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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 />(7r4) 647-s81s <br />No. 804 -29257 <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BrN .F_ 37r/c31. <br />TDC <br />9,z <br />m <br />U) <br />U) <br />o(fl) <br />m <br />@ <br />cnI <br />a <br />$.* <br />N <br />N <br />\ <br />4 /4 (/Zzri;UNIT OR ZIP CODEBUSINESS <br />L ,r <br />Azoe r/ <br />BUSINESS OWNER'S MAILING ADDRESS EMAIL AL}DHESS <br />(IF YES, NAME OF SUBLEASOR)YOUSUBLEASE? I]Yes <br />BUSINESS NO.EMERGENCY PHONE NO.OR PBOPERTY MANAGEMENT COMPANY <br />D <br />LEASING NAME <br />BUSINESS NO.EMERGENCY PHONE NO. <br />4a2ru96 rFfre.E <br />I ] RETAIL SALES <br />LIWHOLESALE <br />I ] WAREHOUSE <br />I I GBOUP ASSEMBLY <br />L] AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />D AUTO BODY(SEE ATTENTION BELOW) <br />D WOODWORKING (SEE ATTENTION BELOW) <br />t] EATING ESTABLISHMENT (SEE PWA) <br />D OTHER (DESCRIBE ABOVE) <br />')'(grrrce <br />BUSINESS DESCRIPTION <br />I ] MANUFACTURING <br />t ] ves f4l.to No. 1 Will you be storing and/or utilizing hezadous materials at <br />this tacilitr? <br />t I Ves flNo No. 2 Does pur production proc€ss produce hazardous rvaste? <br />lf you hdve answered Yes lo either question you musl contacl Orange County <br />Fire Authori$s Hazardous Material Disclosure Seclion al (714) 573{OOO. <br />1l YES, please describe <br />ATTENTION: ALL GBOUP "H'O@UPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />INCIDENTAL TO WELDING WITH OPEN FLAME, WOODIA'OBKING, CUTTING, SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN <br />ANY BUILUNq,6F STRUoTURE UNLESSTHERE ISAN A,PRoVED FIRE SPRINKLER SYSTEM INSTALLEo. u <br />SIGNATURE TITLE DATE / /- /o,/s /run <br />P TMENT US LY L]YES Oate of report: <br />USEPqsz PPRoVED PRIOR APPROVAL DATE PRIOR oCCUPANCY GRoUP PRIOR CONSTRUCTION TYPE <br />M&DC <br />PLANNING <br />.rL <br />CUP <br />,S0ht/.qa <br />APPROVED DENIED <br />Loltl t4 <br />DATE <br />OCC. LOAD GROUPoccuPA}E C(TBTRUCTION TYPE <br />V{-s ?t<5i:t**4 DENIED <br />)'floilt * <br />Note: One ol the following must b€ cfpcked by th€ C ot O lnspector. <br />[ ]Y€s [ ] No Has th€ insp€ctor identifi€d any hazardous materials at this facility?[ ] Yes [ ] No ls hazardous wast€ b€ing generated at lhis site?(Yat eNOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />g