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Planning & ading Agency <br />Building SafW 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: <br />40L�o w { �rSUITE # <br />PAID BY: <br />C 7 F5) DATE: <br />Bldg — <br />Plan Check # <br />01116002 53600 <br />$ <br />Plmg — <br />Plan Check # <br />01116002 53602 <br />$ <br />Elect — <br />Plan Check # <br />01116002 53601 <br />$ <br />Mech <br />—Plan Check # <br />�{-.Q j 32-3U 01116002 53603 <br />$ 22..,2 t t' <br />Bldg Permit — <br />Inspection/Special Inspection <br />01116002 <br />51601 <br />$ <br />Plmg Permit — <br />Inspection/Special Inspection <br />01116002 <br />51602 <br />$ <br />Elect Permit — <br />Inspection/Special Inspection <br />01116002 <br />51603 <br />$ <br />Mech Permit — <br />Inspection/Special Inspection <br />01116002 <br />51604 <br />$ <br />Acc Bldg P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Plmg P/C <br /># hrs- <br />09801001-24045 <br />$ <br />Acc Elect P/C <br /># hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C <br /># hrs. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of FacUPublic Records Research <br />SMIP - Category Val$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee — Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee — Electrical <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <br />12115002 53507 $ <br />01116002 51600 $ <br />01116002 51601 $ <br />08901001 24000 $ <br />01116002 51612 $ <br />01116002 57770 $ <br />3002 57991 $ <br />01116002 5160'f'" 37 <br />0 11 160051602 "H $ <br />01116002-6160342143 11.71201, <br />r• „• ion Tot$1 <br />09801001 24015 $ inas <br />01116002 51501 $ <br />t <br />1201500�1�5t3�7Q'n I C a,I 4t <br />11a>ter .:ard <br />ti�xs** h4a0'71. <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 />TOTAL <br />Misc. Receipt # 71279 Validation <br />