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sI -t vfiqq <br />9.} -lb oo ?Lt - <br />ql r0 <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-s853 <br />ry /1 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />SUITE:CJ)CE<_ <br />mo-t <br />I(fn <br />m <br />U) <br />C' <br />Residenti Commercial/lndus <br />Purp of lnspection <br />Reque <br />Name: <br />edb v:E Owner ontractor ! Real Estate ent ther <br />Address: <br />Phone: <br />ACTION TAKEN: ! None Required ! Correction Notice <br />INSTRUCTIONS: tr OK Subject to Field tr Plan Check Required <br />PERMITS REQUIRED: D Building tl Electrical ! Plumbing ! Mechanical <br />PLANS REQUIRED: n Site Plan D Floor Plan D Roof Plan O Elevations <br />! Elect. Plan D Plumbing E Mechanical <br />FEES: n Regular Fees tJ Penalty Fee tr 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 />C <br />=m <br />a <br />tme <br />tO-,<Ot(nspector/tDDate:? 1"1 Time ln lUlok4 Departed <br />lnspector Office Hours: Monday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 Plv{ <br />Permits be obtained , Tuesda , Thurs and Friday 8.00 - 4:00, Wednesday 10:00 - 4.00 <br />Office U <br />Amount Paid Receipt <br />Received by:Date: <br />Date: <br />.--SANTA <br />NA,',ii,i}fi <br />Oistribution: White & Yellow - lnspector Pink - File Copy <br />suBJEcrADDness:\lN N dNA <br />Tracking #:s{ r q?,0?^ <br />Address tagged by: