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Pla n ning & Building Agency <br />Building Safety Division <br />2Q CivicrCenter Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-58s3 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />SUBJECTADDRESS: 6O3 S F l,o* r,. sutrE:a)c <br />@(- <br />mo-t <br />oon <br />maa <br />B Residentia I ' Commercial/lndustrial <br />Purpose of lnspection:I <br />Requested by: u Owner L Contractor : Real Estate Ag ent tr Other <br />Name:g d-c ''g <br />^Ao-^ <br />Address {fu +IL Cat\o s-\, <br />\r <br />b <br />-nrt <br />q <br />Phone:g1,t q o 1o <br />ACTION TAKEN: r None Required .l Correction Notice <br />INSTRUCTIONS:N OK Subject to Field D Plan Check Required <br />PERMITS REQUIRED <br />PLANS REQUIRED: <br />paritains b lectrical ri Plumbing O Mechanical <br />!4ite Ptan ! Floor Plan I Roof Plan <br />! Elect. Plan 5 Plumbing ! Mechanical <br />FEES: ,,lGegular Fees I Penalty Fee ! lnvestigation Fee <br />NOTE: Building Permits for unpermitted room additions require a site plan, floor <br />plan, roof plan, framing plan, and elevations <br />Remarks a)c <br />=--F..' <br />Time ln: <br />Time <br />Departed:tl I lt ll\l(l"pector/rD: <br />lnspector Office Hours: Monday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3.30 PM <br />Permits may be obtained Monday. Tuesday, Thursda y and Friday 8.00 - 4.0O; Wednesday 10:00 - 4;00 <br />Tracking #: <br />Received by <br />a7..- <br />Office Use <br />Amount p"ia, il l*Receipt #NIA <br />0,,Date <br />Date <br />,--SANTA <br />NA <br />tlt\lt\c <br />t8il0M <br />.r{t\cl <br />Address tagged by <br />Oistribution: White & Yellow - lnspector Pink - File Copy <br />[eevations <br />Date.44*a,,rof\vl <br />q lq t'1