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Planning & daing Agency • <br />Building Safety Division <br />MISCEL <br />20 Civic Center Plaza <br />�E <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />/ <br />www.santa-ana.org <br />PROJECT ADDRESS: <br />PAID BY: <br />IPT <br />UITE # <br />DATE: �— <br />OUS <br />Bldg — Plan Checl , n [� � 0111 002 53600 $ } i L <br />Plmg —Plan Check # 011 6002 53602 $ <br />Elect — Plan Check # 01 16002 53601 $ <br />Mech — Plan Check # 11 6002 53603 $ <br />Bldg Permit — Inspection/Spe 'al Inspection 01116002 51601 $ <br />Plmg Permit — Inspection/Specia� Inspection 01116002 51602 $ <br />Elect Permit — Inspection/Special spection 01116002 51603 $ <br />Mech Permit — Inspection/Special In ection 01116002 51604 $ <br />Acc Bldg P/C # <br />S. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # <br />In <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 Researc <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, Si n, 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 wj80 days. <br />Receipt <br />Preoared bv: <br />Misc. Receipt # 6 1-0 1 <br />12115002 53507 <br />$ <br />01116002 51600 <br />$ <br />01116002 51601 <br />$ <br />8901001 24000 <br />$ <br />0 116002 51612 <br />$ <br />011 7002 57770 <br />$ <br />002 57991 <br />$ <br />01116 02 51601 <br />$ <br />011160 51602 <br />$ <br />0111600 51603 <br />$ <br />09801001 015 <br />$ <br />01116002 5 01 $ <br />12015002 537 0 $ <br />TOTAL <br />Validation Vt <br />