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n <br />LJ <br />Planning & Building 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 />L� <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: ��' \� `�— SUITE # <br />PAID BY: <br />Bldg — Plan Check # � <br />Plmg — Plan Check # <br />Elect — Plan Check # <br />Mech — Plan Check # <br />0 <br />DATE: 1 1- <br />01116002 53600 $ <br />01116002 53602 <br />01116002 53601 $ <br />01116002 5360 $ <br />Bldg Permit — Inspection/Special Ins ction 01116002 e501 $ <br />Plmg Permit —Inspection/Special Inspe ion 0111600 02 $ <br />Elect Permit — Inspection/Special Inspecti 01116 2 51603 $ <br />Mech Permit — Inspection/Special Inspection 011 002 51604 $ <br />Acc Bldg P/C # <br />hrs. <br />116002 57600 <br />$ <br />Acc Pimg P/C # <br />hrs. <br />0111600257600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # <br />h rs. <br />116002 57600 <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Researc <br />SMIP - Category Val$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee — Sp cify Acct. Na. <br />Temporary Certificate of Occupa cy <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee — Ele rical <br />Bond: Demo, 30-Day, Relo ation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <br />NOTICE Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />permits are issued within 180 days. <br />Receipt <br />Misc. Receipt # 628 <br />121 5002 53507 <br />0111 02 51600 <br />011160 51601 <br />0890100 4000 <br />01116Q02 612 <br />01117002 57 0 <br />3002 579 <br />01116002 51601 <br />01116002 51602 <br />01116002 51603 <br />09801001 24015 <br />01116002 51501 <br />12015002 53700 <br />TOTAL <br />Validation <br />PinklFee Schedule/Misc Receipts/April. 2013 <br />