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Planning & Bing 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: �:200 E• eT <br />SUITE # <br />�o / <br />PAID BY: FlZi Ie— N). J VZb1k 0 <br />DATE: <br />Bldg - Plan Check # 101 ce 0 L tf 1 <br />01116002 53600 <br />$ 33 3, 3c:> <br />Plmg - Plan Check # 3ol'3 31 30 _ <br />01116002 53602 <br />$ 4KS$ <br />Elect - Plan Check # <br />01116002 53601 <br />$ ' Ze <br />Mech - Plan Check # IV r 2-,(, 93 (2, <br />01116002 53603 <br />$ I Y3. q2L <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 # <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 (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 />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 I <br />Prepared bv: 'D C- . <br />12115002 53507 $ <br />01116002 51600 $ <br />01116002 51601 $ <br />08901001 24000 $ <br />01116002 51612 $ <br />01117002 57770 $ <br />3002 57991 $ <br />01116002 51601 $ <br />01116002 51602 $ <br />01116002 51603 $ <br />09801001 24015 $ <br />01116002 51501 $ <br />12015002 53700 $ <br />TOTAL <br />3-7/. 3 0 <br />Misc. Receipt # 61689 Validation <br />