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Planning & Building 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 />pRoJEcrADDREss: Tbbo S. Har"lror SUITE # <br />PAID BY \rc M DATE:Vt <br />Bldg - Plan Check # <br />Plmg - Plan Check # <br />Elect - Plan Check # <br />Mech - Plan Check # <br />tD\ 211SY\01 116002 53600 <br />01 116002 53602 <br />01 116002 53601 <br />01 116002 53603 <br />ZLr. r P$ <br />$ <br />$ <br />$ <br />Bldg Permit - lnspection/Special lnspection <br />Plmg Permit - lnspection/Special lnspection <br />Elect Permit - lnspection/Special lnspection <br />Mech Permit - lnspection/Special lnspection <br />$ <br />$ <br />$ <br />$ <br />Acc Bldg P/C # <br />Acc Plmg P/C # <br />Acc Elect P/C # <br />Acc Mech P/C # <br />$ <br />$ <br />$ <br />$ <br />rS <br />rS <br />rS <br />rS <br />h <br />h <br />h <br />h <br />09801001-24045 <br />09801001-24045 <br />09801001-24045 <br />09801001-24045 <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of FacVPublic Records Research <br />SMIP-Category _Val$ <br />1211500253507 $ <br />01116002 51600 $ <br />01116002 51601 $ <br />08901001 24000 $ <br />0111600251612 $ <br />01'116002 57770 $ <br />_3002 57991 $ <br />01116002 51601 $ <br />01116002 51602 $ <br />01116002 51603 $ <br />0980100124015 $ <br />01116002 51501 $ <br />1201soo2ts$?Aoscc - $ <br />0ff ire! (TYH lr <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 />nLt',vt&-UL -/.rS <br />31/ 2013 I03 o orole'.15 <br />T Fipti i U:aJ /JY6r tfr <br />Pef +: 7 t,t i3 <br />v5r,'?:rl".-iF:rffi?'t- <br />1111-31 <br />SHEILA ftO6AN <br />TOTAL $ 1.1L. \w <br />F/C Euilding <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 Calitornia Building Code will expie it no <br />permits are issued within 180 days. <br />Receipt <br />Prepared by:h <br />Misc. Receipt # 7 L47 3 Validation <br />V rso <br />(:Ci: r**r i*r *rr**2 3:6 <br />1144. <br />Authi:rl?:?r:tD <br />01 116002 51601 <br />0111600251602 <br />0111600251603 <br />0111600251604