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Planning & B g Agency <br />Building Safety ivision M&ELLANEOUS <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) RECEIPT <br />Santa Ana, CA 92702 <br />(714) 647-5600 <br />www.santa-ana.org <br />PROJECT ADDRESS:r;ZDo I S • /H4it ) <br />mot`. SUITE # <br />PAID BY: T"�fzµc-� �i� ��� I w�G _ <br />DATE: <br />-7 <br />3 ! <br />Bldg — Plan Check # 101 17 t 9 1s <br />01116002 53600 <br />$ <br />3, 2 9 z . s ( <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 PIC # 101 171 hrs. <br />09801001-24045- <br />Acc PI mg PIC # h rs. <br />09801001-24045 <br />$ <br />Acc Elect PIC # h rs. <br />09801001-24045 <br />$ <br />Acc Mech PIC # hrs. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />98 <br />01116(V i�lb <br />- Tr-6� <br />a. ,n , nr , <br />Statement of Fact/Public Records Research <br />01116002t34 601 <br />$ <br />Ref;: 71302 <br />SiW#P - catagory Val <br />08901 { �n M Totap <br />t4s431.55 <br />Building Standards Revolving Fund <br />01-1161`T6'12`� <br />Copies/Microfilm <br />0111666MM"' <br />Residential Development Fee — Specify Acct. No. <br />3 Tq IRA <br />t3P292.51 <br />Temporary Certificate of Occupancy <br />01116 A Check <br />-1) <br />$1.139.04 <br />30 Day Temporary Fee — Gas <br />01116SI� 3b3 <br />e <br />O1b4� <br />11 <br />- <br />.�_�3�-�5 <br />30 Day Temporary Fee — Electrical <br />01116 16 3 <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />po 1 ,.,Wc4stoW- Z�-. <br />$ <br />s,a Oa G-+0. T ! 4 2�3 <br />TOTAL <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 />Prepared by: <br />Misc. Receipt # 713 O 2 <br />validation <br />