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n <br />�J <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 />i <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: <br />'S,. ✓v i e 1J <br />SUITE # <br />PAID BY: 7` <br />DATE: <br />I l— I q- I <br />Bldg - Plan Check # <br />v 1 6 324 4 <br />01116002 53600 <br />$ <br />I2 , S 5`1 . [P fv <br />Plmg - Plan Check # <br />01116002 53602 <br />$ <br />el g <br />Elect - Plan Check # <br />01116002 53601 <br />$ <br />2 . (oZ <br />Mech - Plan Check # <br />)2- J 7 <br />01116002 53603 <br />$ <br />/L 3 r7 Z <br />Bldg Permit - Inspection/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit - Inspection/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit - Inspection/Special Inspection <br />01116002 51603 <br />$ <br />Mech Permit - Inspection/Special Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # hrs. <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 Secti <br />105.3.2 of the 2010 CalifQrma Building Code will expire if no <br />oermits are issued withinV 80 days. <br />Receipt <br />Prepared <br />12115002 53507/544 - $1/14/2014 ID: ELIZABETH <br />01116002 5.�sb6 H � ~ker4: 62626 _ <br />01116002 51604-,56828 $- 11/19/2014 10:27 AM <br />089010a'1r �14 6V ` 1041 $Hlsai.ea <br />01116002 51612 $ <br />01117002,57,77ains $ f12PS59.66 <br />3002 $ -5UL$u0- <br />'tin. - <br />u�� :7��.��iL; <br />01116002 51.60-1-- 53602$00- - <br />01116002 5, �pg � 536G 400- y <br />01116002 51Wan ical f163. '-: <br />09801001,24815 {t4 f13r531. <br />01116002 51501 $ <br />12015002 53700 $ <br />TOTAL <br />Mist. <br />P6nx Fee Sct)edule'Misc ReceiptwApril. 2013 <br />Validation <br />