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Planning &Siding Agency <br />Building Sa 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 />NSCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 911 ;L �/Z 2 SUITE # <br />PAID BY:-wr+D-r DATE: 7/tY <br />I� <br />Bldg — Plan Check # fog y 7/ ;-9 <br />01116002 53600 <br />$ 9 yy <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 />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 />Acc Plmg P/C # <br />Acc Elect P/C # <br />Acc Mech P/C # <br />/O! 97/oX2-- <br />hrs. 3 <br />- <br />hrs. <br />J 09801001-24045 $ <br />hrs. <br />09801001-24045 $ <br />hrs. <br />9801001-24045 $ <br />c' � f ran L S'26 7do 6 <br />Boarding Fee (Community Preservation) <br />12115002 53507 $! _ <br />General Plan Update Surcharge <br />0111600251600rH T$in,,.� 7` <br />Statement of Fact/Public Records Research <br />01116002.51601 $ " <br />!43` <br />SMP-caUyo"y _ V $ <br />08901001ir24000..n roto$ <br />Building Standards Revolving Fund <br />011? <br />Copies/Microfilm <br />01116002 57770 $ <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 �3baocti <br />Temporary Certificate of Occupancy <br />01116002 51601 Check$ <br />30 Da Temporary Fee — Gas <br />Y P rY <br />01116002 51602 �36374�+Ei <br />uU$».; <br />30 Day Temporary Fee — Electrical <br />01116002 51603 $ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 $ <br />Fireworks Stands Fee <br />01116002 51501 $ <br />Fire Facilities Fee <br />12015002 53700 $ <br />1 ocoi5 Q%,jsca- A,,ENv_t <br />lrouwsr�u3 1i�u.�r . l',4 i1.To $ <br />$ <br />1'-7�y� 9'L sr--G53Sf <br />G <br />TOTAL $ ! D i•1 <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />oermits are issued within 180 days. <br />Receipt <br />Prepared bv. l <br />Misc. Receipt # 71271 <br />Validation <br />