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Planning & Ang 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 />0 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: SUITE # l+�J <br />PAID BY:Yr' n i'i-e DATE: <br />Bldg — Plan Check # 01116002 53600 $ <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # r— 01116002 53601 $ <br />Mech — Plan Check # G,;L 01116002 53603 $ aZ <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 # hrs. <br />01116002 57600 $ <br />Acc Plmg P/C # hrs. <br />01116002 57600 $ <br />Acc Elect P/C # hrs. <br />01116002 57600 $ <br />Acc Mech P/C # ;L h rs. � <br />01116002 57600 $ <br />Boarding Fee (Community Preservation) <br />1211500�.Q71073 11 <br />General Plan Update Surcharge <br />01116002 51e800TYN Vans:: 109 <br />Statement of Fact/Public Records Research <br />011160W.SliG0,1_,39063 $- 7/3/2613 338 f t <br />SMIP - Category Val$ <br />0890100j.2,`ob'on To �i s ,7 . <br />7r <br />Building Standards Revolving Fund <br />01116002 51612 <br />Copies/Microfilm <br />01117002 5777gr i $ <br />Residential Development Fee — Specify Acct. No. <br />c <br />3002t57�1- 5360$00- <br />Temporary Certificate of Occupancy <br />0111600 ; 11�n i caI _ <br />30 Day Temporary Fee — Gas <br />01116002-64,�6�OBn chec$ <br />30 Day Temporary Fee -- Electrical <br />0111600 fi n 7heci00- <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />0980100j1P t- 5760(Voo- -u <br />Fireworks Stands Fee <br />J <br />011 16002 5-'#S41******6****0319 <br />Fire Facilities Fee <br />r.� , 6397e, <br />1201500i53�00 $ <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 Prepared bv: ✓LC+^ A "z-- <br />nrf�- • <br />�rw <br />lyq,�3.77 <br />Misc. Receipt # 60884 Validation <br />