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Planning & BRIng 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 />is <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: j.Q <br />r=�p' <br />SUITE # <br />PAID BY: Ch noP-,-t f U�r_�l <br />-�i'IC— <br />_ DATE: <br />7— <br />Bldg — Plan Check # i `j <br />�3 S <br />011-01-5401 <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 — 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 PI mg 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, 30-Day, Relocation, Sign <br />098-01-3611-507 <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 />V ✓1 G^(,&z- <br />TOTAL <br />$ 3 ' <br />PD:7/7,120i,S,i6�9MA[Fi1nLBC. rl .T,,, - u02 <br />GUST: INN — 46.` , 8 <br />0057 0(101 00001400 7.7i22005 1:2?H1 <br />TRANSA(TIOM T014L: i:io.11 <br />Bui Id ins <br />6c�.VL <br />GK $373 —3 <br />CHANGE ii1.1-1 i <br />Misc. Receipt # 46578 Validation <br />