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.',-SANTA <br />NA <br />Itr\t\c <br />&tutol\c <br />lcilfl <br />- <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) 647-58s3 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />SUBJECT ADDRESS SUITE: <br />t I Residential I I Commercial/lndustrial <br />Purpose of lnspection <br />Requested by: tr Owner tr Contractor tl Real Estate Agent rl Other <br />Name: <br />Address <br />Phone: <br />ACTION TAKEN: I None Required tr Correction Notice <br />INSTRUCTIONS: ! OK Subject to Field I Plan Check Required <br />PERMITS REQUIRED: tl Building n Electrical tJ Plumbing E Mechanical <br />PLANS REQUIRED: n Site Plan u Floor Plan ! Roof Plan tt Elevations <br />u Elect. Plan tt Plumbing u Mechanical <br />FEES: tl Regular Fees tl Penalty Fee tr lnvestigation Fee <br />NOTE: Building Permits for unpermitted room additions requare a site plan, floor <br />plan, roof plan, framing plan, and elevations <br />Remarks: <br />aC <br />@(- <br />mo <br />--{ <br />oan <br />m <br />U) <br />@ <br />(/)c <br />=m <br />Date <br />Time <br />Departed:Time ln lnspector/lD: <br />lnspector Office Hours: Monday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 PM <br />Permits may be obtained Monda y, Tuesday, Thursday and Friday 8:0O - 4:00: Wednesday 10:00 - 4.00 <br />Tracking #: _ <br />Received by: <br />Office Use <br />Amount Paid:Receipt # <br />Date <br />Date <br />Distribution: White & Yellow - lnspector Pink - File Copy <br />Address tagged by