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I� <br />LJ <br />Planning & Building 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 />• <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: �— S SUITE # <br />PAID BY: DATE: <br />Bldg — Plan Check # <br />Plmg — Plan Check # <br />Elect — Plan Check # <br />Mech -- Plan Check # <br />01116002 <br />53600 $ <br />01116002 <br />53602 $ <br />01116002 <br />53601 $ <br />01116002 <br />53603 $ <br />Bldg Permit — Inspection/Special Inspect) <br />01116002 51601 f $ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit — Inspection/Special Inspection <br />01116002 51603 $ <br />Mech Permit — Inspection/Special Inspection <br />01116002 511604 $ <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 />01-116002 57600 <br />$ <br />Acc Mech P/C # <br />h rs. <br />011 i 6902 57600 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002' 507 $ <br />General Plan Update Surcharge <br />01116002 51 0 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm L <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 />1,015002 53700 <br />$ <br />TOTAL <br />NOTICE: Applications for plan check submitted under Section <br />i 05.3.2 of the 2010 California Building Code will expire if no <br />permits are issued within 180 days. <br />Receipt <br />Prepared by: - <br />Misc. Receipt # 62833 Validation <br />PlinkrFee Schedule/Misc Receipts/April. 2013 <br />