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Planning & Bu&g Agency <br />Building Safet vision <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: 3 <br />PAID BY: AL — <br />Bldg — Plan Check # <br />Plmg — Plan Check # <br />Elect — Plan Check # <br />Mech — Plan Check # <br />101170Y5 <br />MISELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: -7 <br />01116002 53600 $ <br />01116002 53602 $ <br />01116002 53601 $ <br />01116002 53603 $ <br />2.17. tC <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 P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Plmg P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # hrs. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />0111600266Sd W6 - <br />$118/2018 io: LposALF <br />Shla-ZaL-�- . Val$ ----MM10ar4Thh1TF1 <br />11 ans:: 33 1 of 1 <br />Building Standards Revolving Fund <br />0 11160 02,51 M7270 <br />7/18/2018 F2s54 PM <br />Copies/Microfilm <br />0 111 60jbon Tot <br />ARr, 1297.16 <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />011160��c5dgQ j i n9 <br />$ <br />30 Day Temporary Fee — Gas <br />011160X5"g <br />5361 <br />0- - <br />30 Day Temporary Fee — Electrical <br />011160 <br />51'M <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 />0 5 t• s I Z� <br />s <br />$ <br />TOTAL <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 bv: <br />Misc. Receipt # 712 5 5 Validation <br />$ :2- ?T. l (. <br />