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C� <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 />0 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: Sot N- C 10e C SUITE # <br />PAID BY: FjZXSgtz I44C_ L FELL.A DATE: I / <br />Bldg — Plan Check # <br />Plmg — Plan Check # <br />Elect — Plan Check # <br />3 3 <br />300 <br />01116002 53600 $ l9 S-, 5s3_ <br />01116002 53602 $ <br />01116002 53601 $ <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 />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. 24000448 <br />1/1224i2014 ID: RUBEN ' <br />Building Standards Revolving Fund <br />01116002 51.6 <br />� Ref:: 62801 <br />Copies/Microfilm <br />01117002 �,r,? on4Toe <br />it 20 fao5. <br />Residential Development Fee — Specify Acct. No. <br />3002 67991 <br />$C CLELLAN <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 516021 ing <br />$ 51951 : 3 <br />30 Da Temporary Fee — Electrical <br />y p rY <br />01116002 5,16bb 536ui�" <br />Bond- Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 2461517***«$*0165 <br />Auth::61077. <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />TOTAL <br />$ 8' 3 <br />NOTICE.- Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />oermits are issued within 180 days. <br />Receipt ( , <br />Prepared by: <br />Misc. Receipt # 6 2 $ � ', Validation <br />�;nk;r,,, -, to d»ie Usc Heceipts/AprR. 2013 <br />