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• <br />Planning & Building Agency <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT <br />'ADDRESS: <br />'1 SUITE # <br />PAID BY: l�l-� �71U ('� S�1 1L� DATE: ��� -- 1 �# <br />1 <br />Bldg — Plan Check # C 01116002 53600 $; <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # aC ` S S j V, L4 01116002 53601 $ <br />Mech — Plan Check # L4 C)1,,q Q Q ! 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. 01 i 16002 57600 $ ' <br />Acc Elect PIC # a� hrs. 01116002 57600 $ ry <br />Acc Mech P/C # hrs. 01116002 57600 $ �' <br />Boarding Fee (Community Preservation) 12115002 53507 $ <br />General Plan Update Surcharge 01116002 51600 $ <br />Statement of Fact/Public Records Research 01116002 51601 $ <br />SMIP - Category Val$ 08901001 24000 $ <br />Building Standards Revolving Fund 011160024141?;472 - $il/l i/?1}14 ID' RUBEN <br />Copies/Microfilm 01117002 6?6.TYHran5.: zu ° <br />Residential Development Fee — Specify Acct. No. 3002.57a9l254667 $- 11/ 13/2014 2:52 PM <br />Temporary Certificate of Occupancy 01116009 61tbi l on TDt j J,1 L . - <br />30 Day Temporary Fee — Gas 01116002 51600TH HO$ITAE11 r, LL.,.: <br />30 Day Temporary Fee — Electrical 0111600? 5'E§A;ns $ 1 =SCrg.73 <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks 09801001i21k ngb0csc'c'- <br />c� r <br />Fireworks Stands Fee 01116002 51Ml- 5360$00-- - <br />Electric .84 <br />Fire Facilities Fee 12015002 5& 5360000-- - <br />w } h Mechanical - .bi <br />l J L� a tt 115U1-�2- 536i.+3GGG- <br />ncce an e� 10 <br />1004 rf3 r 126.03 <br />TOTAL $ _ 1.-f;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 />Misc. Receipt # 6 2 8 <br />Plmk,'Fee Schedule/Misc Receipls/Apnl. 2013 <br />Validation <br />