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Planning & King Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.Q. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />0 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS:1 <br />SUITE # <br />DATE: I � -- <br />PAID BY: <br />Bldg — Plan C ck # <br />01116002 53600 <br />$ <br />Plmg — Plan Che # <br />01116002 53602 <br />$ <br />Elect — Plan Check <br />01116002 53601 <br />$ <br />Mech — Plan Check # <br />01116002 53603 <br />$ <br />Fire — Plan Check # <br />01116002 53600 <br />$ <br />Bldg Permit — Trust/Special In ection <br />0111600251 601 <br />$ <br />Plmg Permit — Trust/Special Ins ction <br />01116002 51602 <br />Elect Permit — Trust/Special Inspe on <br />01116002 51603 <br />$ <br />Mech Permit — Trust/Special Inspecti <br />01116002 51604 <br />$ <br />Fire Trust <br />0111600251 <br />$ <br />Acc Bldg P/C # <br />hrs. 011160 57600 $ <br />Acc Plmg P/C # <br />hrs. 0111 02 57600 $ <br />Acc Elect P/C # <br />hrs. 0 16002 57600 $ <br />Acc Mech P/C # <br />hrs. 1116002 57600 $ <br />Boarding Fee <br />115002 53507 <br />$ <br />General Plan Surcharge <br />01 6002 51600 <br />$ <br />Statement of Fact/Record Search <br />0111 02 51601 <br />$ <br />SMIP - Category Val$ <br />089010 1 24000 <br />$ <br />Xerox Copy, Microfilm <br />0111600 7770 <br />$ <br />Residential Development Fee — spe ' y Acct. No. <br />3002 91 <br />$ <br />Temporary Certificate of Occupa <br />01116002 51 1 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 5160 <br />$ <br />30 Day Temporary Fee — Ele rical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relo ation, Sign <br />09801001 24015 <br />$ <br />TOTAL <br />$ <br />NOTICE. Applicati s for plan checking submitted <br />under Section 105.3.2 of the 2010 California Building <br />Code will expire if no permits are issued within 180 days. <br />Receipt <br />Prepared by: <br />Misc. Receipt # (} 5 9 Validation <br />W P51 <br />Fees 2011-2012/Misc Re�ceiptsi9.20-201 1 <br />