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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 />0 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: <br />PAID BY: DATE: <br />Bldg - Plan Check # Q 1 E',0)Q7C 01116002 53600 $ <br />Plmg - Plan Check # <br />01116002 53602 $ <br />Elect - Plan Check # 01116002 53601 $ <br />Mech - Plan Check # 01116002 53603 $ <br />Bldg Permit - Inspection/Special Inspection 01116002 51601 $ <br />Plmg Permit - Inspection/Special Inspection 01116002 51602 $ <br />Elect Permit - Inspection/Special Inspection 01116002 51603 $ <br />Mech Permit - Inspection/Special Inspection 01116002 51604 $ <br />Acc Bldg P/C # 10 1 f-', �S V 17C hrs. ,' 01116002 57600 $ <br />Acc Plmg P/C # hrs. 01116002 57600 $ <br />Acc Elect P/C # hrs. 01116002 57600 $ <br />Acc Mech P/C # hrs. 01116002 57600 $ <br />Boarding Fee (Community Preservation) 12115002 53507 $ <br />General Plan Update Surcharge 01116002 51600 $ <br />Statement of Fact/Public Records Research 011160RPM4z63 - tans'w- <br />:,,, �:�;UMN <br />SMIP - Category Val$ 08901004424000TYH 141.E 1 of 1 <br />KV Building Standards Revolving Fund 011160Ca4T'�125t15gs $- 11/3/2C114. 4:0§ PU <br />Copies/Microfilm 0111700�`� rMon Tot$1' , -_ <br />Residential Development Fee - Specify Acct. No. 3002a579®1 $ <br />Temporary Certificate of Occupancy 011160Q2f �,@iQl i n9 $ <br />30 Day Temporary Fee - Gas 011160a- 53600$00- - <br />p on Ghec� .02 <br />30 Day Temporary Fee - Electrical 011160d� 57600 0- - <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks 09801 Odt+:24015 6VI $I P "32.2 7 <br />Fireworks Stands Fee 01116002 51501 $ <br />Fire Facilities Fee 12015002 53700 $ <br />rs I CC-A'i:�L E C� ca 9a e, <br />1 e"O $ <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 />Misc. Receipt # 6 2 7 7 <br />P110 c � I.-, nluU j:,j %hsc Heceipis/AP - 2013 <br />Validation <br />