Laserfiche WebLink
-,-SANTA <br />NA-',l':$ffi <br />Plannlng & 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-s8s3 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />SUBJECT ADDRESS <br />Purpose of lnspection <br />Requested by: ! Owner D Contractor <br />Name: <br />tl Real Estate Agent ll Olher <br />Address <br />Phone: <br />ACTION TAKEN: ! None Required ! Correction Notice <br />INSTRUCTIONS: L OK Subject to Field n Plan Check Required <br />PERMITS REQUIRED: ! Building n Electrical tr Plumbing L-t i,4echanical <br />PLANS REQUIRED: ! Site Plan tl Floor Plan Lr Roof Plan ll Elevations <br />Ll Elect. PIan ll Plumbing U Mechanical <br />FEES: - Regular Fees ! Penalty Fee lt lnvestigation Fee <br />NOTE; Building Permits for unpermitted room additions require a site plan, floor <br />plan, roof plan, traming plan, and elevations <br />Remarks:aC <br />-rm <br />Time <br />Oeparted:lnspector/lD <br />lnspector Offlce Hours: lvlonday - Thursday 4:00 - 4:30 Plvl and Friday 3:00 - 3:30 PM <br />Pe.mils may be oblained Monday, Tuesday, Thursday and Friday 8:0O -4 r00; Wednesday 10:00 - 4:00 <br />Tracking #: <br />Office Use <br />Amount Paid:Receipt # <br />Received by <br />Address tagged by <br />SUITE: <br />ll Residential tr Commercial/lndustrial <br />7t 4pril,irn, lx <br />Ft,f)z,,tt.-,t/4 //-7 <br />aC <br />@ <br />mc)-t <br />ooA <br />ma(t <br />it <br />s <br />B <br />Date: Time ln: <br />Distribution: White & Yellow - lnspector Pink - File Copy <br />/,v <br />Date: <br />Date: