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Planning & B9ding 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 />• <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: IQI f� E M±)a S& SUITE # <br />. % 1 /-- . <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 />121150026ZSMI84 - <br />15/2013 ID: RUBEN <br />General Plan Update Surcharge <br />0111601 ;010t)6TY" <br />*Reri: 60916 <br />Statement of Fact/Public Records Research <br />01 1160T-o.3fi60T43749 <br />Total <br />��-- 7/15/2013 3:59 14M <br />•� <br />SMIP - Category Val$ <br />0890100f`�'��� 8 <br />,-ram <br />Building Standards Revolving Fund <br />0111606"rlSI" <br />$$ <br />Copies/Microfilm <br />011170Q2677a7Qo.#30-$uar Relocv 5 ;lUu.iul <br />Residential Development Fee — Specify Acct. No. <br />30iV�`�W 240I <br />' <br />Temporary Certificate of Occupancy <br />01116002 5i60 <br />53K <br />30 Day Temporary Fee — Gas <br />0111600'0'6b) "" <br />$ bxv <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocatio ign, ireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />$ <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 bcln <br />Misc. Receipt -#U 6 0 916 <br />ci-�0.-13 <br />TOTAL <br />Validation <br />