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*-SANTA <br />NArli'il,fi <br />Planning & Building Agency <br />Permits & Plan Check Section <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa.ana.org <br />ACCELERATED PLAN CHECK <br />REQUEST <br />28+l A'A w' [9lui: <br />PCC-12 CBC 2016 <br />Project Address:v <br />Misc. Receipt:Processed an Checked By. <br />Cost: $142.38 pe h r for d IS ine. The plan che mate the number of hours for review <br />This fee is in addition to tfe <br />Type of Plan Check: Building \ <br />u an ck <br />Electrical <br />Est. Hrs Est. Hrs Actual <br />Plumbi anical <br />Est. Hrs ual Actual <br />Owner/Representative Signature <br />PrintName: DAy;l lca-rl.Date: B/rt /r g <br />(7 <br />Telephone Number 3 Fax Number <br />erated plan check review will not include the following: <br />Re <br />, Police, Public Works, Planning or Landscaping Plan Check <br />lf requesting an "accelerated revision", the cost will be $222.16 per hour in addition to the <br />accelerated fee of $142.38 per hour. <br />INTERNALUSEONLY <br />Distribution: White: Office Yellow: Applicant <br />PCC-12 Accelerated Plan Check Request Rev:0G2G2018 <br />Name (Last, First, lnitial)Employee #Divlsion <br />From (Date & Time)To (Date & Time)Total Hours Worked <br />- <br />Comp Time Requested <br />- <br />Overtime Requested <br />Employee Siqnature <br />AUTHORIZED <br />_Comp time <br />_ Overtime <br />lmmediate Supervisor Date <br />APPROVALS <br />Division i.4anager Date <br />Executive Director Date <br />Est. Hrs. <br />') <br />Date: