BELOW) <br />|lerrlro ESTABLTsHMENT (sEE pwA) <br />OTHER (DESCRIBE ABOVE) <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 ORS]IRUCTUREUNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. <br />DATE / Il0/t2//TTURETITLE <br />(y/n Lto- <br />EXPIRED/OPEN PERMITS? <br />r r YES I I NO Date ol report:DEPARTME{T USE ONLY <br />PRIOR APPROVAL DATEent 3 11 lL( <br />PRIOB OCCUPANCY GROUP <br />f) <br />PRIOH CONSTRUCTION TYPE <br />Vh <br />PRIOR APPROVED USE <br />€alinq e{rablithrr <br />CUP APPROVED DENIED DATE <br />lD. Lu-11 <br />PLANNINGlv <br />DC-agq I <br />ZONE <br />occ. LoAD CONSTRUCTION TYPEtb DENIED <br />0-L, <br />DATE/ 24-a?D <br />Note: One of the lollowing must be checked by the C ol O lnspector. <br />[ ] Yes [ ] No Has the inspector identilied any hazardous materials at this lacility?[ ] Yes [ ] No ls hazardous wast6 being generated at this site? <br />e <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />a.b lr <br />oco <br />! <br />7-- <br />\. <br />1 <br />SOUARE FEET <br />APPFIOVEDOCCI. <br />-E