Laserfiche WebLink
CITY OF SANTA Planning & Building Agency <br />Permits & Plan Check Section <br />20 Civic Center Plaza <br />Pll\\1\6 P.O. Box 1988 (M-19) <br />& BOLDIAG Santa Ana, CA 92702 <br />00 (714) 647-5800 <br />www.santa-ana.org <br />ACCELERATED PLAN CHECK <br />REQUEST <br />Mmet.1.,•:6.-,4,04%0• 4 44;1.VI."ilf*.*ht'i·:47«,4.46*, .f,.41 <br />Project Address: g 1 OS S (32 14 H018: 06-19-2012 <br /> Misc. Rece,ipt.- Co O R;Z ,Processed By: 'Plan Checked By: <br />. I <br />Cost: $119.58 per hour for each discipline. The plan chec timate the number of hours for review. This <br />fee is in addition to the regular plan check fee. <br />Type of Plan Check:Building 1-0 r-lei ¢59 jo ,Electrical <br />ker I es <br />S.24 Actu <br />ng <br />Est. Hr ial 2-Est. Hrs.Actual <br />Plumbi Mechanical <br />Est. Hr iat Est. Hrs.Actual <br />wner/Representative Signature:43«-1/ <br />-Frint Name: Vt; , ¥2Ltl==ACE> 9 K.-Aftyweir, ru Date: L / 24 1 1 <br />L <br />-#elephone Number: C 7 1,0 2/< 2- 1 \ 4/l Fax Number: (-71 0 2-,¥1 - 0£24 -7 <br />-1Email Address: r- rna.-4 1 n 623) nr-la.r-th n co rn rn 2,<6 \Ad C 'ro upir . 6£'yyl- An accelerated plan check review will not include the following: <br />Fire, Police, Public Works, Planning or Landscaping Plan Check <br />Revisions:If requesting an "accelerated revision", the cost will be $186.58 per hour in addition to the <br />accelerated fee of $119.58 per hour. <br />INTERNAL USE ONLY <br />Name (Last, First, Initial)Employee #Division <br />From (Date & Time)To (Date & Time)Total Hours Worked <br />Comp Time Requested <br />Overtime Requested <br />Employee Signature:Date: <br />AUTHORIZED APPROVALS <br />Comp time <br />Overtime Division Manager Date <br />Immediate Supervisor Date Executive Director Date <br />Distribution:White: Office Yellow: Applicant <br />PLinldFee Schedules/FY12-13/06-19-2012