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Planning & Bibing 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: I�S�S ! /'� SUITE # 103 <br />PAID BY: DATE: 1 a - vD -1 Z <br />Bldg — Plan Check # <br />01116002 53600 $ <br />Plmg — Plan Check # 30 13 1 kLrzj <br />01116002 53602 $ <br />Elect — Plan Check # .2,0S` a)C+2 <br />01116002 53601 $ <br />Mech — Plan Check # <br />01116002 53603 $ <br />Fire — Plan Check # <br />01116002 53600 $ <br />Bldg Permit — Trust/Special Inspection <br />01116002 51601 $ <br />Plmg Permit — Trust/Special inspection <br />01116002 51602 $ <br />Elect Permit — Trust/Special Inspection <br />01116002 51603 $ <br />Mech Permit — Trust/Special Inspection <br />01116002 51604 $ <br />Fire Trust <br />01116002 51601 $ <br />Acc Bldg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # <br />In <br />01116002 57600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Boarding Fee <br />12115002 53507 <br />$ <br />General Plan Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Record Search <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Xerox Copy, Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee — specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />09801001 24015 <br />$ <br />$ <br />TOTAL <br />$ _ 07 <br />NOTICE. Applications for plan checking submitted <br />under Section 105.3.2 of the 2010 California Building <br />Code will expire if no permits are issued within 180 days. <br />Receipt <br />Prepared by: �C-4 1— <br />Misc. Receipt # (��� g Validation <br />W P51 <br />Fees 2011-2012/Misc Rcceiptsi9-20-201' <br />