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,,-SANTA <br />NA <br />IU\It\C <br />(Suut\c <br />$t{1 <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) 647-5800 <br />SPECIAL INSPECTION/COMPLAINtr <br />INVESTIGATION FORM <br />SUITE <br />QCommercial/lndustrial O Residential <br />Purpose of lnspection <br />Requested by <br />Name: <br />E Owner E Contractor O Real Estate Agent tr Other <br />Phone: _ Fax <br />ACTION TAKEN: <br />INSTRUCTIONS: <br />PERMITS REQUIRED <br />PLANS REQUIRED: <br />FEES: <br />NOTE: Building permits for unpermitted room additions require a site plan, <br />floor plan, roof plan, framing plan and elevations <br />Remarks: <br />Date:Time:lnspector/lD <br />lnspector Office Hours: 8:00 - 8:30 A.M and 3:30 - 4:00 P.M. <br />Permits may be obtained Monday, Tuesday, Thursday and Friday 8:00 - 4:00; Wednesday 10:00 - 4:00 <br />Tracking # <br />Office Use <br />Amount Paid:Receipt # <br />Date <br />DateAddress tagged by <br />Distribution: White -'lnspector Pink Orvner/Contractor Yellorv Filc Copy <br />SUBJECT ADDRESS: <br />Address: <br />fl None Required E Correction Notice <br />O OK Subject to Field tr Plan Check Required <br />B Building Q Electrical fl Plumbing O Mechanical <br />Q Site Plan tr Floor Plan D Roof Plan tr Elevations <br />.O Regular Fees tr Penalty Fee fl lnvestigation Fee <br />@C <br />@(- <br />m <br />-l <br />oo7maa <br />I <br />I <br />I <br />CNC <br />=r <br />Received by,