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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 />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 3 HVrpsxsJ cEr--� SUITE # <br />PAID BY: G*C G A ArJZ)SLt r-) Dom- 5 i4, jJ r N C - DATE: t Z�'{ <br />Bldg — Plan Check # j o 1 1;7 3(S <br />01116002 53600 <br />$ <br />1 9 $3 <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect — Plan Check # 2 o f C Yy <br />01116002 53601 <br />$ <br />Mech — Plan Check # yO I Z7-7 10 <br />01116002 53603 <br />$ <br />19 5% T 3 <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 # I01 '6'31SS7— hrs. <br />Acc Plmg P/C # hrs. <br />Acc Elect P/C # hrs. <br />Acc Mech P/C # hrs. <br />01116002 57600 <br />01116002 57600 <br />01116002 57600 <br />01116002 57600 <br />$ ZS 1 0 Z <br />$ <br />$ <br />$ <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51.600 <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 <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 Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />Dermits are issued within 180 days. <br />Receipt <br />Prepared bv: [�z <br />TOTAL <br />$ <br />Misc. Receipt # 6 2 8 0 8 <br />Phnk+pe 5chedu#&M*c Receipts/April. 2013 <br />Validation <br />rc� <br />