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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, CA 92702 <br />(714)647-5800 <br />www.santa-ana.org <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: SUITE # ��[J <br />PAID BY: DATE: <br />Bldg — Plan Check # 1 Q y �� 011-01-5401 $ <br />Plmg — Plan Check # 011-01-5402 $ <br />Elect — Plan Check # 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 # 10VZ—nL4Sr7 <br />hrs. �_ <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # <br />h rs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # <br />h rs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <br />h rs. <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, 30-Day, Relocation, Sign <br />098-01-3611-507 <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 />City of Santa Ana <br />PD:7/21/2005ID:RMAFFEY LOCI CTYH - 002 <br />OUST: INV:46639 <br />0082 0002 00002583 7/21/2005 4:30PM <br />TRANSACTION TOTAL: $1F234.90 <br />Suildins t554.60 <br />Buildins ii93.C10 <br />Credit Card Fee $2.99 <br />VS075619 E1,234.90 <br />CHANGE $0. C10 <br />Misc. Receipt # 46689 Validation <br />