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Planning & Ed%ing Agency <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: Al , ,� c <br />DPI SUITE # <br />PAID BY: t <br />DATE: <br />;Z y <br />Bldg — Plan Check # <br />01116002 53600 <br />$ <br />Plmg — Plan Check # <br />011160102 536 <br />$ <br />Elect — Plan Check # <br />01116002 01 <br />$ W. 61 z- <br />Mech — Plan Check # <br />011160 3603 <br />$ <br />Bldg Permit — Inspection/Special Inspectio <br />02 51601 <br />$ <br />Plmg Permit —InspectionlSpecial Inspec on <br />02 51602 <br />$ <br />Elect Permit —InspectionlSpecial Inspe do <br />02 51603 <br />y <br />$ <br />Mech Permit — InspectionlSpecial Inspection <br />51604 <br />$ <br />Acc Bldg P/C # rs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # h <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 (Community r servati n) <br />12115002 53507 <br />$ <br />General Plan Update Surch rg <br />01116002 51600 <br />$ <br />Statement of Fact/Public Rec rds esea h <br />01116002 51601 <br />$ <br />SMIP - Category Va <br />08901001 24000 <br />$ <br />Building Standards volving Fu d <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />01117002 57770 <br />$ <br />Residential Development Fee — Sp ify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupan <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electri al <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocati n, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />L� - <br />$ <br />TOTAL <br />$ <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />permits are issued within 180 days. <br />Receipt <br />Prepared by: C_ <br />Misc. Receipt # 61739 <br />Validation <br />