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►. 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 />• <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: <br />1 570 <br />)e'VW/+'L L+cJ <br />SUITE # <br />PAID BY: <br />COA-,r ARLµrtse--rvgC <br />DATE: �t <br />Bldg — <br />Plan Check # <br />Plmg <br />— Plan Check # <br />Elect — <br />Plan Check # <br />Mech <br />— Plan Check # <br />01116002 <br />53600 $ <br />01116002 <br />53602 $ <br />01116002 <br />53601 $ <br />01116002 <br />53603 $ <br />/ 4-1 7.30 <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. 01116002 57600 $ <br />Acc Plmg P/C # 3o i 31/-2- ohrs. dL <br />01116002 57600 <br />$ --;L- S I a <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 />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 />01116002t51812524 - <br />17E872014 ID: RUBEN <br />Copies/Microfilm <br />0111700 _ �6fYH <br />'keF;: 62820 <br />Residential Development Fee — Specify Acct. No. <br />3002 51"',K�6ai4 <br />- 1f/1�i1G14 iu:ac! <br />Temporary Certificate of Occupancy <br />'Is rtlon Tot <br />01116002 51 �01 <br />1 'i~�96- 2 <br />30 Day Temporary Fee — Gas <br />01116002 51602:0AST <br />A$(HI7 c:rUK-L 6 C <br />30 Day Temporary Fee — Electrical <br />01116002 51~6(Q in9 <br />$ $147.30 <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001' �l RnJChec? <br />I)2 <br />. <br />Fireworks Stands Fee <br />01116002 6' 576uC" <br />00- - <br />2!76 e:a.32 <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />15.Z `{ l3R+c 140�40. J Z>'iL- . S-M Cp <br />54N---4� AN A 1 CA 9 2 7 0 S- - S'4 Z c.. <br />C-Zw) `fz(o —2-9SC — <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�- <br />TOTAL <br />4 <br />$ 3g�• 32. <br />Misc. Receipt # 6 2 8 2 0 <br />Pmk-Fee Soiedule.Misc Receopls/Aprtl. 2013 <br />Validation <br />