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coo-2020-598-CO <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. 1e88 (M-le) <br />Santa Ana, CA 92702 <br />(714) 647-58t5 <br />OCCUPANCY INSPECTION <br />APPLICATION <br />BrN ?r t$07'f <br />@Cq.z <br />maa <br />oovmaa <br />-)e <br />f- <br />2 <br />? <br />./_ <br />-A <br />5 <br />O <br />BUSINESS ADDRESS <br />Circle <br />UNIT OR SUITE <br />927051702 N Unit O <br />ztP <br />Accutech Dental Studio <br />NAME <br />7t4 668 -0433 949 254- 6686 <br />Hyung Ju Kim, CEO <br />DRIVERS LICENSE NO, & STATE <br />1702 Newport Circle, Unit O, Santa Ana CA92705 <br />BUSINESS OWNER'S I\,,1AILING ADDRESS EMAIL ADDRESS <br />info@accutechds.com <br />DO YOU SUBLEASE? trYes E No (lF YES, NAME OF SUBLEASOR) <br />600 <br />NAMELEASING AGENT OR PROPERTY MENT <br />N Partners <br />BUSINESS PHONE <br />7t4 979 -2020 <br />LEASING AGENT OR PROPERTY MANAGEMENT COMPANY ADDRESS <br />l7l2 Newport Circle #A, Santa Ana CA 92705 <br />Richard Adams <br />PROPERTY OWNER'S NAME BUSINESS PHONE NO. <br />t7lAt979 -2020 <br />EMERGENCY PHONE NO. <br />(714 \883 -440e <br />l7l2 Newport Circle #A, Santa Ana CA 92705 <br />PROPERTY OWNER'S ADDRESS <br />BUsTNESS DES6RrploN Dental Laboratorv <br />S MANUFACTURING <br />E OFFICE <br />O RETAIL SALES <br />tr WHOLESALE <br />tr WAREHOUSE <br />O GROUP ASSEMBLY <br />tr AUTO REPAIR (NO WELDING, NO OPEN <br />FLAMES, NO SPRAY PAINTING <br />tr AUTO BODY (SEE ATTENTION BELOW) <br />O WOODWORKING (SEE ATTENTION BELOW) <br />tr EATING ESTABLISHMENT (SEE PWA) <br />tr OTHER (DESCRIBE ABOVE) <br />H Yes E[ No No. 1 Will you be storing and/or utilizing hazardous materials at <br />this facility? <br />El Yes E4 No No. 2 Ooes your production process produce hazardous waste? <br />lf you have answered Yes to either question you must contact Orange County <br />Fire Authority's Hazardous Material Disclosure Section at (7'14) 573-6000. <br />lf YES, please descri <br />ATTENTION: ALL GROUP "H" OCCUPANCIES (INCLUDING, BUT NOT LIMITED TO, AUTO BODY, AUTOMOTIVE WORK OR STORAGE <br />TNCTDENTAL TO WELDTNG WrTH OPEN FLAME, WOODWORKTNG, CUTTTNG, SHAPTNG OR SANDTNG WOOD) SHALL NOT BE CONDUCTED rN <br />ANY BUILOING OR STRUCTURE UNLESS THERE IS AN APPROVED FIRE SPRINKLER SYSTEM INSTALLED. <br />SIGNATURE- - HYung Ju Kimfi-r:Hi#::r.'* <br />TITLE <br />CEO <br />DATE <br />rq-26-2W0 <br />DEPARTMENT USE ONLY YES <br />PERMITS? <br />oate of report:.U)YdA <br />PRIOR APPROVED USE <br />\dhrt\\\,rw <br />PRIOR APPROVAL DATE <br />It - l-r -u,r { <br />PRIOR OCCUPANCY GROUP <br />R-.L <br />PRIOR CONSMUCTION TYPE <br />V <br />PLAN <br />\Ni) <br />ZONE <br />l^\ <br />CUP APPROVED <br />[, p1(t,nri1i <br />DENIED <br />tiili'"\tu <br />OCC. LOAD OCCUPANCY GROUP6. fl CTION TYPE/6 trK <br />APPROVED <br />B Cc,'t <br />DENIED DATE//-u-a p <br />Note: One of the following mustte checlEd by the C of O lnspector. <br />[ ] Yes I I No Has the inspector identified any hazardous materials at this facility? <br />hur*ru f[tvfU0na wl rrtfirf. 14\ tAny..llurl ui( <br />I I Yes [ ] No ls hazardous waste being generated atthis site? <br />NOTES: (LlMlTATlpNS OF APPROVED OCCUPANCY) <br />\rc.,i(uA Cc, 10 I <br />rr\$ <br />EI\,4ERGENCY PHONE NO.BUSINESS PHONE NO, <br />tsUSINESS OWNER'S NAME & TITLE <br />EMERGENCY PHONE NO. <br />(714 \883 -4409