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Planning & Being 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: <br />• <br />MISCELLANEOUS <br />RECEIPT <br />--kH SUITE # <br />DATE: <br />Bldg — <br />Plan Check # 10} r] ! <br />01116002 <br />53600 <br />$ CSC_ <br />Plmg <br />— Plan Check # <br />01116002 <br />53602 <br />$ <br />Elect <br />— Plan Check # <br />01116002 <br />53601 <br />$ <br />Mech <br />— Plan Check # <br />01116002 <br />53603 <br />$ <br />Fire — <br />Plan Check # <br />01116002 <br />53600 <br />$ <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 />Acc Plmg P/C # <br />hrs. <br />01116002 57600 $ <br />Acc Elect P/C # <br />hrs. <br />01116002 57600 $ <br />Acc Mech P/C # <br />hrs. <br />01116002 57600 $ <br />Boarding Fee <br />12115002 53507 $ <br />General Plan Surcharge <br />01116002 51600 $ <br />Statement of Fact/Record Search <br />01116002 51601 $ <br />SMIP - Category Val$ <br />08901001 24000 $ <br />Xerox Copy, Microfilm <br />01116002 57770 $ <br />Residential Development Fee — specify Acct. <br />No. 3002 57991 $ <br />Temporary Certificate of Occupancy <br />01116002 51601 $ <br />30 Day Temporary Fee — Gas <br />01116002 51602 $ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 $ <br />Bond: Demo, 30-Day Relocation, Sig <br />09801001 24015 $ <br />qc�Fc' ', <br />$ <br />-4 <br />C <br />$ <br />TOTAL $ <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 days. <br />Receipt <br />Prepared by: <br />Misc. Receipt # Q 600 (13 Validation <br />W P51 <br />Fees 2011-2012/Misc Receipts/9-20-2011 <br />