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Planning & Beng 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 />i <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: V <br />-A-SUITE # <br />PAID BY: <br />DATE: <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 Inspe tion <br />01116002 51601 <br />$ <br />Plmg Permit - Trust/Special Inspec on <br />01116002 51602 <br />$ <br />Elect Permit - Trust/Special Inspectio <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.L01 <br />116002 57600Acc <br />Plmg P/C # hrs.116002 <br />57600 <br />$ <br />Acc Elect PIC # hrs.116002 <br />5760 <br />$ <br />Acc Mech P/C # hrs.L <br />002 57 0 <br />$ <br />Boarding Fee <br />12115 53507 <br />$ <br />General Plan Surcharge <br />011 00 1600 <br />$ <br />Statement of Fact/Record Search <br />16002 5 01 <br />$ <br />SMIP - Category Val$ <br />08901001 240 <br />$ <br />Xerox Copy, Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee - specify Acct. <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, n <br />09801001 24015 <br />$ <br />TOTAL. <br />$ <br />NOTICE. Applications far lan checking submitted <br />under Section 105.3.2 the 2010 California Building <br />Code will expire if no permits are issued within 180 days. <br />Receipt <br />Prepared by: <br />mom <br />Misc. Receipt # 6 �} 6 Validation <br />WP51 <br />Fees 2011-2012/Misc Recerp1s?9-20-2011 <br />