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Plannina & Akina Anencv • <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: 16,00 �V • Ai A, N <br />SUITE # <br />PAID BY: KH 0SIZOW M00 R M O N A µ M A;, <br />I DATE: <br />/ <br />1 3 r <br />Bldg — Plan Check # /O / ky-3 0� <br />01116002 53600 <br />$ <br />-29y/. Ov <br />Plmg — Plan Check # 3,D 1 3 Gy <br />01116002 53602 <br />$ <br />CY <br />Elect — Plan Check # ,;2 b 0 � Z <br />01116002 53601 <br />$ <br />-71 y 30 <br />Mech — Plan Check # q 01 C, 7I C-) <br />01116002 53603 <br />$ 3SY. Yam_ <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 # /Ot hrs. <br />01116002 57600 <br />$ <br />719.2. S-G <br />Acc Plmg P/C # 30hrs. 2 <br />01116002 57600 <br />$ <br />D SAS. 6 y <br />Acc Elect P/C # ";t01 S'3 Q `r '? hrs. <br />01116002 57600 <br />$ <br />2 Y.S (11 y <br />Acc Mech P/C # i-/ c/ _:2 i. --7 % '_ hrs. <br />01116002 57600 <br />$ <br />2 <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />01117002 57770 <br />$ <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />TOTAL <br />$ 9 7 !• .� <br />NOTICE: Applications 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 />Receipt <br />Prepared by: <br />Misc. Receipt # 61496 <br />Validation <br />P4nk/Fee 5cheduleftsc Receipts/April. 2013 <br />