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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-'19) <br />Santa Ana, CA 92702 <br />(714) 647-s853 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />Purpose of lnspection <br />,55<-. N G..-A.SUITE <br />tl Residential x Commercial/lndustrial <br />aC <br />@ <br />mo+ <br />o <br />vmaa <br />ed by: ! Owner tr Contrgctor tr Real Estate Agent <br />A i<\\1a ZA( trN,/Jr,'aru^,- Z*rer.-w <br />! OtherRequest <br />Name: <br />Address <br />Phone:vb2 <br />(Iz Sr,n\?zo(Irv\ 295''1 <br />ACTION TAKEN <br />INSTRUCTIONS <br />! None Required ! Correction Notice <br />! OK Subject to Field n Plan Check Required <br />PERMITSREQUIRED: TEBuilding PiElectical lelumuing zEiMechanical <br />PLANS REOUIRED: lAie elan )!'Tloo( Plan , , Roof Plan I Elevations <br />U Elect. Plan tr Plumbing Ll Mechanical <br />FEES: a Regular Fees ll 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 />9 <br />rtcat),^/tt. A-*tz,i'/]& -lb r2,E/lr.o.E L4d *'1'),r,1 4 i-u ,/t2/ <br />aC <br />=m <br />' )tt < !I <br />Duttu /2 )^Z p 1EA1TQ.oo/h -T/U 4A/?-AZ;e.. <br />Date Time ln 0t sz fr/./ o*Ji!i, glg2rrnspectorlrD: -{P/e. <br />lnspector Office Hours: Monday - Thursday 4i00 - 4:30 PM and Friday 3:00 - 3:30 PM <br />Permils may be oblained l\,1o , ThuGday and Friday 8:00 -4:00; Wednesday 10:00 - 4:00 <br />Office Use <br /><(12?-t?0 Amount Paid \q Receipt #rl(.,<; E r:- <br />l\J ,- )--__-, <br />bbTracking # <br />Received b v:4- s-\a-,\6Date <br />DaleAddress tagged by <br />*,,SANTA <br />ANA,'Iiilffi <br />SUBJECT ADDRESS: <br />Drst.rbutioni White & Yellow- lnspector Pink-f te Cop