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Planning & EWing Agency <br />Building SafaWDivision ACELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: �'� Y S <br />SUITE # <br />1� <br />PAID BY: m 1 O <br />DATE: <br />Bldg — Plan Check # O\ <br />01116002 53600 <br />$ <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 # k lo� 4`n COI. hrs. 2 <br />09801001-24045 <br />$ 'Z� Lj Ip <br />Acc Plmg PIC # hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # hrs. <br />09801001-24045 <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 />01116 51 98 - 7 ' t� _ f <br />.. 40 1 of <br />H Tr r� <br />f i 71301 <br />Building Standards Revolving Fund <br />rn <br />01116(Wq,W 593 24 <br />To s�zn- <br />Copies/Microfilm <br />01116002�57770 <br />$ <br />Residential Development Fee — Specify Acct. No. <br />36621;1�WMA <br />$ <br />Temporary Certificate of Occupancy <br />01116009 $dfl09ng <br />$ $336.00 <br />30 Day Temporary Fee —Gas <br />01116� Ch ck 1 $284.76 <br />30 Day Temporary Fee — Electrical <br />01116( 215QM353637OV- - <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801 &� 5W5 ea <br />- �� <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />LlO t T_W� <br />aL O <br />$ <br />TOTAL <br />$ 4192 .rl (e <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 # 71301 <br />Validation <br />