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RPlanning &ding 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 />a <br />11 I f r ,' <br />PROJECT ADDRESS: 1 !'t (4t S t 1 i � Wtj SUITE # <br />PAID BY: d DATE: 1 �� <br />Bldg — Plan Check # f,Q 1 -7 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 01116002 51601 $ <br />Plmg Permit — Inspection/Special Inspection 01116002 51602 $ <br />Elect Permit — Inspection/Special Inspection 01116002 51603 $ <br />Mech Permit — Inspection/Special Inspection 01116002 51604 $ <br />Acc Bldg P/C # hrs. 01116002 57600 $ <br />Acc Plmg P/C # hrs. 01116002 57600 $ <br />Acc Elect P/C # hrs. 01116002 57600 $ <br />Acc Mech P/C # hrs. 01116002 57600 $ <br />Boarding Fee (Community Preservation) 12115002'59507TYH $ ans:: 22 <br />General Plan Update Surcharge 01116002 51600,42431D $ Mi72-6i3 u�44 <br />4 ' <br />Statement of Fact/Public Records Research 01116002 5'1601' on To - <br />SMIP - Category Val$ 08901001 24000 $ <br />Building Standards Revolving Fund 01116002 51612d i ns $ <br />Copies/Microfilm 01117002.57770- 536 $ <br />Residential Development Fee — Specify Acct. No. 300257991 $ <br />Temporary Certificate of Occupancy 01116002 51601 $ <br />30 Day Temporary Fee — Gas 01116002 51602 $ <br />30 Day Temporary Fee — Electrical 01116002 51603 $ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks 09801001 24015 $ <br />Fireworks Stands Fee 01116002 51501 $ <br />Fire Facilities Fee 12015002 53700 $ <br />$ <br />TOTAL $ <br />NOTICE: Applications for plan check submitted under Section <br />f 05.3.2 of the 2010 California Building Code will expire if no <br />aermits are issued withie 180 days. <br />Receipt <br />Precared bv: K-4�e(v�c+Z- <br />Misc. Receipt # 60911 Validation <br />