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Planning & &ding Agency <br />Building Sa 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 />&CELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: I151%5 N, VRV'r�j e-vr SUITE # <br />PAID BY: '� j 7-CC.VL -j::XL 4priai"4 SW-"LCO65w DATE: <br />Bldg — Plan Check # 10 2 R -7 1 ca3 <br />Plmg — Plan Check # <br />Elect — Plan Check # <br />Mech — Plan Check # <br />01116002 53600 <br />$ j 7 3. 9 rD <br />01116002 53602 <br />$ <br />01116002 53601 <br />$ <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 # 102-1-7I V3 hrs. 3 <br />-� <br />09801001-24045 <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 />121150 <br />� T.5- <br />.� � . TYH <br />/a_ <br />arcs',! �? 1 of 1 <br />General Plan Update Surcharge <br />011160fYA2=+Y1H��,'1,�Yi, p �fLr <br />$ ReM 71287 <br />��r�i n (.„6 <br />Statement of Fact/Public Records Research <br />f1� G' C T i,Q�141171M4 <br />011160@ibl6b1vn Tote <br />Y.i�� (_^1 L <br />1 $1.601.04 <br />SMIP - Catagoiy Val$ <br />089010 1 <br />nn <br />i�Fi�FTINS <br />Building Standards Revolving Fund <br />011 T-60 <br />Copies/Microfilm <br />01116061, _ � 53tQ0($ <br />1, <br />C-- <br />Residential Development Fee — Specify Acct. No. <br />3002-67NM Ghecl$ <br />3�?'•', <br />Temporary Certificate of Occupancy <br />0111606Y&M 7 �3�c37 <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <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 />R- t DXA.Gr, F, 4 S1944 1 C tis <br />f.-r3 r 7Awsra P NA 4,j 31o3,9Z <br />$ <br />F4,0-r4N4 CA 92'332 <br />TOTAL <br />$ I,{Dp 1. oY <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 01) <br />Prepared by: _A-e-L <br />Misc. Receipt # 71287 Validation <br />