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Planning & Building Agency <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: C,2( l �o S 0 A. <br />SUITE # <br />PAID BY: <br />DATE: <br />Bldg — Plan Check # 7 cb�3 <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 />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />0111600 5 60 isa _lansf: <br />: <br />: <br />_}���E++ <br />SMIP - Category Val$ <br />089010C, TYt4 <br />& <br />75 1 of 1 <br />Building Standards Revolving Fund <br />011 160`MM <br />c?�42�� <br />$ " <br />7 ii i tor1i 7 1 —77 PM <br />Copies/Microfilm <br />011170W677WIon rot$1 $iT1.62 <br />Residential Development Fee — Specify Acct. No. <br />300�!E�}7991 <br />VVE <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />011160Q�J +;;auu <br />62 <br />30 Day Temporary Fee — Electrical <br />01116002-,"603 <br />$191.62 <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />,?ermits are issued within 180 days. <br />Receipt <br />Prepared by: �- <br />Misc. Receipt # 69912 <br />TOTAL <br />Validation <br />