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Planning & Bang 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 ADDRESS <br />/ PAID BY: 41 <br />0�0060 /1% mahli <br />S -�' )ej/,.11 Cal' <br />MISCELLANEOUS <br />SC <br />RECEIPT <br />SUITE # r 3 2- <br />DATE: i 2�- 2-,D' 12 <br />Bldg - Plan Check # <br />01116002 53600 <br />$ <br />Plmg - Plan Check # <br />01116002 53602 <br />$ <br />Elect - Plan Check # <br />01116002 53601 <br />$ <br />Mech - Plan Check # <br />01116002 53603 <br />$ <br />Fire - Plan Check # <br />01116002 53600 <br />$ <br />Bldg Permit - Trust/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit - Trust/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit - Trust/Special Inspection <br />01116002 51603 <br />$ <br />Mech Permit - Trust/Special Inspection <br />01116002 51604 <br />$ <br />Fire Trust <br />01116002 51601 <br />$ <br />Acc Bldg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # 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 />Bond: Demo, 30-Day, Relocation, <br />111%} a S('5ArS C S>G� - <br />NOTICE: Applications for plan checking submitted <br />under Section 105.3.2 of the 2010 Califomia Building <br />Code will expire if no permits are issued within 180 d <br />Receipt <br />Prepared by: <br />Misc. Receipt # <br />01116002 51603 $ <br />09801001 24015 $ Q <br />$ <br />$ <br />TOTAL $ <br />rl1C' ti 1 <br />Q� 5y�3 Validation <br />6 7 <br />