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Planning & Bing 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 />• <br />MISCELLANEOUS <br />RECEIPT <br />;.� _yam;~.�*���-�•,aMe+s <br />PROJECT ADDRESS: <br />SUITE # <br />PAID BY: <br />DATE: <br />Bldg — Plan Check # <br />011-01-5401 <br />$ <br />Plmg — Plan Check # <br />011-01-5402 <br />$ <br />Elect — Plan Check # <br />011 -5403 <br />$ <br />Mech — Plan Check # <br />1-01-5405 <br />$ <br />Fire — Plan Check # <br />011-01-5401 <br />$ <br />Bldg Permit — Trust/Special spec <br />01 - 1 <br />$ <br />Plmg Permit — Trust/Spec' I I ection <br />011-01-5912 <br />$ <br />Elect Permit — Trust/Spe ' Inspection <br />011-01-591 / <br />$ <br />Mech Permit — Trust/Special Inspection <br />011-01-5 5 <br />$ <br />Fire Trust <br />011-01 911 <br />$ <br />Acc Bldg P/C # S. <br />11-01-5621-50 <br />$ <br />Acc Plmg P/C # hrs. <br />011-01- -508 <br />$ <br />Acc Elect P/C # hrs. <br />-0-5621-508 <br />�-0�1-56211-508 <br />$ <br />Acc Mech P/C # h rs. <br />Boarding Fee <br />121-01-5579 <br />Statement of FacVRecord Search <br />011-01-59 <br />$ <br />Microfilming of Records $ per <br />011- 911 <br />$ <br />SMIP - Category Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508 311 <br />$ <br />Residential Development Fee - Specify District # <br />301-01-5 — <br />Temporary Certificate of Occupancy <br />011-01-5911 <br />$ <br />30 Day Temporary Fee — Gas <br />011-01-5912 <br />$ <br />30 Day Temporary Fee — Electrical <br />011-01-5913 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />$ <br />TOTAL <br />$ <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />Code will expire if no permits are issued within 180 days. <br />Receipt <br />Prepared by: <br />Misc. Receipt # 46330 Validation <br />