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r-11 <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: .S;Z G C. 5A rrs. C1-4jZ-4 SUITE # <br />PAID BY: AR A R/ A A, CAnwPo.S DATE: / <br />Bldg — <br />Plan Check # <br />01116002 53600 $ <br />Plmg <br />— Plan Check # <br />01116002 53602 $ <br />Elect <br />— Plan Check # <br />01116002 53601 $ <br />Mech <br />— Plan Check # <br />01116002 53603 $ <br />Bldg Permit — <br />Inspection/Special Inspection <br />01116002 51601 $ /y/. 2 (o <br />Plmg Permit <br />— Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit <br />— Inspection/Special Inspection <br />01116002 51603 $ <br />Mech Permit <br />— Inspection/Special Inspection <br />01116002 51604 $ <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 />01116002 57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />SMIP - Category Val$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee — Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee — Electrical <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <br />NOTICE., Applications for plan check submitted under Sech <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 by: <br />12115002 53507 $ <br />01116002 51600 $ <br />01116002 51601 $ <br />08901001 2 Q PiM - §1d.64w= r�uP <br />01116002 5'L-61 TYH $runs;: 63 1 of 1 <br />A. <br />01117odZ;I`t,7p,51665 $- Ke21f TV <br />82170 <br />3002 M91 on To 1 $141. 26 <br />0111600d V '601 A ` <br />01116002 51602 $ <br />0 111 60W-a 51601$Llu- - <br />09801001 �Qj, iFiElFit 141..zd <br />** i4y�`7 A��F_h�_19_iR4iL <br />01116002 51501 $ <br />12015002 53700 $ <br />TOTAL $ IV. 2(P <br />Misc. Receipt # 6 2 7 9 0 <br />011,1k, F- < <i<-cuie r0i5c ReceiptVApnl- 2013 <br />►►E 11156 +Ti <br />