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Planning & Ming 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 />MfSCELLANEOUS <br />RECEIPT <br />1 Am <br />PROJECT ADDRESS: f q 1 % N. 6LEN AIZ B o rZ. 57'. SUITE # <br />PAID BY: NoW67 LE yt-. Ho"A E <br />DATE: I -- /1 <br />Bldg — Plan Check # /0 1 01116002 53600 $$- <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech -- Plan Check # 01116002 53603 $ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 $ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit — Inspection/Special Inspection <br />01116002 51603 $ <br />Mech Permit — Inspection/Special Inspection <br />01116002 51604 $ <br />Acc Bldg P/C # <br />c"-3L tsl hrs. `i <br />01116002 57600 <br />$ q7/. ��- <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 />h rs. <br />01116002 57600 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002 535071 Yf <br />$ <br />General Plan Update Surcharge <br />01116002 51600� <br />$ <br />Statement of Fact/Public Records Research <br />01116002 51601` 74 <br />Trot$ <br />SMIP - Category Val$ <br />ion <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />0111700257770r, C:hec$ <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 R9 6i; <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 536E <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602:**** <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603-18273 <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 />$ 1 y 7 , a <br />NOTICE Applications 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 180 days. <br />I Receipt I <br />Prepared by: G. <br />Misc. Receipt # 9 14 8 0 Validation <br />