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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 ADDRESS: 3-7 01 <br />'BL4 n SUITE # <br />F <br />PAID BY: 7-9" D s F-T ?-V- WtoTm ks'W5 <br />11jC • DATE: It <br />I 1 Z jig <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 />$ <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 />01116002t57Fg0 <br />v--± W!@ZglliI <br />e n c h; . _ r 4 4 S - <br />Fr1-2-,,2 914 � <br />Boarding Fee (Community Preservation) <br />12115002-W507 <br />$ Ref=: 62806 <br />General Plan Update Surcharge <br />0111604mwon 90 Tp <br />an <br />1 $640.82 <br />Statement of Fact/Public Records Research <br />0111600 6�FF1�.� <br />SMIP - Category Val$ <br />08901001 OOIITERSE <br />T <br />Building Standards Revolving Fund <br />011160 0' 30 av p keloc i, s $2106. rip <br />- i 24015 0f+ <br />Copies/Microfilm <br />011170CG 70 <br />1 1 $640.32 <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, &Fireworks <br />09801001 24015 <br />$ OD �— <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />Fo,,,"jTak N V,L-jELf CA 4 Z70B- <br />TOTAL <br />$ Z a o r <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 D f <br />Prepared bv: C.,°'N <br />Misc. Receipt # 6 2 8 0 6 <br />Piink,- ee 5cheduleiMisc Receipts/April. 2013 <br />Validation <br />81z <br />