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Planning & F"ing Agency <br />Building Saf 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 />ACELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 2 Z 60 4C f' 7 <br />SUITE # <br />PAID BY: vJ 1 S a +1 <br />DATE: <br />7 S r / � <br />Bldg — Plan Check # 1019 7/Grl!;-- <br />0/116002 53600 <br />$ 2Zz <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 # 019 71 rg' hrs. a <br />09801001-24045 <br />$ a - fry. -r C. <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 # hrs. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />0 111 6QQPc5J COO98 - <br />7A1/2018 ID: IAtcta <br />Statement of Fact/Public Records Research <br />01116C t51136 �H <br />T"$'ns#: 4!-71304 <br />= SAa1P *�ateBOry —.- v1d _ _ <br />0,49.01 QQ0t34WQ55U <br />7/31/2018 1:53 PH <br />__ <br />Building Standards Revolving Fund <br />01116&WfT <br />u sn <br />Copies/Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee — Specify Acct. No. <br />3W? WA19 <br />$ •222.16 <br />Temporary Certificate of Occupancy <br />01116M21 1536"- - <br />30 Day Temporary Fee —Gas <br />01116� 3b37A8- - '76 <br />1 f <br />30 Day Temporary Fee —Electrical <br />0111610t?h * ;d o�. $5�9s -08 <br />7 }#} lflF}}}> 2i <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />y11ey Glev-" Ct1 9cYot _ <br />TOTAL <br />$ +5 oCo ,9x- <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 0 0 <br />Validation <br />