Laserfiche WebLink
,--SANTA <br />NA <br />?LI\It\6 <br />fBttnt$ <br />lcNl <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 M-19 <br />Santa Ana, CA927O2 <br />(714) 647-s800 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />SUBJECT ADDRESS:SUITE: <br />OCommercial/lndustrial tr Residential <br />Purpose of lnspection: <br />ac <br />@(- <br />mo <br />--{ <br />aan <br />m <br />U)9Requested by: <br />Name: <br />E Owner fl Contractor tr Real Estate Agent B Other <br />Address: <br />Phone:Fax: <br />ACTION TAKEN: <br />INSTRUCTIONS: <br />PERMITS REQUIRED <br />PLANS REQUIRED: <br />FEES: <br />U None Required E Correction Notice <br />O OK Subject to Field tr Plan Check Required <br />EI Building O Electrical O Plumbing tf Mechanical <br />O Site Plan tr Floor Plan O Roof Plan tr Elevations <br />IJ Regular Fees tr Penalty Fee 0 lnvestigation Fee <br />NOTE: Building permits for unpermitted room additions require a site plan, <br />floor plan, roof plan, framing plan and elevations <br />Remarks: <br />t <br />C' <br />C <br />=m <br />Date Time:AM 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 />Anrount Pfid:Receipt # <br />Received bv:Date <br />DateAddress tagged by <br />Distribution: White - Inspector Pink - Owner/Contractor Yellow Filc Copy