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Planning & &Ing 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 />• <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: <br />71 7 <br />SUITE # <br />PAID BY: Gil q Jr- aQO,��rNG <br />�( <br />L`wN�t-�C7 PRoPEzT++� <br />DATE: <br />Bldg - Plan Check # / D S1$ c9 & 8- <br />01116002 53600 $ <br />Plmg - Plan Check # <br />01116002 53602 $ <br />Elect - Plan Check # <br />01116002 53601 $ <br />Mech - Plan Check # <br />01116002 53603 $ <br />/�1. 6 2- <br />Bldg Permit - Inspection/Special Inspection <br />01116002 51601 $ <br />Plmg Permit - Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit - Inspection/Special Inspection <br />01116002 51603 $ <br />Mech Permit - Inspection/Special Inspection <br />01116002 51604 $ <br />Acc Bldg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />SMIP - Category Val$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee - Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee - Gas <br />30 Day Temporary Fee - Electrical <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <br />0A,1fA) V- gRauP- NG L39A s3?cLJNi r (-, r-VoPf-? T' ifrS <br />DB& daixr-- Srizf ET- A?Ai-zMr=�yTS <br />,i Yy 1�; Z__ &-Ae.je- FvCT- DP- <br />L-AK% CA gZ6 � 39zL <br />NOTICE. Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />Dermits are issued within 180 days. <br />Receipt <br />Prepared bv: <br />12115002 <br />53507 <br />$ <br />01116002 <br />51.600 <br />$ <br />01116002 <br />51601 <br />$ <br />08901001 <br />24000 <br />$ <br />01116002 <br />51612 <br />$ <br />01117002 <br />57770 <br />$ <br />3002 <br />57991 <br />$ <br />01116002 <br />51601 <br />$ <br />01116002 <br />51602 <br />$ <br />01116002 <br />51603 <br />$ <br />09801001 <br />24015 <br />$ <br />01116002 <br />51501 <br />$ <br />12015002 <br />53700 <br />$ <br />TOTAL <br />Misc. Receipt # 6 17 11 Validation <br />