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511 S Jackson St Unit# A - Misc. Permit
-,-SANTA NA,',i[]fi Planning & Building Agency Bualding Safety Division 20 Civic Genter Plaza P.O. Box 1988 (M-i9) Santa Ana, CA 92702 (714) 647-5853 SPECIAL INSPECTION/COMPLAINT INVESTIGATION FORM SUBJECTADDRESS: 5 A aC @ mo-t oov maa X Residential tl Commercial/lndustrial Purpose of lnspection Requested by: D Owner ! Contrector ! Real Estate Agent -Name: Bult-olZa a,z,/137Lu.--n a N / a , /ott",\ 9Z-<t7 ,7rrrg, k. tRu,'r6 <f ?z-Zll,-Address -..-Phone:7/q SO tr./A 9q e/4?1; 7-6yta@-6utatleMsr6,. (a.^- ACTION TAKEN INSTRUCTIONS tr None Required (Conection Notice XoK subject to Fieu(tHi) .lPlan check Required(ld.a'^-J I,,r}rrt hc/*) PERMITS REQUIRED PLANS REQUIRED: N Buirdin(?) (sit" et"n ffElectrical EPlumbing XMechanical XFloor Plan ! Roof Plan n Elevations tr Elect. Plan D Plumbing D Mechanical FEES: (Regular Fees ! Penatty Fee ! lnvestigation Fee NOTE: Building Permits for unpermitted room additions roquire a slte plan, floor plan, roof plan, framing plan, and elevations Remarks: PitE D..^t+l.E At J'!.F€b ,g(r'vg 1u t,n,rT A, ot< -f?) rctoE hg,^.L/y,/o^./ fetJ"rt7- furL tAdrbE-U C@,,v+t t<at ty',\ovkt o( P -/db DEiEB. 0t< H,ittcY Yn teLb IL lLo/r',b ,-/^ d /d hectLA.llt*L pLt^ t>S t/tLt [E ftf6rlh.F1, tLx* c*&.k Jr(]gcr- )t Cr\Y tltt,^'v*6 ou f;<\ft-r.1- ar t)'t"cturt+L /)A1*ftf Na}€b t^t F,6/,,tPIa o,E caLb', ntlUln oate: {*2-11 rimern: 1:l1frrh. Time Departed:ld:[5 l.h. tnspector/lD lnspector Office Hours: Monday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 PM Permils may be obtained lrronday, Tuesday, Thursday and Friday 8:00 - 4:00tWednesday 10100 - 4:00 Received by: Address tagged by Receipt #: Date: 8- 2-\<.7 Distribulion: White & Yellow- lnspector Pink-FileCopy SUITE: (nc =m Tracking #: Office Use Amount Paid: -4, Date: