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Planning & B411ing Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />i <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: j 7 '3U C / 7W ST- SUITE #� <br />PAID BY: `�APAANT-4/k ��FtANT Z Ee�t,LE rC,w'S DATE: (a /r 7// 3 <br />Bldg — Plan Check # <br />01116002 <br />53600 <br />$ <br />Plmg — Plan Check # <br />01116002 <br />53602 <br />$ <br />Elect — Plan Check # <br />01116002 <br />53601 <br />$ <br />Mech — Plan Check # <br />01116002 <br />53603 <br />$ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 $ <br />Pimg Permit — Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit — Inspection/Special Inspection <br />01116002 b1603 $ <br />Mech Permit — Inspection/Special Inspection <br />01116002 51604 $ <br />Acc Bldg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />SMIP - Category Val$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee — Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee — Electrical <br />Bond: Demo, 30-Day, Relocatio �ign Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Free <br />-- A Cr L ti 5 S <br />G;,-'s F ACACr y1 c�T <br />C°,a)T44t0 sd a/7Cf <br />NOTICE. Application;; for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />permits are issued within 180 days. <br />IReceipt I <br />Prepared bv. <br />12115002 <br />53507 <br />$ <br />01116002 <br />51600 <br />$ <br />01116002 <br />51601 <br />$ <br />08901001 <br />24000 <br />$ <br />01116002 <br />51612 <br />$ <br />01117002 <br />57770 <br />$ <br />3002 <br />57991 <br />$ <br />01116002 <br />51601 <br />$ <br />01116002 <br />51602 <br />$ <br />01116002 <br />51603 <br />$ <br />09801001 <br />24015 <br />$ <br />01116002 51501 $ <br />12015002 53700 $ <br />TOTAL <br />Misc. Receipt # 61507 t4,7-" - "' Validation <br />PlinivFee ScheduieMtsc ReceiptwApril. 2013 Li <br />