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Planning & &ding Agency <br />Building SafWV 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 />PROJECT ADDRESS: <br />PAID BY: <br />a <br />&CELLANEOUS <br />RECEIPT <br />SUITE # <br />b (JX DATE: <br />Bldg — Plan Check # <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 PIC # hrs. 09801,bO T24045' <br />Acc hrs. 09801001=24045 <br />Acc Elect P/C # hrs. fl3684 I =�5 '" " $ <br />Acc Mech P/C # hrs. <br />0980VOI 2.4045 <br />Boarding Fee (Community Preservation) <br />12115011 553507$- <br />General Plan Update Surcharge <br />01116002 51660 <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />CopieaFA+4ictotiltn�-�___ <br />01116002 57770 <br />$ <br />Residential Development Fee '—Tp-eTlry Amt. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrica <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation Sign, ireworks <br />09801001 24015 <br />$ �7 . p� <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />':;"' S4' <br />17D <br />$ <br />TOTAL <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 12 <br />Prepared by: <br />Misc. Receipt # 712 8 4 Validation <br />