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• <br />u <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 />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: cni SUITE # <br />PAID BY: E 1 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 />.21.f7:;C1 <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 $ <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 51604 $ <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 # h rs. <br />01116002 57600 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$1 <br />Building Standards Revolving Fund <br />44$ - <br />011160gX47K �rr�l <br />�anst: 128 1 of 1 <br />Copies/Microfilm <br />0111700�: 3R54058 <br />$ kef:: 62805 <br />Residential Development Fee — Specify Acct. No. <br />3002-Mion To <br />1 $27.59 <br />09 <br />11 <br />Temporary Certificate of Occupancy <br />0111600M601 <br />30 Day Temporary Fee — Gas <br />0111600r2,P5 <br />ric <br />a <br />$ $1?.59 <br />30 Day Temporary Fee — Electrical <br />01116002 bf <br />53601$00- <br />- v� <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />0980100� 1r r,7** <br />$2 <br />*1g3R Aitth4:9233.59 <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <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 />oermits are issued within 160 days. <br />Receipt <br />Prepared bv: <br />TOTAL <br />Misc. Receipt # 6 2 <br />Plink;Fee Schedule/Misc Receipts/April. 2013 <br />Validation <br />