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Planning & Oding 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 />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: I �'� Ke Lon—rc— <br />64' • SUITE # <br />PAID BY: <br />DATE: <br />Bldg — Plan Check # o $ e 4 2.3 <br />01116002 53600 <br />$ 3 44S" 3. ► o <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect — Plan Check # 2 U S--3 ;-7 (p <br />01116002 53601 <br />$ _ � cE . i <br />Mech — Plan Check # <br />01116002 53603 <br />$ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit — Inspection/Special Inspection <br />01116002 51603 <br />$ <br />Mech Permit -- Inspection/Special Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # Jr,) 2 d y 2 3 hrs. � <br />01116002 57600 <br />$ �e • �� <br />Acc Plmg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # Z :>/ S3 a -7 4P hrs. 2 <br />01116002 57600 <br />$ Z 14 <br />Acc Mech P/C # 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, Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Free <br />NOTICE Application~ for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />oermits are issued within 189-watts. <br />Prepared <br />12115002 53507 <br />01116002 51600 <br />01116002 51601 <br />08901001 24000 <br />01116002 51612 <br />01117002 57770 <br />3002 57991 <br />01116002 51601 <br />01116002 51602 <br />01116002 51603 <br />09801001 24015 <br />01116002 51501 <br />12015002 53700 <br />TOTAL <br />$ D2`I.37 <br />Misc. Receipt # 615 5 4 <br />PilnklFee Scriedule/Misc Receipt&iApril. 2013 <br />Validation <br />