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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-s800 <br />www.santa-ana.org <br />PROJECT ADDRESS 36ib +' ll/t/')SUITE# E <br />PAID BY <br />Bldg - Plan Check # <br />Plmg - Plan Check # <br />Elect - Plan Check # <br />Mech - Plan Check # <br />DATE: * <br />/o t7 7s7L 01 1 16002 53600 <br />01 1 16002 53602 <br />01 1 16002 53601 <br />01 1 16002 53603 <br />222. I L$ <br />$ <br />$ <br />$ <br />Bldg Permit - lnspection/Special lnspection <br />Plmg Permit - lnspection/Special lnspection <br />Elect Permit - lnspection/Special lnspection <br />Mech Permit - lnspection/Special lnspection <br />01116002 5'1601 <br />01116002 51602 <br />01116002 51603 <br />01116002 51604 <br />$ <br />$ <br />$ <br />$ <br />Acc Bldg P/C # <br />Acc Plmg P/C # <br />Acc Elect P/C # <br />Acc Mech P/C # <br />hrs <br />hrs <br />hrs <br />hrs <br />09801001-24045 <br />0980100't -24045 <br />09801001-24045 <br />09801001-24045 <br />$ <br />$ <br />$ <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of FacUPublic Records Research <br />SMIP-Category _Val$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee - Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee - Gas <br />30 Day Temporary Fee - Electrical <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <br />12115002 53507 <br />01116002 51600 <br />0'1 '1 "t6002 5'1601 <br />08e010&144 00012 - ghrumtg Io3 JGuoINo <br />-ITTI;T6 <br />01 1 16w1[Ql6f2YH r$5!.ijt,_+.]i.l_ <br />01116ffEltE7dffiss83 $ 8/irlzolB ro:3{ An <br />_3oHHrglrpn loto{ <br />01116002 51601 $ <br />$ <br />$ <br />$ <br />NQ <br />01116rfn lJg0?n, $ <br />0'l 116002 51501 $ <br />1201500253700 $ <br />6 <br />01 1 160(m 60€03 s3600qts- <br />09801 O[tkol5.**r*r$resr --rru,l,uaffifr' l' <br />$ <br />$ <br />Misc. Receipt # 7 L47 0 Validation <br />z2z. / o,TOTAL <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 ol the 2010 California Building Code will expire if no <br />'ts are issued within 180 da <br />\Receipt <br />Prepared b <br />MISCELLANEOUS <br />RECEIPT