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• 0 <br />Planning & Building Agency <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.sante-ana.org <br />PROJECT ADDRESS: �a�� �j���� <br />�� SUITE # <br />PAID BY: <br />DATE: <br />�--y — <br />Bldg — Plan Check # <br />01116002 53600 <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 P I m g 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 />08901 001L MOO 7366 <br />-$11i4i2C,14 ID: RUBEN <br />Building Standards Revolving Fund <br />0111600�';5_ &jtC-Tr <br />$ Trans' .. a 1 <br />,.62 <br />Copies/Microfilm <br />011170075 2s10 <br />cn 4 ion <br />.: - t_t 4 '°' <br />To aI Ric, '• <br />Residential Development Fee — Specify Acct. No. <br />3002151991 <br />$SIBOY <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 1116U,a 2 <br />$1 $141.26 <br />30 Day Temporary Fee — Electrical <br />01116002,. <br />$ $200.00 <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001-'94015 <br />$ .74 ) <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <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 />permits are issued within 180 days. <br />Receipt <br />PreparE <br />TOTAL <br />Misc. Receipt # 6 2 7 81 <br />i,,mh i �-, Mh9 ,c HeceiptsiAprtl. 2013 <br />Validation <br />