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Planning & Aing 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 />LJ <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: j `52j _ RC)9K Ht-4 LLk-c> SUITE # <br />PAID BY: S,FziZ,K,c a iJC <br />Bldg — Plan Check # <br />Plmg — Plan Check # <br />Elect — Plan Check # <br />Mech — Plan Check # <br />DATE: <br />01116002 53600 $ <br />01116002 53602 $ <br />01116002 53601 $ <br />01116002 53603 $ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit — Inspection/Special Inspection <br />01116002 51603 <br />$ <br />Mech Permit — Inspection/Special Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # /019-0 713 hrs. , <br />01116002 57600 <br />$ ;2 L`I <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 (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />0111600t?,P1600 ,,, <br />; : i114 it): <br />Statement of Fact/Public Records Research <br />0111600251801 <br />SM I P - Category Val$ <br />089010 <br />$__ <br />Building Standards Revolving Fund <br />01116002 6M12 -� T t$t b 24` ., -r <br />Copies/Microfilm <br />0111700;�70� <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />Temporary Certificate of Occupancy <br />01116415�6Q_1`� <br />30 Day Temporary Fee — Gas <br />0111600�11511602 <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />SCi2/"SIC iNc- MArCAZ4AL liµ%1'-1am �ii'(ilN it <br />�(v1 &-LAM i-IC Sr, - - <br />$ <br />"OM -NJ Ca y l7(-J- <br />TOTAL $ 04 S-.0 <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:� - <br />Misc. Receipt # 61733 Validation <br />