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Planning SMilding Agency <br />Building SfflWy 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 />ISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: <br />3LfO i S ✓6-a <br />SUITE # <br />PAID BY: C L� <br />�P�HT� <br />DATE: <br />d �l <br />Bldg - <br />Plan Check # <br />�,Q r 20 <br />01116002 53600 <br />$ <br />Plmg <br />- Plan Check # <br />01116002 53602 <br />$ <br />Elect <br />- Plan Check # <br />0 <br />01116002 53601 <br />$ c2 3 `7 <br />Mech <br />- Plan Check # <br />q:�21 3,23 3, <br />01116002 53603 <br />$ ;?- 47 g�F <br />Bldg Permit - <br />Inspection/Special Inspection <br />01116002 <br />51601 $ <br />Plmg Permit <br />- Inspection/Special Inspection <br />01116002 <br />51602 $ <br />Elect Permit - <br />Inspection/Special Inspection <br />01116002 <br />51603 $ <br />Mech Permit <br />- Inspection/Special Inspection <br />01116002 <br />51604 $ <br />Acc Bldg P/C # <br />IL 19 _74 3p' <br />hrs. 3 <br />09801001-24045 <br />$ � <br />Acc Plmg P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # <br />p f (o <br />hrs. - <br />09801001-24045 <br />$ c2 7� <br />Acc Mech P/C # <br />p�3 ?=3 3 S <br />hrs. a <br />09801001-24045 <br />$ '71: <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />SMIP - Category Val$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee - Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee - Gas <br />30 Day Temporary Fee - Electrical <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <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 l <br />Prepared by: <br />Misc. Receipt # 71253 <br />12115002 53507 $ <br />01116002 51600 $ <br />01116002 51601 $ <br />089010440QZ . 7 <br />r sr <br />01116002 51612 T ns.: 211 <br />1 n , <br />011 160247,77Q7178 $ 7/18/2018 <br />11:41 Am <br />3002,57991,n Toto$ <br />$2r124.1.1Z <br />01116002 5A Q01 ECTS $ <br />01116 $ <br />6; <br />11602 <br />011160 i6&536000$)-- <br />- ,-- <br />09801C41A 5536011 <br />I. <br />01116092 54 ii4+l i cnl <br />- <br />- <br />f247.8�, <br />,, t ! 16 +2- 536U30 <br />0 <br />E6 12015W2NN �_t►eck <br />05316002- 53637000- <br />- <br />ICl check 001506 <br />f2t <br />TOTAL <br />Validation <br />8 <br />$ 02. <br />