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Planning & Miding Agency <br />Building SafWDivision <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: <br />30 1 <br />1`i¢ST <br />SUITE # <br />PAID BY: ­-e <br />W <br />DATE: 7 31 14ar <br />Bldg — Plan Check # 101171 9D <br />01116002 <br />53600 <br />$ a !. r to <br />Plmg — Plan Check # <br />01116002 <br />53602 <br />$ <br />Elect — Plan Check # <br />01116002 <br />53601 <br />$ <br />Mech — Plan Check # <br />01116002 <br />53603 <br />$ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 <br />51601 <br />$ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 <br />51602 <br />$ <br />Elect Permit — Inspection/Special Inspection <br />01116002 <br />51603 <br />$ <br />Mech Permit -- Inspection/Special Inspection <br />01116002 <br />51604 <br />$ <br />Acc Bldg P/C # hrs. <br />09801001-24045 <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 # 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 />011160Wte'W4g8 _ <br />§311,2019 Ia= araorre <br />SM1 _ __ 3L$ _ __ _ <br />_ 1 OWT MOUYH <br />T$ansifs 46 1 or 2 <br />..... _ <br />Building Standards Revolving Fund <br />011160 §.�A5585 <br />$�•sa PH <br />Copies/Microfilm <br />011160 VD' n Tots $598.08 <br />Residential Development Fee — Specify Acct. No. <br />30 91 <br />Temporary Certificate of Occupancy <br />011160 16 1. <br />$ <br />30 Day Temporary Fee — Gas <br />0111609�s"3b000S0_ <br />30 Day Temporary Fee — Electrical <br />011160� �d•+art*g $598.W <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />.. <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />5'6'q Fr V A a . <br />$ <br />Vc,lIeu Glen, L}- `I I q <br />TOTAL <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 />_ 2 <br />Misc. Receipt # 71299 <br />validation <br />