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-,-SANTA <br />NA,',iiilffi <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-,l9) <br />Santa Ana, CA 92702 <br />(714) 647-58s3 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />suBJEcr ADDRESS: -700 \rV 2W Qd SUITE: <br />FResidential ll Commercial/lndustrial <br />Purpose of lnspection: <br />oN erJco fiA^l / h.hg:ia'rt.\rN quE fr k uoF |/it Lkl-t' nil{ <br />Requested by: tr Owner n Contractor ll Real Estate Agent P othet <br />Name: <br />Address <br />Phone: <br />ACTION TAKEN <br />INSTRUCTIONS <br />! None Required <br />n OK Subject to Field <br />tr Correction Notice <br />)B Plan check Required <br />Electrical pPlumbingPERMITS REQUIRED <br />PLANS REQUIRED] <br />)P9ritdins P D Mechanical <br />i Elevations),l, Site Plan tl Floor Plan O Roof Plan <br />tl Elect. Plan ! Plumbing t-l Mechanical <br />FEES: ! Regular Fees I 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 <br />L {> <br />aC <br />='rU{ <br />Date rlnl t\Time ln: lA <br />Time <br />Departed:l<:1<'lnspector/lD <br />lnspector Ofllce Hours: Monday - Thursday 4:00 - 4:30 P[, and Friday 3:00 - 3:30 PM <br />Permils may be obtalned Monday, Tuesday, Thursday and Friday 8:00 - 4:00; Wednesday 10:00 4:00 <br />Office Use <br />Tracking #Amount Paid rt/ A{a"".ipt*, <br />Received by: <br />Distribution: White & Yellow- lnspector Pink - File Copy <br />ac <br />u) <br />mc)--t <br />(f <br />vm(,I <br />.[ <br />IS <br />t-t <br />IW <br />l\ <br />l- <br />Date: <br />Date:Address tagged by: