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Planning & B g Agency <br />Building Safet ivision <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 />M&ELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: SUITE # <br />PAID BY: MI(.lnrrl�(i� I C.�+"R'V 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 />01 1160&A, Q �h . <br />.. $�., ;, ,,„0 Me C"C M ,. <br />Bldg Permit — Inspection/Special Inspection <br />01116002`�I 01 _ _ $ Raft: 71269 <br />Plmg Permit— Inspection/Special Inspection <br />.. ;0-/ <br />0111606, .'Wd2n <br />s9 ` <br />TAI '� $464.?,' <br />Elect Permit — Inspection/Special Inspection <br />01116002 �If603 <br />$TC=N"Eh <br />Mech Permit — Inspection/Special Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # <br />Acc Plmg P/C # <br />Acc Elect P/C # <br />Acc Mech P/C # <br />hrs. <br />hrs. <br />h rs. <br />hrs. <br />09801001"-2-4045 ° ****$ _ ; 14 <br />09801001-24045 $ <br />09801001-24045 $ <br />Auth.: Via" t <br />Boarding Fee (Community Preservation) <br />12115002 <br />53507 <br />$ <br />General Plan Update Surcharge <br />01116002 <br />51600 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 <br />51601 <br />$ <br />G9gjy Val$ <br />08901001 <br />24000 <br />$ <br />Building Standards Revolving Fund <br />01116002-5464-2- <br />- <br />Copies/Microfilm <br />01116002 <br />57770 <br />$ <br />Residential Development Fee — Specify Acct. No. <br />3002 <br />57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 <br />51601 <br />$ 22 <br />30 Day Temporary Fee — Gas <br />01116002 <br />51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 <br />51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 <br />24015 <br />$ <br />Fireworks Stands Fee <br />01116002 <br />51501 <br />$ <br />Fire Facilities Fee <br />12015002 <br />53700 <br />$ <br />TOTAL <br />$ <br />NOTICE: Applications for plan check submitted under Section <br />t 05.3.2 of the 2010 California Building Code will expire if no <br />hermits are issued within 180 days. <br />Receipt <br />Prepared byEl-Lrk'ko' 4I/-L.-- <br />Misc. Receipt # 712 6 9 Validation <br />