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Planning & l0ding 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 />• <br />MISCELLANEOUS <br />RECEIPT <br />M <br />PROJECT ADDRESS\---V��, <br />1 S # <br />PAID BY: DATE: <br />Bldg — Plan Check # 01116002 53600 $ <br />Plmg — Plan Check # 01116002 5360 $ <br />Elect — Plan Check # 01116002 53 1 $ <br />Mech — Plan Check # 01116002 5 603 $ <br />Bldg Permit — Inspection/Special Inspection <br />1116002'5160 <br />$ <br />Plmg Permit — Inspection/Special Inspection <br />01116962 51602 <br />$ <br />Elect Permit — Inspection/Special Inspection <br />0111eG02 51603 <br />$ <br />Mech Permit —Inspection/Special Inspection <br />01116002 51604 <br />Acc Bldg P/C # hr <br />01116002 57600 <br />$ <br />Acc Plmg P/C # S. <br />01116002 57600 <br />$ <br />Acc Elect P/C # rs. <br />111 57600 <br />$ <br />Acc Mech P/C # hrs. <br />;' 01116002 7600 <br />$ <br />Boarding Fee (Community Presery ion) 12115002 5 507 $ <br />General Plan Update Surcharge <br />1116002 5 600 $ <br />Statement of Fact/Public Records esearch <br />01 00251601 $ <br />SMIP - Category Val$ <br />089010 4000 $ <br />Building Standards Revolving F d <br />01116002 51612 <br />Copies/Microfilm <br />7002 57770 <br />Residential Development Fee Specify Acct. <br />No. 300257991 $ <br />Temporary Certificate of pccu ancy <br />0U" 5160i $ <br />30 Day Temporary Fee — Gas <br />01116002 51602 $ <br />30 Day Temporary Fee Elec ical <br />011 002 51603 $ <br />Bond: Demo, 30-Day, Reilocati n, Sign, Fi sworks <br />0980 001 24015 $ <br />Fireworks Stands Fee <br />01116002 51501 $ <br />Fire Facilities Fee <br />12015002 537 $ <br />TOTAL $ <br />NOTICE: Application, for plan check Nbmitted under Section <br />105.3.2 of the 2010 California Building C expire if no <br />permits are issued within 160 days. <br />Receipt <br />Prepared by: <br />Misc. Receipt # 61516 Validation <br />PhnWFee 5cneclule: klisc Receipts, April. 2013 <br />