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Planning & 13 ding 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: Fr- Cr WA SUITE # <br />'A <br />PAID BY: is I p 1 / IJ C : <br />DATE: <br />:�/ Lllf <br />Bldg — Plan Check # <br />01116002 53600 <br />$ <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect — Plan Check # <br />01116002 53601 <br />$ <br />Mech — Plan Check # <br />01116002 53603 <br />$ <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 />0111609?r�S99,;76 <br />_ $/6/21.114 Mff FtUREN <br />Boarding Fee (Community Preservation) <br />121150 5 % $ Ref-r: 61671 r <br />General Plan Update Surcharge <br />01116008 83600i on <br />loss 098.9 r <br />Statement of Fact/Public Records Research <br />0111 600?�6Qi�� <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Standards RevolvingFund <br />.1` .0�"y'Buildin <br />011160 i4t`j 201 <br />Copies/Microfilm <br />011170D2,57770 <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, ig , Fireworks <br />09801001 24015 <br />$ ,2 o <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />AiR 7ZS14 ►o :39^ !.1 <br />$ <br />t�U E,'-' d PARIC?i CA 1 01,0 oZ S <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 # 61671 R <br />r 11 <br />Validation <br />