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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />1 �i <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: <br />PAID BY: Why <br />Bldg - Plan Check # <br />Plmg - Plan Check # <br />Elect - Plan Check # <br />Ok <br />�C (, d-) I X-3 oZ-] 3 01116002 53600 <br />01116002 53602 $ <br />1 ` -e w.-O Ir <br />+--L " r <br />• <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: - ,�� - L4 <br />01116002 53601 <br />Mech - Plan Check # <br />01116002 53603 <br />$ <br />Bldg Permit - Inspection/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit - Inspection/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit - Inspection/Special Inspection <br />01116002 51603 <br />$ <br />Mech Permit - Inspection/Special Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # hrs. <br />01116002 57600 <br />ACC Plmg P/C # hrs. <br />79 <br />01116002 5�60QYH <br />- 1, <br />�rans4: 32 1 t,;. <br />Acc Elect P/C # hrs. <br />01116002 5�60Q<84$ r.ei.; <br />3I .. <br />Acc Mech P/C # h rs. <br />01116002 57600:°n <br />10t$1 i 19 J . <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600'+36Et+tii <br />- 1 <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />4CI85 $ls` <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />01117002 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 />30 Day Temporary Fee - Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />NOTICE: Applications for plan check submitted under Secti <br />105.3.2 of the 2010 California Building Code will expire if no <br />hermits are issued within 180 days. <br />IReceipt V / j or,'Aa'4� <br />Preeared bv: -4 ��'C. <br />TOTAL <br />Misc. Receipt # 62845 <br />Plinkfee ScrsedulerMisc Receiptsfftril. 2013 <br />Validation <br />