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Planning & Along 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 />I e <br />S: J� <br />PROJECT ADZVC. <br />SUITE # <br />PAID BY: <br />�� <br />C(t_ct <br />-S�-P►r✓r C-e-S DATE: <br />l '" /��I - 1 Z <br />Bldg - Plan Check # <br />01116002 53600 <br />$ <br />Plmg - Plan Check # <br />01116002 53602 <br />$ <br />Elect - Plan Check # as 1 <br />.S 1,2 3 �` <br />01116002 53601 <br />$ 3 *S_ <br />Mech - Plan Check # <br />01116002 53603 <br />$ <br />Fire - Plan Check # <br />01116002 53600 <br />$ <br />Bldg Permit - Trust/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit - Trust/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit - Trust/Special Inspection <br />01116002 51603 <br />$ <br />Mech Permit - Trust/Special Inspection <br />01116002 51604 <br />$ <br />Fire Trust <br />01116002 51601 <br />$ <br />Acc Bldg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Boarding Fee <br />General Plan Surcharge <br />Statement of Fact/Record Search <br />SMIP - Category Val$ <br />Xerox Copy, Microfilm <br />Residential Development Fee - specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee - Gas <br />30 Day Temporary Fee - Electrical <br />Band: Demo, 30-Day, Relocation, Sign <br />12115002 53507 $ <br />01116002 51600 $ <br />01116002 51601 $ <br />08901001 24000 $ <br />01116002 57770 $ <br />3002 57991 $ <br />01116002 51601 $ <br />01116002 51602 $ <br />01116002 51603 $ <br />09801001 24015 $ <br />TOTAL $ <br />NOTICE: Applications for plan checking submitted <br />under Section 105.3.2 of the 2010 California Building <br />Code will expire if nopermits are issued within 180 days. <br />Receipt <br />Prepared by: V Vk <br />Misc. Receipt # f► 9 g i ? Validation <br />WP51 <br />Pees 2011-2012/Misc Receipts19-20-2011 <br />