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L-14 <br />& 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: >03o SS <br />j jS4-Z1 <br />SUITE # <br />PAID BY: A 11 % -d �44 r <br />81LIS <br />DATE: <br />Bldg - Plan Check # <br />01116002 53600 <br />$ <br />Plmg - Plan Check # <br />01116002 53602 <br />$ <br />Elect - Plan Check # <br />01116002 53601 <br />$ <br />Mech - Plan Check # <br />01116002 53603 <br />$ <br />Bldg Permit - Inspection/Special Inspection <br />01116002 51601 $ <br />Plmg Permit - Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit - Inspection/Special Inspection <br />01116002 51603 $ <br />Mech Permit - Inspection/Special Inspection <br />01116002 51604 $ <br />Acc Bldg P/C # <br />Acc Plmg P/C # <br />Acc Elect P/C # <br />Acc Mech P/C # <br />2-2,A:) hrs. <br />hrs. <br />h rs. <br />h rs. <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />SMIP - Category _ Val$ <br />01116002 <br />57600 $ <br />01116002 <br />57600 $ <br />01116002 <br />57600 $ <br />01116002 <br />57600 $ <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 California Building Code will expire if no <br />oermits are issued within 180 days. <br />Receipt Lj fA a, f � <br />Prepared by: <br />Misc. Receipt # 6 2 8 2 4 <br />Plink/Fee SchedulelMisc Receipts/April- 2013 <br />12115002 53507 $ <br />01116002 51600 $ <br />0111600251 -CQ 1 <br />� � 7 52 4 - 1-; = --#r�B�; :sE�i=0l <br />08901001 24b0�TYH anst: lii-t 1 of 1 <br />01116002 5TO511256521 $ '; <br />01117002 577-Mon Tot$1 . 26 <br />3002 57994j©ul-AR $t t) <br />01116002.5 j§P11 i ns $ _ SRSR.24 <br />01116062 Wok 5360k$1-10- <br />Sit1ojn Chec <br />01116002 576pt ;,,;- <br />09801001' 24015 `$ x697. `if <br />01116002 51501 $ $140.74 <br />12015002 53700 u7**** <br />TOTAL <br />Validation <br />