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Planning Sailding Agency <br />Building SAWy 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 />OSCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 2 11,5 3� L✓• M e-FADpC+—S SUITE # <br />W C e-v <br />PAID BY: <br />DATE: <br />7 Z L t,5- <br />Bldg — Plan Check # / 0 / -7 71 S <br />01116002 53600 <br />$ 2z-Z. I (o <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect — Plan Check # <br />01 116002 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 # 101 y 7 r 5'7r- hrs. <br />09801001-24045 <br />$ Z-tsy. -z 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 />121 15002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of FactiPublic Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 - <br />7$26/21)18 TO: HGAR( <br />Building Standards Revolving Fund <br />nr^ <br />01116002 51612 <br />9pre. 71 70r <br />Copies/Microfilm <br />01116002 577702493 <br />$ 7/26/201,Q ':43 �'n <br />Residential Development Fee — Specify Acct. No. <br />P P Y <br />3002 57991 ' TotaQ- <br />Al�txaNnrR <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602„9 <br />$ s" <br />30 Day Temporary Fee -- Electrical <br />01116092 51603 -36000V- - <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />Check ' <br />09801001 2401 a_,36370a$j- - <br />Fireworks Stands Fee <br />01116002 51501 r*****$1406 AUtfi::61190'' <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />rr �-1 1 <br />3G� °( Gri�� �d. CT Zj`f G�f/�Gs1J, aH <br />$ <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 />Misc. Receipt # 71285 <br />Validation <br />