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Planning & Building Agency <br />Building safety Division <br />20 Civic Center Plaza <br />P.O. Box r988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 547-s800 <br />www.santa-ana.org <br />SPECtAL !NSPECTTON/COMPLATNT <br />INVESTIGATION FORM <br />SUITE:-U)C <br />@ <br />mo-t <br />oo7 <br />m <br />ct) <br />a) <br />E Residential Commercial / lndustrial <br />Purpose of lnspection <br />Requested by: ! Owner E city otriciat fl other <br />ACTION TAKEN: I None Required Correction Notice <br />INSTRUCTIONS: E OK Subject to Field I Plan Check Required <br />PERMITS REQUIRED: D Building E Electrical E Plumbing I Mechanical <br />PLANS REQUIRED: E Site Plan E Floor Plan ! Roof Plan ! Elevations <br />! Ebct. Plan E Plumbing !Mechanical <br />FEES: ! Regular Fees ! Penalty Fee ! lnvestigation Fee <br />NOTE: Building Permits for unpermitted room additions require a site plan, floor plan, <br />roof plan, framing plan and elevation <br />Remarks:U)C <br />=m <br />Date Time ln Time Out:lnspector/lD:- <br />OFFICE USE <br />Date <br />DateAddress tagged by <br />Distribution: White lnspector - Yellow Applicant <br />Receipt # <br />) <br />7-1 1 <br />SUBJECT ADDRESS: <br />{tt <br />U <br />Name: <br />Address: <br />Phone: <br />lnspector Office Hours: Monday -- Thursday 4:00pm - 4:30pm and Friday 3:00pm - 3:30pm <br />Permits may be obtained Monday, Tuesday, Thursday and Friday 8:00am - 4:00pm ; Wednesday 10:30am - 4:00pm <br />Tracking #: _ Amount Paid: <br />Received by: