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LIng <br />Planning & Agency <br />Building Safety Division <br />+ <br />20 Civic Center Plaza <br />-' <br />P.O. Box 1968 (M-19) <br />a <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />• <br />MISCELLANEOUS <br />RECEIPT <br />d04= <br />PAID BY: 4 2 - DATE: <br />Bldg — Plan Check # ' 7 3D 01116002 53600 $ o <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech — Plan Check # 4,01 L'277 3 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 # hrs. <br />01116002 57600 <br />$ <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 />Boarding Fee (Community Preservation) <br />12115002 53507 $ <br />General Plan Update Surcharge <br />01116002 51600 $ <br />Statement of Fact/Public Records Research <br />01116002 51601 $ <br />SMIP - Category Val$ <br />0890100 ,24QW574 - /25/2014 ID: RUBEN <br />Building Standards Revolving Fund <br />011160Q 1 � 7YH 'Reft: 61731 <br />Copies/Microfilm <br />01117002V770 41044 - 2/25/2014 10:47 AM <br />Residential Development Fee — Specify Acct. No. <br />� � ,. � <br />3002 SAiion 1nt 1 <br />Temporary Certificate of Occupancy <br />01116002151-60f'IZZA $ <br />30 Day Temporary Fee — Gas <br />01116002 51602 i n9 $ $378.00 <br />30 Day Temporary Fee — Electrical <br />011160Ct -, 5310110- <br />in9 g; <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />098010011MI& 53602S00- - <br />Fireworks Stands Fee <br />pa honicnl 8.9i <br />01116002. 5,1� ��3�t, t���- - <br />Fire Facilities Fee <br />1201500i53700 t tt ,` �.rst <br />1E3t'. r5 <br />TOTAL $ <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 />���'11!27-2m <br />Misc. Receipt # 61731 Validation <br />