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*,,SANTA <br />NA,',lffi$ <br />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 />SUBJECT ADDRESS S SUITE:(nc <br />@(- <br />m <br />-t <br />ooF <br />m(l)I <br />u Residential ! Commercial/lnduskial <br />Purpose of lnspection: <br />Requested by: ! Owner ! Contractor tr Real Estate Agent /o,r,". <br />Name:(-_) <br />Address: C.rQtl) l'.[, 3..,-,{tsJa \p,'?-.{ 3,",-1t,\a V - az ']57_Si <br />Phone: U,?"L\LL)- lz-q r:a ta <br />\,( r tE-\Correction <br />Notice <br />ftel^nCheck Required <br />ctrical E Plumbing <br />or Plan I Roof Plan <br />mbing t-, Mechanical <br />nACTION TAKEN: <br />INSTRUCTIONS <br />PERMITS REQU <br />! None Required <br />U OK Subject to Field <br />IRED.V-Bk"{r, <br />uilding <br />,*, nF <br />le U Mechanical <br />! ElevationsPLANS REQUIRED.ite Plan lotg(Ww4.o lect. Plan ! Plu <br />FEES: <br />NOTE: Buil <br />pRegular Fees ! Penalty Fee tr lnvestigation Fee <br />ding Permits for unpermitted room additions require a site plan, floor <br />plan, roof plan, framing plan, and elevations <br />Remarks:aC <br />=m <br />Ti e <br />Date Time ln Departed:spector/lD <br />lnspector Office Hours: Monday - Thursday 4:00 - 4:30 PM and Friday 3:OO - 3:3 Pl,/ <br />Permits may be obtained ll,londa y, Tuesday, Thursday and Frida y 8:00 - 4:00i Wednesday 10.00 - 4.00 <br />Office Use <br />Trackins # SL79.lB2rS Amount paid:Receipt #: <br />Received by Date: -\r^ <br />Date: €-46 -Address tagged by \e <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />\.. <br />-{X <br />r''i <br />/c <br />1 <br />Di6en4'!b <br />-<-r <br />Distribution: White & Yellow - lnspector Pink - File Copy