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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-s800 <br />www.santa-ana.org <br />sPECrAr TNSPECTTON/COMPLATNT <br />INVESTIGATION FORM <br />k C <br />SUBJECT ADDRESS <br />Purpose of lnspection <br />! Residential il Commercial / lndustrial!:,.(s.-- <br />CNc <br />@(- <br />m <br />-l <br />oonm <br />@(t <br />SUITE:- <br />a C <br />Requested by ! owner fl city otricial iQotner5SPD <br />Name: <br />Address <br />Phone:ffi <br />ACTION TAKEN: ! None Required E Correction Notice <br />INSTRUCTIoNS: ! OK Subject to Field ! Plan Check Required <br />PERMITS REQUIRED: E euiloing E Electrical ! Plumbing ! Mechanical <br />PLANS REQUIRED: E Site Plan D Floor Plan ! Roof Plan D Elevations <br />! Elect. Plan ! Plumbing lMechanical <br />FEES: ! Regular Fees ! Penalty Fee D 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: ?-q*S{/> <br />/-\)^ <br />(} <br />)r- <br />,\ <br />[), <br />=pv" <br />) <br />o-f <br />aC <br />=t:l <br />Date imeln:1'.9a Time Out: lo r & ez* lns pector/lD c V,lCto-.- <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 #Receipt # <br />Received by:Date <br />DateAddress tagged by: <br />Distribution: white lnspector - Yellow Applicant <br />OFFICE USE <br />Amount Paid: