Laserfiche WebLink
,--SANTA <br />ANA-'fffi <br />SUBJECT ADDRESS a1 -Ti,sfin Aue SUITE: <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) 647-5853 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />lndustrial <br />at N) <br />tl Residential <br />Purpose of lnspection:SSa <br />* <br />Pt, rnit .*L^ <br />U)C <br />@(- <br />m <br />C)-{ <br />Cf(f <br />7moa <br />Requested by: ! Owner D Contractor ! Real Estate Agent {otn", <br />5FPDName: <br />Address <br />Phone: <br />b b-o3 t 9)j <br />9-) <br />2 <br />)c,5 <br />P <br />(s <br />ACTION TAKEN: E None Required tr Correction Notice <br />INSTRUCTIONS: I OK Subject to Field ! Plan Check Required <br />PERMITS REQUIRED: tr Building ! Electrical D Plumbing ! Mechanical <br />PLANS REQUIRED: tl Site Plan D Floor Plan u Roof PIan D Elevations <br />I Elect. Plan ! Plumbing D Mechanical <br />FEES: n Regular Fees D Penalty Fee n 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 ^g) <br />C <br />=m <br />Date: 38-"1 Time <br />Time ln: /,to Departed:/,'3o lnspector/ lD: iZ. 0 'S <br />lnspector office Hours: Monday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 pM <br />Permits may be obtained Monday, Tuesday,Thursday and Friday 8:00 - 4:00; Wednesday 10:00 - 4:00 <br />Received by: <br />Tracking *'51$il.3:t <br />Office Use <br />Amount Paid:Receipt #: <br />Date: <br />Date:Address tagged by: <br />Distribution: White & Yellow - lnspector Pink - File Copy <br />c <br />t