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Planning & Ading 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 />PROJECT ADDRESS: F— SUITE # <br />PAID BY: DATE:—�--�� <br />Bldg — Plan Check # 011-01-5401 $ <br />Plmg — Plan Check #Q k j gj("�6011-01-5402 $ _L <br />Elect— Plan Check # p 011-01-5403 $ <br />Mech — Plan Check # 011-01-5405 $ <br />Fire — Plan Check # 011-01-5401 $ <br />Bldg Permit— Trust/Special Inspection <br />011-01-5911 <br />$ <br />Plmg Permit — Trust/Special Inspection <br />011-01-5912 <br />$ <br />Elect Permit — Trust/Special Inspection <br />011-01-5913 <br />$ <br />Mech Permit — Trust/Special Inspection <br />011-01-5915 <br />$ <br />Fire Trust <br />011-01-5911 <br />$ <br />Acc Bldg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Boarding Fee <br />121-01-5579 <br />$ <br />Statement of Fact/Record Search <br />011-01-5911 <br />$ <br />Microfilming of Records $ <br />per <br />011-01-5911 <br />$ <br />SMIP - Category Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Development Fee - Specify District # <br />301-01-5070 — <br />$ <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, 0-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />ey s Hl l Sow <br />$ <br />19 <br />$ <br />�201 ZQLA <br />_ _ <br />TOTAL <br />$ r n 2. fSQ <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 da s <br />Receipt <br />Prepared by:C\ --�10b <br />l l t9 of Sonto Tina <br />PD:7/25/200511D:Ri1Ai=FEY LOCI. C:TiH - 0.'12 <br />CUST: INV:46704 <br />C1136 0001 00002954 7/251/2005 3:55 M <br />TRANSACTION TOJAL: $202.50 <br />Bui ld in9 $67.SLI <br />Buildln3 $oi.56 <br />Building $67.50 <br />C.K 3202.50 <br />CHANGE $0.00 <br />Misc. Receipt # 46704 <br />Validation <br />