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Planning & Biting 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:; ,(��__��l SUITE # <br />PAID BY:Sacs�aDATE: <br />Bldg — Plan Check # 011-01-5401 $ H se3, I� <br />Plmg — Plan Check # 011-01-5402 $ , <br />Elect — Plan Check # QQj,;;��ZjpS 011-01-5403 $ <br />Mech — Plan Check # L: 011-01-5405 $ <br />Fire — Plan Check # 011-01-5401 $ <br />Bldg Permit — Trust/Special Inspection <br />011-01-5911 <br />$ <br />Plmg Permit — Trust/Special Inspection <br />011-01-5912 <br />$ <br />Elect Permit — Trust/Special Inspection <br />011-01-5913 <br />$ <br />Mech Permit — Trust/Special Inspection <br />011-01-5915 <br />$ <br />Fire Trust <br />011-01-5911 <br />$ <br />Acc Bldg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # <br />h rs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <br />h rs. <br />011-01-5621-508 <br />$ <br />Boarding Fee <br />121-01-5579 <br />$ <br />Statement of Fact/Record Search <br />011-01-5911 <br />$ <br />Microfilming of Records $ <br />per <br />011-01-5911 <br />$ <br />SMIP - Category Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Development Fee - Specify District # <br />301-01-5070 — <br />$ <br />Temporary Certificate of Occupancy <br />011-01-5911 <br />$ <br />30 Day Temporary Fee — Gas <br />011-01-5912 <br />$ <br />30 Day Temporary Fee — Electrical <br />011-01-5913 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />$ <br />TOTAL <br />$ <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />Code will expire if no permits are issued within 180 days. <br />Receipt <br />Prepared by: <br />(: i t!) of Santa Ana <br />PD: 1/24/U5ID:CKELLY <br />LOC: CTYH -- 001 <br />OUST: <br />1NV:45457 <br />0035 0010 <br />00088259 1/24/05 <br />11:41AM <br />1RANSAC'IION <br />TOTAI: <br />$6r17:.i5 <br />Building <br />$438.13 <br />Building <br />►67.51 <br />Building <br />$96.98 <br />Building <br />$41.76 <br />Misc. Receipt # 45457 Validation <br />