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Planning & Alding 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 />MISCELLANEOUS <br />RECEIPT <br />-4— <br />PROJ <br />DDRESS: n <br />W S <br />PAID By: <br />DATE: <br />Bldg — <br />Plan Check # <br />01116002 53600 $ <br />Plmg <br />— Plan Check # <br />01116002 53602 $ <br />Elect <br />— Plan Check # <br />01116002 53601 $ <br />Mech <br />— Plan Check # <br />01116002 53603 $ <br />:Am <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 />h rs. <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 />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 # 61669 <br />12115002 53507 $ <br />01116002 51600 $ <br />0111600�1QQFs;;i•6 <br />0890100i1CW00�7H $rCmSAY: Iiiti i r�t <br />0111600'_'M§'! n4 _ 011170G2 67770 on roll 'n 1YI o <br />300g,i 7(pq*,. $ <br />01116002 51}601 $ <br />011160Q �1 r119 <br />si'Jffli <br />0111600'2, 54603 1. <br />09801001 24015 $ <br />01116002 51501 $ <br />12015002 53700 $ <br />$ <br />TOTAL <br />Validation <br />M <br />