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Planning & King 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: S`]�� <br />SUITE # <br />PAID BY:— <br />DATE: <br />Bldg — Plan Check <br />01116002 53600 <br />$ 3s 45 L5� <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect— Plan Check # <br />01116002 53601 <br />$!Ka <br />Mech — Plan Check # <br />01116002 53603 <br />$ <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 # NQjr1gk gg hrs. <br />01116002 57600 <br />$ 2F S� <br />_ <br />Acc Plmg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C. # rn I S;q� q Z;�hrs. <br />01116002 57600 <br />$ ef;�Ll S. Log <br />Acc Mech P/C # h rs. <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 />0111600.2 5160112 <br />$ <br />SMIP - Category Val$ <br />0890100 24000 <br />,..�. <br />$ <br />Building Standards Revolving Fund <br />01116002 5f612; .. $ <br />Copies/Microfilm <br />01117002 57770 <br />$ <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 5160-V i n9 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002-51'd8a.r i c 6` <br />30 Day Temporary Fee — Electrical <br />01116002.51603 5360 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />an the. <br />09801001124415- 576E;I$ <br />- <br />... <br />Fireworks Stands Fee <br />r,E= <br />01116002 t - —, <br />1 5 76U1i- <br />Fire Facilities Fee <br />120150025v00 <br />$34 <br />$ <br />TOTAL <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 <br />Misc. Receipt # 6 0 9 H Validation <br />