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Planning & Bleng Agency I <br />Building Safety Division M15CELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDR SS: IL L-, e- • IhT hT 13 <br />SUITE # <br />PAID BY: Cc> <br />DATE: <br />11 —L>6 -- 1Z <br />Bldg - Plan Check # <br />01116002 53600 <br />$ <br />Plmg - Plan Check # <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 Inspection <br />01116002 51601 <br />$ <br />Plmg Permit - Trust/Special Inspection <br />01116002 51602 <br />$ 1-4 <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 # hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # hrs. <br />01116002 57600 <br />$ <br />Boarding Fee <br />12115002 53507 <br />$ <br />General Plan Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Record Search <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Xerox Copy, Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee - specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee - Gas <br />01116002 51602 <br />$ <br />D; T%em orary Fee - Electrical <br />01116002 51603 <br />$ <br />iBonemo, 0-Day, Relocation, Sign <br />09801001 24015 <br />$ i d a� <br />G'Ti Aj-; r N [ <br />$ <br />S. A 151�7 <br />$ <br />04 4-?-&3- <br />TOTAL <br />$ I. <br />NOTICE. Applications 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 />p -- <br />Misc. Receipt # 0599 Validation <br />9 '16,lk7 <br />WP51 <br />Fees 201 1-2012/Mist Receipts,9-20-2011 <br />