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Planning & Aing 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 />PROJECT ADDRE <br />MISCELLANEOUS <br />RECEIPT <br />PAID BY: A , DATE: <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 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 53507 $ <br />General Plan Update Surcharge 01116002 51600 $ <br />Statement of Fact/Public Records Research 01116002 51601 $ <br />SMIP - Category Val$ 08901001 24000 $ <br />g Standards Revolving Fund 01116002 5161Z123 <br />Copi /Microfilm 01117002 57770 FP <br />esidential Development Fee — Specify Acct. No. 3002 57991-'on To <br />on Tot�I <br />Temporary Certificate of Occupancy 01116002 51601 $ <br />30 Day Temporary Fee — Gas 01116002 51602 $ <br />30 Day Temporary Fee — Electrical 01116002 516039 00 <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks 09801001 24015 57771 <br />***** T <br />Fireworks Stands Fee 01116002 5150 1,,, 9 ' <br />Fire Facilities Fee 12015002 53700 $ <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 wi in 180 days, <br />Receipt _ <br />Prepared by: <br />Misc. Receipt # 6 8 9 8 Validation <br />