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*-SANTA <br />ANA <br />lLt\\t\c <br />lilDt\[ <br />l6t\fl <br />I <br />Planning & Bullding Agency <br />Euilding Salety Division <br />20 Civlc Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(7141 il7-5853 <br />SPECIAL INSPECTION/COMPLAINT <br />INVESTIGATION FORM <br />SUITE: <br />tl Commercial/lndustrial <br />SUBJECT ADDRESS: <br />D Residential <br />Purpose of lnspection: <br />CNC <br />@(- <br />mo-l <br />oo7m <br />@ <br />CI' <br />Requested by: D Owner <br />Name: I , .. r'ic,.Vr <br />o Contractor tr Real Estate Agent o Other <br />Address:t'l Jr LT <br />Phone:lcl\) 211 <br />ACTION TAKEN: D None Required u Correction Notice <br />INSTRUCTIONS: D OK Subject to Field b(Ptan Check Required <br />PERMITS REQUIRED: .E AuiHing B'Electrical B' Plumbing B' Mechanical <br />PLANS REQUIRED: g'Site eUn El.Floor Plan O Roof Plan B Elevations <br />u Elect. Plan tr Plumbing D Mechanical <br />FEES: X Regular Fees tr Penalty Fee o lnvestigation Fee <br />NOTE: Buitding Permits for unpermitted room additions require a site plan, floor <br />plan, roof plan, framing plan, and elevations <br />Remarks: .,@c <br />=m <br />Date:Time ln <br />Time <br />lnspector Of{ice Hours: Monday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 PM <br />Permils m?y be obtained Monday, Tuesday, Thursday and Friday 8ioo - 4:0O; Wednesday '10:0O - 4:0O <br />Tracking #: SJ ''l <br />Received by: <br />Office Use <br />Amount Paid:Receipt # <br />Date <br />DateAddress tagged by: <br />Distribution: White & Yellow - lnspector Pink - File Copy <br />t.i Lot l <br />q".c I <br />-l,t c ? <br />l <br />I <br />)