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Planning & Bng Agency <br />Building Safety 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: 1.24/ fl Z w S7- <br />-111191 <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: I - 2 S'-• f P' <br />Bldg — Plan Check # l .p f 97f 3 % 01116002 53600 $ <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech — Plan Check # 01116002 53603 $ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 $ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit — Inspection/Special Inspection <br />01116002 51603 $ <br />Mech Permit — Inspection/Special Inspection <br />01116002 51604 $ <br />Acc Bldg P/C # <br />hrs. <br />09801001-24045 $ <br />Acc Plmg P/C # <br />hrs. <br />09801001-24045 $ <br />Acc Elect P/C # <br />hrs. <br />09801001-24045 $ <br />Acc Mech P/C # <br />hrs. <br />09801001-24045 $ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />sAAlp- -. Gatagary - - 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 />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 <br />1211502 53� _ i$� ,,, ,,,, o T„ . <br />tP Y• 410 2 '2018 19A 6R GA6F <br />011160 ($ UrYH 1$ans-': 31 1 of 1 <br />011 160� . 9)31781 $_ , =1204R u -- 54,- M <br />08901OWaRgMi)on Totc$ $621.00 <br />011160O 12 <br />01116002 57770 $ <br />C din is2i.CK, <br />30Y�1WW2 <br />536000INa- <br />0111600§1601 <br />$ <br />r�- 01116002`1602 y- <br />01116002 51603 <br />$ <br />09801001 24015 <br />$ <br />01116002 51501 <br />$ <br />12015002 53700 <br />$ <br />TOTAL <br />Misc. Receipt # 71273 Validation <br />