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Planning & 134 ding 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 />PROJECT ADDRESS: ZZ v 1 r.f -rfr ST <br />• <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />PAID BY: JFLL1 O7T ASSOCi A. -MS DATE: // f <br />Bldg — Plan Check # / 0/ ?' 3//.s- 01116002 53600 $ �S 36 ` <br />Plmg — Plan Check # 01116002 53602 $ <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 # 10 15s 3// S- hrs. <br />01116002 57600 <br />$ sE) z . O y <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 />SMIP - Category Val$ <br />08901001 2�`QOO�iYH <br />i� _: "" 47 s <br />Building Standards Revolving Fund <br />01116002 B 612. <br />$ �•tig art <br />Copies/Microfilm <br />N5799 <br />01117002'0tt hon Tot$1 <br />-��l+ <br />s?,r_Lis•'sti <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />5 n9 <br />0111116002,fo <br />• ` <br />30 Day Temporary Fee — Electrical <br />01116002 51 60 C:he'i <br />s`t'-'= •' "* <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001,'Wli' 5760�t4,1 <br />- <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />jbN 7-1 tji ►w i3L-Co 01j <br />t+tJNTsPG meJ gaACW CA. qZ(.yi <br />$ <br />TOTAL <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 by: <br />Misc. Receipt # 62793 Validation <br />Pnnh. F u•cILIIQ twlisc Rece+ptslApril. 2013 <br />$ o3�ao1-f <br />