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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 />sUBJECTADDRESS: /00/ /, Fl*pcd SUITE:a)C <br />@(- <br />m <br />c)+ <br />C]on <br />maq <br />Purpose of lnspection: <br />S)ffesidentia I t-l Commercial/lndustrial <br />!? <br />S T D'IB gDI <br />Requested by: tr Owner O Contractor ! Real Estate Agent €D Other <br />Name: <br />Address: <br />Phone: <br />6C TA_ <br />ACTION TAKEN: E None Required O/Correction Notice <br />INSTRUCTIONS: O OK Subject to Field ! Plan Check Required <br />PERMITS REQUIRED: BBuilding f,Electrical ! Plumbing D Mechanical <br />PLANS REQUIRED: D Site Plan ! Floor Plan U Roof Plan E Elevations <br />tl Elect. Plan tr Plumbing D Mechanical <br />FEES: O Regular Fees D Penalty Fee ! 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: Of&TAl4,, =r--?tj<-TuB-*t- OB S€ A U#rr q^)%*rx <br />e <br />b2- €l Lt LLc <br />fs o <br />tN6 a-ao-cl <br />Date 1+-tD rime ln: 8i2h^Time <br />Departed: {ul}I ns pector/l D : R(*t*rf;ft <br />Permits may be obtained Mond ay, Tuesday, Thursday and Friday 8:00 - 4:0 0; Wednesday 10:00 - 4:00 <br />Trackins *: tr718t70 <br />Received by: <br />Office Use <br />Amount Paid:Receipt #: <br />Date: <br />Date:Address tagged by <br />Distribution: White & Yellow - lnspector Pink - File Copy <br />.--SANTA <br />NATHffi <br />ary2zz <br />L. <br />€-s <br />@C <br />=nr <br />lnspector Office Hours: Monday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 PM