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n <br />l4J <br />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 />PROJECT ADDRESS: <br />-0* $ 19 N • -SPyz �iFc.) PJ SUITE # <br />PAID BY: 5A N 7-A <br />X rJ d. i> 49TO VP-5 L.LG DATE: <br />-� `' / Y <br />Bldg — <br />Plan Check # <br />01116002 53600 <br />$ -f7 2 0, �5-3 <br />Plmg <br />— Plan Check # <br />01116002 53602 <br />$ <br />Elect — <br />Plan Check # <br />01116002 53601 <br />$ <br />Mech <br />— Plan Check # <br />01116002 53603 <br />$ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 51gcI y" <br />k kalu rL"' . <br />rI� i— <br />Elect Permit — Inspection/Special Inspection <br />p.tiH <br />01116002 51603 <br />-W <br />$ Ref;: 62847 <br />Mech Permit — Inspection/Special Inspection <br />01116002 51���a�5io <br />tQ7n_s; `. <br />Acc Bldg P/C # <br />hrs. <br />01116002 57600 ''A» ! 1" ` H <br />Acc Plmg P/C # <br />hrs. <br />01116002 57600:,,.- $ <br />Acc Elect P/C # <br />hrs. <br />01116002 57600 <br />Acc Mech P/C # <br />hrs. <br />01116002 57600 $ <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />01117002 57770 <br />$ <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, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />1(I D SffAJ?-0 P tZ-D <br />$ <br />eGtA,7-A� A10,t CA 9Z70(0 <br />TOTAL <br />$ 2?; <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 bv: —C>.C-"6'y <br />Misc. Receipt # 62847 <br />Plmk� ee Misc Fieceipts/Apiil. 2013 <br />R0Ir'I'fI1* I <br />