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-,-SANTA <br />NA,',iiiffi <br />SPEGIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />SUBJECT ADDRESS SUITE <br />trResidential {Commercial/tndustrial <br />Requested by: ! Owner ! Conlractor ! Real Estate Agent X Otrer <br />aC <br />@ <br />mo <br />-.,1 <br />oov <br />maa <br />Name: <br />Address <br />Phone: <br />ACTION TAKEN: tr None Required ll Correction Notice <br />INSTRUCTIONS: |l OK Subject to Field i Plan Check Required <br />PERMITS REQUIREDT U Building ri Eleclrical ll Plumbing U Mechanical <br />PLANS REQUIRED: ! Site Plan n Floor Plan a Roof Plan n Elevations <br />U Elect. Plan n Plumbing f Mechanical <br />FEES: E Regular Fees Ll Penalty Fee L-l 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 />Time <br />Departed: <br />lnspector Office Hoursr Monday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 PM <br />Pemils may be obtained Monday , Thursday and Fdday 8 00 - 4:00; Wednesday 10:00 - 4.00 <br />Office Use <br />Amount Paid:Receipt #: <br />Received by:Date <br />Date <br />Distribution: White & Yellow- lnspector Pink - Fib Copy <br /><- <br />\c-t c.\' \ \-1 'Purpose of lnspection: <br />P'lanning & Btllding Agency <br />Building Safety Oivlsion <br />20 Clvlc C€nler Plaza <br />P.O, Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5853 <br />+i_,-'r <br />\ -\\\ r + -\-( <br />),,..+tv <br />(i Il I <br />,-) - L!\zL( - lz--)- l <br />tOl <br />ac <br />--{!I <br />!\t <br />Date:'l'Time ln:lnspector/lD: <br />Trackino #: <br />\i-Address tagged by: