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-,-SANTA <br />NA,'i1,ilffi <br />Planning & Building Agency <br />Building Safety Oivision <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-{9) <br />Santa Ana, CA 92702 <br />{714) 547-s853 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />ro <br />D Residential <br />Per "",.t\ <br />X Commercial/lndustrial a\\\rPurpose of lnspection <br />\\\ +- ( l <br />Sr€.,A *o .*.*1-<n <br />Requested by x Owner E ntractor ! Real Estate Agent ! Other <br />Name /4 <br />Address: Z 2 <br />Phone l4 7 <br />ACTION TAKEN: ! None Required O Correction Notice <br />INSTRUCTIONS: D OK Subject to Field ! Plan Check Required <br />PERMITS REQUIRED: fularitaino tsElectrical ! Ptumbing ,fu)Mechanicat <br />PLANS REQUIRED: psite Plan XrFloor Plan D Roof Plan ! Elevations <br />D Elect. Plan ll Plumbing ! Mechanical <br />FEES: ! Regular Fees ,fuiPenalty Fee Eilnvestigation Fee <br />NOTE: Building Permits for unpermitted room additions require a site plan, floor <br />plan, roof plan, framing plan, and elevations <br />Remarks aC <br />=m <br /><.1<r-*t - Aa can c>,'-e(sc)fiz i..,r. r .N),2:n1< (.rB o*tec (aL*tt <br />Date <!1JL rime ln: 9t';,'<rr t4De <br />Time <br />parted:/11 spector/lD eP/@ <br />lnspector Offlce Hours: lvlonday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 PM <br />Permits may be oblained ironday, Tuesday Th u6day and Friday 8:00 -4:00;Wednesday 10:00 - 4:00 <br />rrackins#: $.llloll <br />Received by: <br />Oflice Use r r <br />Amount Paid: l{! Pn"cei pt*: ' If)t-\55 <br />Date <br />Date <br />Distribution White & Yellow- lnspector Pink - File Copy <br />SUBJECT ADDRESS:SUITE:aC <br />@ <br />mo+ <br />oov <br />maI <br />Address tagged by: