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-,-SANTA <br />ANA,'[}ffi <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />SUBJECT ADDRESS aC <br />@ <br />mo-t <br />CfoAma <br /><t <br />Purpose of lnsp ection <br />n Residential { Commercial/lndustrial <br />,fu\- rn \\--<, 'cecA {e,T <br />Owner n ntractor tr Real Estate Agent tl Other <br />1A <br />4):w <br />C1t\)225-7 na<L <br />ACTION TAKEN: D None Required <br />INSTRUCTIONS: tr OK Subject to Field <br />D Correction Notice <br />n Plan Check Required <br />lectrical ! Plumbing <br />loor Plan a Roof Plan <br />PERMITS REQUIRED <br />PLANS REOI,JIRED: <br />ftauiatns <br />P site ptan <br />pc <br />PF <br />lrru"hanical <br />f] Elevations <br />tl Elect. Plan ll Plumbing ! Mechanical <br />FEES: c Regular Fees MPenalty Fee 'r(lnvestigation Fee.,/ <br />NOTE: Building Permits for unpermitted room additions require a site plan, floor <br />plan, roof plan, framing plan, and elevations <br />r ac <br />=ma- <br />ct:,u*uui-r- rro ,u ro-.,.)]UAe ;,t; Et< . 'frtt4 tti <br />,/2 I 6 <br />Date:f ime ln. /') | <br />Time <br />Departed:NNE lnspector/lDt> <br />lnspector Office Hours: Monday - Thursday 4i00 - 4:30 PM and Friday 3:00 - 3:30 PM <br />Pemits may be obtained I\lo nday, Tuesday, Thursday and Friday 8:00 -4 00;Wednesday 10:00 - 4:00 <br />Trackins#: \i'l'raO24 <br />Office [Jse <br />Amount Paid: \.-{q 99 Receipt #rcq=q <br />Received bfl Date: 5-\O-- <br />Dare: a\1Address tagged by Tr <br />Diskrbutron: Whfe & Yellow - lnspector Prnk - File Cdpy <br />\,.e <br />Planning & Building Agency <br />Euilding Safety Oivision <br />20 Civic Center Plaza <br />P.O. Box {988 (M-'19) <br />Santa Ana, CA S2702 <br />(714) 647-s8s3 <br />SUITE: <br />Requested by; <br />Name: <br />Address: <br />Phone: <br />Remarks: <br />*sle