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Planning & Being Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, GA 92702 <br />(714) 647-5800 <br />www,santa-ana.org <br />PROJECT ADDRESS: <br />PAID BY: <br />• <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: 7_j,�. 0.�— <br />Bldg - Plan Check # <br />'611-01-5401 <br />$ <br />Plmg - Plan Check # <br />011-01-5402 <br />$ <br />Elect - Plan Check # <br />011-01-5403 <br />$ <br />Mech - Plan Check # <br />011-01-5405 <br />$ <br />Fire - Plan Check # <br />011-01-5401 <br />$ <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 - TrusVSpecial 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 />SM I P - 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, 30-Day, Relo ation, Sign <br />098-01-3611-507 <br />$ <br />$ <br />TOTAL <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 />,--its of Santa Ana <br />F'D:7/22/2005ID:RMAFFEY LOCH CTiH - 602 <br />{:UST: IMV:46o?7 <br />1)(180 0001 00002694 7/22/2005 11:34AM <br />TRANSACTION TOTAL: $123P317.77 <br />Building $1281317.77 <br />CK $128Y317.77 <br />CHANGE *C1. 00 <br />Misc. Receipt # 46697 Validation <br />