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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 />• <br />MISCELLANEOUS <br />RECEIPT <br />Bldg — Plan Check # 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 />hrs. <br />01116002 57600 <br />$ <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 />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$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee — Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee — Gas <br />emporary Fee — Electrical <br /><;Vemo, <br />30-Day, Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Facilities Fee <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />.eermits are issued within 180 days. <br />Receipt <br />Prepared b <br />Misc. Receipt # 6 r' 913 <br />-1.3 <br />61 <br />121150 S�1c, - <br />TYH <br />11/2013 ID: RUBUH <br />CBfle#• 8i ; r <br />011160�tv06 <br />ReF;: 60913 <br />011160VIt0 <br />0on Tot <br />1 tt.t�g c <br />08901001 24000 <br />$ <br />011160& �l 92 <br />$ <br />011170 or 30- <br />i i"i- 2401,.E <br />y, reloci S t1711.00 <br />uA- <br />30Q2 1 91 <br />1 04 <br />01116002 51601 <br />$ <br />01116002 51602 <br />$ <br />01116002 51603 <br />0980100124015 <br />$ <br />$ <br />01116002 51501 <br />$ <br />12015002 53700 <br />$ <br />1 <br />$ <br />-�TA L <br />$ <br />Validation <br />