Laserfiche WebLink
.--SANTA <br />NA,'hilffi <br />at <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />SUBJECTADDRESS' q J+ ,J +4 SUITE aC <br />ul <br />mo--l <br />ooAmaa <br />ll Residential <br />Requested by: 6-Owner ! Contractor tr Real Estate Agent ! Other <br />Name <br />Address '+{Yv () { ,rt 9 <br />Phone 7 r-l )j..l D? z \/k./ 8Q)() t) <br />Remarks: t.tl aot<+)l/ )tl)la aC <br />=m!l <br />Date: Ai t-? Time ln <br />,rol <br />Depa <br />Time t <br />.led | 1t <br />lnspector Office Hoursr Monday - Thursday 4 OO - 4:30 PM and Friday 3:OO - 3:30 P[,4 <br />Permils may be oblained l\,4onday Tuesday, Thursday and Friday 8 00 4:00; Wednesday 10:00 *4:00 <br />Office Use <br />1 "'l 1.:2- Amount Paid: lq ITracking #: <br />Received by <br />Receipt # <br />Date: <br />Address tagged by Date <br />Oistribution: White & Yellow- lnspector Pink - File Copy <br />Planning & Bullding Agency <br />Building safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(7r4) 647-s853 <br />LF Commercial/lndustrial <br />Purpose of lnspection: <br />D <br />)i) <br />ACTION TAKEN: C None Required i Correction Notice <br />INSTRUCTIONS: n OK Subjectto Field ts Plan Check Required <br />PERMITS REQUIRED: H tsuildjng F Electrical {Plumbing E. Mechanical <br />PLANS REQUIRED: F Site Plan F Floor Plan ! Roof Plan C Elevations <br />tl Elect. Plan tr Plumbing tr Mechanical <br />FEES: t'Regular Fees ! Penalty Fee ! lnvesligalion Fee <br />NOTE: Building Permils for unpermitted room additions require a sit6 plan, floor <br />plan, roof plan, framing plan, and elevations <br />)1 )1' <br />T <br />L <br />z <br />'il <br />ct <br />-F <br />J- <br />,lnspector/lD: <br />uacGt <br />I'