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Planning & BOding 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 />0 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADD S: azz/ /� )C1 h SUITE # <br />PAID BY: d�� a�2r DATE: / /— ! E— <br />CnG. <br />Blda — Plan Check # 01116002 53600 $ <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech — Plan Check # 01116002 53603 $ <br />Bldg Permit — Inspection/Special Inspection 01116002 51601 $ <br />Plmg Permit — Inspection/Special Inspection 01116002 51602 $ <br />Elect Permit — Inspection/Special Inspection 01116002 51603 $ <br />Mech Permit — Inspection/Special Inspection 01116002 51604 $ <br />Acc Bldg P/C # hrs. 01116002 57600 $ <br />Acc Plmg P/C # hrs. 01116002 57600 $ <br />Acc Elect P/C # hrs. 01116002 576ao;i" <br />Acc Mech P/C # hrs. 01116002-57600 $ <br />Boarding Fee (Community Preservation) 12115002 5%07 <br />LUTION <br />General Plan Update Surcharge 01116002 51� 06 <br />Statement of Fact/Public Records Research 0111600215'16(f'M°f 30- yy Reioc, 5 ' <br />SMIP -Category Val$ 08901001 24000 2401 �147 <br />Building Standards Revolving Fund 01116002 51612 $ <br />Copies/Microfilm 01117002 57770 $ <br />Residential Development Fee — Specify Acct. No. 3002 57991 $ <br />Temporary Certificate of Occupancy 01116002 51601 $ <br />30 Day Temporary Fee — Gas 01116002 51602 $ <br />30 Day Temporary Fee — Electrical 01116002 51603 $ <br />Bond: Demo, 30-Day, Relocatio i Fireworks 09801001 24015 $ <br />Fireworks Stands Fee 01116002 51501 $ <br />Fire Facilities Fee 12015002 53700 $ <br />(�N44-G E �Lu oN1 CO' Ie� <br />NT aA $ <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 />IReceipt L f � w <br />Prepared by: 1 /C �r <br />Misc. Receipt # 6 2 8 2 5 <br />Phm,;Fee 5chedue,Misc ReceipWAPM. 2013 <br />TOTAL <br />Validation <br />