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Planning &Building Agency • <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.Q. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: 14(ld <br />SUITE # <br />PAID BY: <br />DATE: <br />Bldg — Plan Check # <br />01116002 53600 <br />$ <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect — Plan Check # <br />01116002 53601 <br />$ <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 />$ <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 # hrs. <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 />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ ¢ <br />o i crofilm <br />01117002,�,i7Ql;y� <br />_ $1' ,amide <br />Residential Development Fee — Specify Acct. No. <br />3002 5.7jQq f TYH <br />$fonsi: Url <br />Temporary Certificate of Occupancy <br />0111600� 51dQ12,51734 <br />$- 11/6/2014 12:31 F'M <br />30 Day Temporary Fee — Gas <br />01116002 Jf_$0t'on <br />1o1$1 u,. . <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015y <br />$ $1Q.6L, <br />Fireworks Stands Fee <br />01116002 5150',r 5111q$e1j- <br />Fire Facilities Fee <br />12015002 53700'*****4*73`.<3 <br />Auth;:(135177 <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 />Prepared <br />TOTAL <br />$ `0-6 o <br />Misc. Receipt # 5 2 7 9 2 <br />edwty Misc HeceipIVApnl 2013 <br />Validation <br />