Laserfiche WebLink
;,,SANTA <br />NA-HH <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 M-19 <br />santa Ana, cA92702 <br />(714) 647-5800 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />SUBJECT ADDRESS ICci A l./aBSUITE <br />! Commercral/lnd u strial O Residential <br />Purpose of lnspection: & t; /r1, <br />aC <br />@(-_ <br />m(l <br />-t <br />oUnm <br />CN <br />CN!lt <br />InP <br />Ei <br />ni <br />iqrlt-L,""^ fo -12f./'.r/ n < <br />fin / <br />o!,h"rf t teols 4a be <zllerJ <br />Requested by: B Owner fl Contractor tr Real Estate Agent O Other <br />Name -L <br />Address: l4r I <br />ACTION TAKEN: <br />INSTRUCTIONS: <br />PERMITS REQUIRED <br />PLANS REQUIRED: <br />FEES: <br />Rema rks <br />5- <br />E None Required E Correction Notice <br />IOX SuOlect to Field tr Plan Check Require <br />!rr,,o,ns ;hEtectricat fnnnoins fi <br />dsit" el.n 'Floo, Plan f, Roof Plan l <br />E Regular Fees f(Penalty Fee ,{lnvesti <br />Fax <br />d <br />Mechanical <br />Elevations <br />gation Fee <br />NOTE: Building permits for unpermitted room additions require a site plan, <br />floor plan, roof plan, framing plan and elevations <br />t4 <br />-eda'- 4-eczzie*c Acun\Nqs a u)ni,ttg i oLzua;u-< <br />aC <br />=m.7 v <br />n)o)*< d <)nt-< 2 t(Et/]*Aria-an- A,/A@- / e\"/,lKt7-SqTI7f( <br />Date -t/tq ltb Time: /?!0D lnspector/lD:D7--/'lnspector Office Hours: B:00 - B:30 A M and 3:30 - 4:00 P.M <br />Permits may be obtained Monday, Tuesday, Thursday and Friday 8:00 - 4:00; Wednesday 10:00 - 4:00 <br />Office Use <br />Tracking #: 1I -'liqSlro Amount Paid:_ Receipt # <br />Rcccir ed bl' <br />Address tagged by <br />Datc <br />Date <br />Distribution: Whitc Inspcctor Pink Ou'ner/Contractor Yellorv Filc Copl <br />Phone: