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Planning & Mding Agency <br />Building Sal" Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />vrww.santa-ana.org <br />WCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 2 1a l✓� S"T - SUITE # <br />PAID BY: Mmck1 (J-4hLpt DATE: <br />Bldg — Plan Check # 01116002 53600 $ <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech -- Plan Check #U1 01116002 53603 $ <br />J' <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 />09801)01-24 <br />— <br />Acc Plmg P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # tj hrs. <br />09801001-24045 <br />$ ' A <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />Category .- VA <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 />)uA (AIC)5i � <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />hermits are issued within 180 days. <br />Receipt <br />12115002 53507 $ <br />011160JRAIPPA98 - Ati2n18 iprcaee1 <br />011160192 EF*6a1<YH mans;: 58 1 of I <br />0890144419A5646 $ 2/3112DIE 3:00 PH <br />0 i 11--���-- <br />011160W67 NCA tic:$ <br />3 P ffe`l�anica1 $ <br />01116offl' f>b' i 153603060- - <br />0 1116 V 9 53bCheck 4. <br />37 <br />$2876 <br />01116M2 36CO3 01 4 $368.28 <br />09801001 24015 $ <br />01116002 51501 $ <br />12015002 53700 $ <br />$ <br />TOTAL <br />Misc. Receipt # 713 0 4 �' Validation <br />