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Planning & Building Agency <br />Building Satety Oivision <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 />PROJECTADDRESS: )s Yl <br />PAID BY Y\ <br />Bldg - Plan Check # <br />Plmg - Plan Check # <br />Elect - Plan Check # <br />Mech - Plan Check # <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE:0 <br />01 1 16002 53600 <br />01 1 16002 53602 <br />01 1 16002 53601 <br />01 116002 53603 <br />?Y IJ )A,-$ <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 />01116002 51601 <br />0111600251602 <br />0111600251603 <br />01 116002 51604 <br />$ <br />$ <br />$ <br />$ <br />lol qzstl h <br />h <br />h <br />h <br />2 $ <br />$ <br />$ <br />Q <br />nLrS <br />rS <br />rS <br />rS <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of FacUPublic 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 />1 21 1 5008o60807racr <br />orrrooofffi.6d <br />01116008$t6m <br />oasoroofyfdbb' <br />TYH <br />zarsr $- 8/31/2018 3.37 Pnon Io tst t729 .ti:3 <br />011160@Rl8flrE $ <br />01 1 '16002t51il/O ins $ <br />(h <br />5J63 <br />o1116oqttnftf,d*_.*, <br />01116002 51603 <br />0980100124015 <br />01 1 16002 51501 <br />12015002 53700 <br />.32 <br />t241.76 <br />t729.08 <br />$ <br />$ <br />$ <br />$ <br />$TOTAL <br />NOTICE: Applicalions lor 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 />Receiot , ,l <br />Prepared ov, l'J--cVi-<t l-- <br />Misc. Receipt # 1747 4 Validation <br />Acc Bldg P/C # <br />Acc Plmg P/C # <br />Acc Elect P/C # <br />Acc Mech P/C # <br />09801001-24045 <br />09801001 -24045 <br />09801001-24045 <br />0980 1 001-24045 <br />_30#HfqqT. <br />011160m516f)1 <br />---, -t c, oa