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PROJECT AD <br />Planning & Blding 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 />IESS: t{'a30 4 <br />IV e Crt:.j <br />3Z-4--7Y tv 54'!L <br />7174 &L.," 144,eA' r -t64 2-- <br />�J <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: <br />Bldg — Plan Check # /10 f 4Y-310 3 — <br />01116002 53600 <br />$ �7 <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 />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 Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />permits are issued within 180 days. <br />Receipt J <br />Prepared bv: lnv�I.�v` <br />12115002 53507 <br />$ <br />01116002 51600 <br />$ <br />0111600251601 <br />$$ <br />08901001,,Q4WO7382 <br />- 1;".1"?41i'i ID: RUBLN <br />011 i�zIH <br />T• <br />rans�l: �L_ cis <br />i'AT 1i h7 j(. <br />01117002:6777Q51427 <br />$- 11i5/201a 2:5Y F'ri <br />300� ttg§ ° or1 <br />Toll i ,u , <br />011 116002616WP0F <br />$ <br />01116002 5t§(Q in9 <br />$ 587.4' <br />01116002' "-6Dt 5360C$u0 <br />- - <br />^.4, <br />{ n <br />09801001' 2W4&*****4*0042 <br />Auth1:083277 <br />01116002 51501 <br />$ <br />12015002 53700 <br />$ <br />TOTAL <br />Misc. Receipt # 6 2 7 8 8 <br />t'iink, f d i�C, MISC Heceipts;April. 2013 <br />Validation <br />