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Planning & Building 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: z�J . <br />SUITE # <br />PAID BY: <br />DATE: <br />10 <br />Bldg — Plan Check # I a 3 4S <br />01116002 53600 <br />$ <br />Plmg — Plan Check # p _ <br />01116002 53602 <br />$ <br />Elect — Plan Check # Z�I �,3 2S - .3�2 Ip <br />01116002 53601 <br />$ <br />Mech — Plan Check # IZ4,3C, ZZ30 <br />01116002 53603 <br />$ <br />j� pp� nQ <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 # 28 I . ¢ C- hrs. <br />01116002 57600 <br />$ <br />I Z , 2e I ¢� <br />Acc Plmg P/C # o . ad hrs. <br />01116002 57600 <br />$ <br />{ v-- <br />Acc Elect P/C # a, C, J Q . Or, hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # : , �,-10 , , o hrs. <br />01116002 57600 <br />$ <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 />Bong: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Free <br />12015002 53700 <br />$ <br />TOTAL <br />$ <br />l o I 4 9 /_ r <br />w <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 # 615 2 0 Validation <br />Plink/Fee Schedule/Mist Receipts/April. 2013 <br />