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,a"y'q <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-s800 <br />www,santa-ana.org <br />SPECTAL TNSPECTTON/COMPLATNT <br />INVEST!GATION FORM <br />SUBJECT ADDRESS: <br />Purpose of lnspection <br />SUITE:- <br />Requested by: fl Owner D city officiat ! other <br />Name: <br />Address <br />Phone: <br />f-UL_e,m <br />I <br />Remarks:-fCI <br />> <br />ac <br />=t:l <br />Date:Time ln: <br />lnspector Office Hours: Monday - Thursday 4:00pm - 4:30pm and Friday 3:00pm - 3:30pm <br />Permits may be obtained Monday, Tuesday, Thursday and Friday 8:00am - 4:00pm ; Wednesday 10:30am - 4:00pm <br />Tracking #: <br />Received by: <br />OFFICE USE <br />Amount Paid:b727 Receipt #:,7 <br />Address tagged by <br />Date <br />Date <br />Distribution: White lnspector - Yellow Applicant <br />TuEe <br />fl Residential ! Commercial / lndustrial <br />CNc <br />@(- <br />mo-t <br />oIv <br />m <br />CN <br />N <br />ACTION TAKEN: I None Required D Correction Notice <br />TNSTRUCTIONS: E OK Subject to Field ! Plan Check Required <br />PERMITS REQUIRED: EI Buitdlng E Electrical E Plumbing ! Mechanical <br />PLANS REQUIRED: I Site Plan ! Floor Plan ! Roof Plan ! Elevations <br />E Elect. Plan E Plumbing EMechanical <br />FEES: E Regular Fees E Penalty Fee ! Investigation Fee <br />NOTE: Building Permits for unpermitted room additions require a site plan, floor plan, <br />roof plan, framing plan and elevation <br />Time Out: lnspector/lD:-