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Planning 8WIding Agency <br />Building SWy 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 />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 2 ffif!a-J <br />1��_ SUITE # <br />ZD Z <br />PAID BY: AA9_3N <br />DATE: <br />7 zo <br />Bldg — Plan Check # <br />01116002 53600 <br />$ <br />Plmg — Plan Check # 3o 1 -s 77 3 y <br />01116002 53602 <br />$ ZZZ,� {� <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 - <br />- 0W1W1-24©45 --$ <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 />12115d02.53507 <br />General Plan Update Surcharge <br />0 111 6002,51600--` <br />$ 3 <br />Statement of Fact/Public Records Research <br />01116002''51601 <br />$ <br />SMIP - Category Val$ <br />240±00 <br />$ <br />p <br />ftil&�'T� <br />/0�890l1a �01l0�1^ <br />—_-Q11IRQQ2 7 Hy <br />$ <br />Copies/Microfilm <br />01116002157770 11-' <br />$' <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$ : <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <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 />TOTAL <br />$ <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: -z. <br />Misc. Receipt # 71266 <br />Validation <br />