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Planning &Iding Agency <br />Building S 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: UeS" cyS Abvt3,s `s SUITE # <br />PAID BY: jT-A Koy-r QSSoc.i4sam rrC--- <br />Tt=-S. 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 P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Plmg PIC # 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 />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ �- <br />Standards Revolving Fund <br />01116002 51612 <br />$ �n <br />o icrofilm <br />01 116002 57770 � i, <br />$ O <br />esidential Development Fee — Specify Acct. No. <br />3002 57991 $ <br />Temporary Certificate of Occupancy <br />01116002 51601 1A1i <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 '���_�;1$ <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 />F.AKo-•K kssoc .TI[ ►#rEcrS <br />r v3 <br />$ <br />^iR,� rA 9iLi2� -Z�ZI <br />TOTAL <br />$ p �— <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Burlding Code will expire if no <br />permits are issued wrthin 180 days. <br />Receipt <br />Prepared by: N. <br />cZ <br />Misc. Receipt # 71276 <br />Validation <br />