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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 />PROJECT ADDRESS: <br />PSCELLANEOUS <br />RECEIPT <br />F—�SUITE # <br />PAID BY:� <br />--Z� n��Z_ DATE: <br />Bldg — Plan Check # <br />C -- 01116002 53600 <br />$ ISL4q�3 2) <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 PIC # hrs. <br />09801001-24045 <br />$ <br />Acc Plmg PIC # hrs. <br />09801001-24045 <br />$ <br />Acc Elect PIC # hrs. <br />09801001-24045 <br />$ <br />Acc Mech PIC # hrs. <br />09801001-24045 <br />$ <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 .r� <br />$ <br />SMiP--Qatprinu ..__ <br />08901001 <br />24000 <br />r' <br />$ <br />Building Standards Revolving Fund <br />01116 2 <br />1 <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 />$ <br />30 Day Temporary Fee — Gas <br />01116d02 <br />:51'602 <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 />$ c4q_ <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 />Misc. Receipt # 71267 <br />Validation <br />