HomeMy WebLinkAbout80412015 - Certificate of Occupancy43_,1 f+n=3
Planning & Building,4gency
B uilding Safety Division
20 Civic Center Plaza
P.O. t988 (.Vr-19)
Santu .4na, C,4 92702
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No.804 12015
OCCUPANCY INSPECTION
APPLICATION
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UNI ZIPBUSINESS ADDRESS OR SUITE
BUSINESS OWNER'S DRIVFRS I ICFNSF NO & STATE
BUSINESS Ol,VNER'S lllAlLlNG ADDRESS
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SQUARE FEET FLCOR AREA
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3i-IS]NESS OIVNER'S NA|\,IE & TiTLE
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EIVIERGENCY PHONE NO
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BUSINESS PHONE NO
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EASING AGENT OR PROPERTY IVIANAGEIVIENT COI/IPANY NA,VIE
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EMERGENCY PHONE NOPROPERTY OWNER'S NAIVIEL e.< KYu '^'3 9oo n BUSINESS PHONE NO
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PROPERTY OWNER'S ADDRESS
BUSINESS DESCRIPTION
MANUFACTURING
OFFICE
RETAIL SALES
WHOLESALE
WAREHOUSE
. GROUP ASSEMBLY
AUTO REPAIR (NO WELDING, NO OPEN
FLAMES, NO SPRAY PAINTING)
AUTO BODY (SEE ATTENTION BELOW)
WOODWORKING (SEE A-]TENTION BELOW)
}.EATING ESTABLISHMENT
OTHER (DESCRIBE ABOVE)
t I Ves fi No No. 1 Will you be storing and/or utilizing hazardous materials at
this facility?
t I Yes [.No No. 2 Does your production process produce hazardous waste?
lf you have answered.Yes to either question you must contact Santa Ana Fire
Department Hazardous Material Disclosure Section at (714) 6a7-5700.
lf YES, please descnbe
ATTEITION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE
INCIDENTAL TO WELDING WITH OPEN FLAME, WOODWORKING, CUTTING. SHAPING OR SANDING WOOD) SHALL NOT BE CONDUCTED IN
ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. S,A.M.C. 14.7.2
TITLE
P/?61/Dt\rf
DATE
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SIGNATURE
OPEN PERMITS?
YESDEPARTMENT USE ONLY
PRIOR APPROVED USE
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PRIOR APPROVAL DATE
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PRIOR OCCUPANCY GROUP
B
PRIoR CoNS.IRUCTION TYPE
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ZONEor CUP APPROVED
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DENIED DATE <t,-t- loDC
PLANNINOJ
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DENIED "^'1lul,oBLDG. SAFETY OCCUPANCY GROUPb CONSTRUCTION TYPEU6-W
Note: One of the tcllowing must be checked by the C of O lnspector. $
I I Yes [ ] No Has the inspector identified any hazardous materials at this facility?[ ] Yes [ ] No ls hazardous waste being generated at this site?
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trNOTES. (LIMITATIONS OF APPROVED OCCUPANCY)(,-t^ hl* g-,n,-e.-[^l'r' r''a*S
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