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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-sBts <br />COO_ 2o21-2so-co <br />BTN 368665 <br />@C <br />9.z <br />m <br />U)a <br />Uovm <br />U)a <br />tslr <br />cA <br />R <br />o <br />dr <br />9 <br />+v <br />BUSINESS ADDRESS UNIT OR SUITE ZIP CODE <br />3941 S. Bristol Street Ste D 92704 <br />BUSINESS NAME <br />Kefir Mix <br />BUSINESS PHONE NO <br />(714 \760 -4155 () <br />EI\,,IERGENCY PHONE NO. <br />Quynh Anh Nguyen, Owner/President <br />BUSINESS OWNER'S NAME & TITLE :MAIL ADDRESS <br />kefirmix.us@qmail.com <br />15051 Humphrey Cir., Irvine, CA92604 <br />BUSINESS OWNER'S MAILING ADDRESS <br />DO YOU SUBLEASE? trYes E No (lFYES, NAME OF SUBLEASOR)SOUARE FEET <br />I 200 <br />FLOOR AREA <br />lst floor <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY NAME <br />Pacific West Asset Management Corporation <br />BUSINESS PHONE NO. <br />1714 1433 -7300 tt <br />EMERGENCY PHONE NO. <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS <br />3l9l-D Airport Loop Dr., Costa Mesa, CA92626 <br />SunflowerMetro, LLC <br />PROPERTY OWNER'S NAME BUSINESS PHONE NO. <br />(714 \433 -7300 <br />EMERGENCY PHONE NO. <br />() <br />3 l9l -D Airport Loop Dr., Costa Mesa, CA 92626 <br />PROPERTY OWNER'S ADDRESS <br />BUSTNEss oEScRrproN Kefir Yogurt <br />O MANUFACTURING <br />g OFFICE <br />E RETAIL SALES <br />tr WHOLESALE <br />O WAREHOUSE <br />O GROUP ASSEMBLY <br />U AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />O AUTO BODY (SEE ATTENTION BELOW) <br />tr WOODWORKING (SEE ATTENTION BELOW ) <br />. EATING ESTABLISHMENT (SEE PWA) <br />tr OTHER (DESCRIBE ABOVE) <br />ll Yes El No No. 1 Will you be storing and/or utilizing hazardous materials at <br />this facility? <br />El Yes E No No. 2 Does your production process produce hazardous waste? <br />lf you have answered Yes to erther question you must contact Orange County <br />Frre ALrthority s Hazardous l\4ateflal Disclosure Sectron at (714) 573-6000. <br />lf YES, please <br />ATTENTION: ALL GROUP "H"OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />TNCTDENTAL TO WELDTNG W|TH OPEN FLAIVE, WOODWORKING, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED rN <br />ANY BUILDING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. <br />SIGNATURE TITLE <br />Owner/President <br />DATE <br />04t08t2021 <br />DEPARTMENT USE ONLY EXPIRED/OPEN PERMITS?YES NO Date of report: <br />PRIOR APPROVED USE <br />aTr FJ6 6sllBrsfll..{o.rT <br />PRIOR APPROVAL OATE <br />ll"olzDro <br />PRIOR OCCUPANCY GROUP <br />B <br />PRIOR CONSTRUCTION TYPE{B <br />PLANNING -Hl CUP APPROVED <br />J,at <br />DENIED DATE I <br />4l 0'lz1 <br />OCC. LOAD OCCUPANCY GROUP CONSTRUCTION TYPE APPROVED DENIED OATE <br />Note: One of the following must be checked by the C of O lnspector. <br />I I Y€s [ ] No Has the insp€ctor identified any hazardous materials at this facility? <br />c#.|r'I* of Fost lP, trD ttorE lont,l6 <br />NOTES: (LIMITATIONS OF APPROVED OCCUPANCY) <br />[ ] Yes I I No ls hazardous waste being generated at this site? <br />sl-n$a qffrfirstttuE{- <br />'Pr"r,rr= <br />\ n slctor fit"^ tzt"l4 <br />OCCUPANCY INSPECTION <br />APPLICATION <br />I <br />J@k.-