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Planning & Oing Agency <br />0 <br />ov Building Safety Division <br />MISCELLANEOUS <br />20 Civic Center Plaza <br />RECEIPT <br />t P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: �'lI rV . f.,,%,XLL Lt4 <br />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 />53600 <br />Bldg Permit — Trust/Special Inspection 1 ' <br />01116002 51 <br />$$ <br />Plmg Permit — Trust/Special Inspection <br />1116002 5160 <br />$ <br />Elect Permit — Trust/Special Inspection <br />0 116002 51 <br />$ <br />Mech Permit -- Trust/Special Inspection <br />01 6002 04 <br />$ <br />Fire Trust <br />0111 1601 <br />$ <br />Acc Bldg P/C # hrs. <br />11 0 257600 <br />$ <br />Acc Plmg P/C # hrs. <br />0 16002 57600 <br />$ <br />Acc Elect P/C # hrs. <br />1116002 57600 <br />$ <br />Acc Mech P/C # S. <br />01116002 57600 <br />$ <br />Boarding Fee <br />12115002 53507 <br />$ <br />General Plan Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Record Sea <br />01116002 51601 <br />$ <br />SMIP - Category Val$ Z08901001 <br />24000 <br />$ <br />Xerox Copy, Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee — spe y 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 />NOTICE Applications for plan checking submitted <br />under Section 105.3.2 of the 2010 California Building <br />Code will expire if no permits arp issued within 180 days. <br />Receipt <br />Prep <br />Misc. Receipt # 060026 Validation <br />WP51 <br />Fees 2011-2012/Mist Receipts,9-20-201 <br />