Department of Building Inspection

COMPLAINT DATA SHEET

Complaint Number:

202184483

Owner/Agent:

OWNER DATA SUPPRESSED

Date Filed:

Owner's Phone:

Location:

4930 ANZA ST

Contact Name:

Block:

1504

Contact Phone:

Lot:

009A

Complainant:

COMPLAINANT DATA SUPPRESSED

Site:

Rating:

Occupancy Code:

Received By:

WSTROM

Complainant's Phone:

Division:

BID

Complaint Source:

WEB FORM

Assigned to Division:

BID

Description:

date last observed: 16-NOV-21; time last observed: 2:17pm; floor: Multiple; exact location: Main Bldg; building type: Residence/Dwelling FIRE SAFETY/FIRE ESCAPE; DILAPIDATED STRUCTURE; BROKEN APPLIANCES; STRUCTURAL PROBLEMS;

Instructions:

INSPECTOR INFORMATION

DIVISION	INSPECTOR	ID	DISTRICT	PRIORITY
BID	HARTLEY	6208	5

REFFERAL INFORMATION

COMPLAINT STATUS AND COMMENTS

DATE	TYPE	DIV	INSPECTOR	STATUS	COMMENT
11/17/21	CASE OPENED	BID	Hartley	CASE RECEIVED
11/17/21	OTHER BLDG/HOUSING VIOLATION	BID	Hartley	CASE CLOSED	Case closed and referred to HIS per CM; WS

COMPLAINT ACTION BY DIVISION

NOV (HIS):

NOV (BID):

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