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*-SNTA <br />NAJlrffi <br />Planning & Building Agency <br />Building Safety Oivision <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-58s3 <br />wz9 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />,ru <br />SUBJECT ADDRESS: <br />Purpose of lnspection: <br />-7-Residential tl Commercial/lndustrial <br />r)).. z/k SUITE aC <br />@(- <br />m <br />--l <br />oa7m <br />@q <br />Requested by: <br />Name: .-) <br />Address <br />Phone: <br />ACTION TAKEN <br />INSTRUCTIONS <br />Date:Time ln:0:tu/o"Jl!r--x*l <br />\r'/n e r Contractor E Real Estate Agent D Other <br />S. <br />.) <br />aa(\. <br />C,: <br />N <br />\\Rb <br />t-/n <br />I None Required n Correction Notice <br />! OK Subject to Field ! Plan Check Required <br />PERMITS REQUIRED. r Building I Ebctrical o Plumbing f Mechanical <br />PLANS REQUIRED ESite PIan D Floor Plan I Roof Plan D Elevations' D Elect. Plan n Plumbing l- Mechanical <br />FEES: ! Regular Fees -r 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: <br />CNC <br />=tr1 <br />h <br />Time <br />parted:pector/lD: <br />lnspector Offlce Hours. Monday - Thursday 4:00 - 4:30 Ptul and Friday 3:00 - 3:30 tu'l <br />Permits may be obtained tulonday, Tuesday, Thursd ay and Friday 8.00 - 4:00; Wednesday 10:00 - 4:00 <br />Office Use <br />Tracking #. Stlttt bg Amount paid: <br />Received by: <br />Receipt # <br />Date <br />DateAddress tagged by: <br />Distribution: White & Yellow - lnspector Pink - File Copy <br />?c fipspaa o <br />t