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Planning & Aing 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 />PROJECT ADDRESS: <br />PAID BY: C ken r <br />0 <br />MISCELLANEOUS <br />RECEIPT <br />S* SUITE # — 1 <br />*rPATE: <br />Bldg — Plan Check # <br />01116002 53600 <br />$ <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect — Plan Check # <br />01116002 53601 <br />$ <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 # hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # hrs. <br />01116002 57600 <br />$ <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$ Building Standards Revolving Fun—d <br />Copies/Microfilm <br />Residential Development Fee — Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee as <br />30 Day Tempora Fee — Electrical <br />Bond: Demo 30-Da elocation, Sign, Fireworks <br />Fireworks Sta ids Fee <br />Fire Facilities Fee <br />2 3 F 98±)[,, '-� -* 605. <br />12115002 <br />53507 $ <br />01116002 <br />51600 $ <br />01116002 <br />51601 $ <br />08901001 <br />24000 $ <br />01116002 <br />51612 $ <br />01117002 <br />57770 $ <br />3002 <br />57991 $ <br />01116002 <br />51601 $ <br />01116002 <br />51602 $ <br />01116002 <br />51603 $ <br />0980100124015 <br />$ <br />01116002 <br />51501 $ <br />12015002 <br />53700 $ <br />- -�� -- - - - Gr, Q TOTAL <br />�� <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 Califomia Building Code will expire if no <br />permits are issued within -180 days. <br />Receipt <br />Prepared bv: <br />Misc. Receipt # 614`""`/--" Validation <br />PIinWFee Schedule/Misc Receipts/April. 2013 <br />