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Planning 81ftilding 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 />PROJECT ADDRESS: <br />PAID BY: <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: U lf�— r <br />Bldg — Plan Check # <br />01116002 53600 $ <br />Plmg —Plan Check # <br />01116* 3 H a'* ,1 <br />Elect — Plan Check # <br />i <br />0 1116002 63601 $ Ref;: 71252 <br />Mech —Plan Check # <br />xs Tota <br />01116 �- ' <br />� u <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 $ <br />Plmg Permit— Inspection/Special Inspection <br />011160W 51W.�;cate$f Occucanc $4r.4 <br />Elect Permit —InspectionlSpecial Inspection <br />01116Pb215�'Ikj1601© $1- - <br />Mech Permit — Inspection/Special Inspection <br />011160 &f"*****FR124 Auth::31816 <br />Acc Bldg P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />SMIP - Category Val$ <br />113-0 ng'Standardsi7e&6Mhg 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 />e_CiFcici cc` ED <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 <br />12115002 <br />53507 <br />$ <br />01116002 <br />51600 <br />$ <br />01116002 <br />51601 <br />$ <br />0890100124000 <br />$ <br />- <br />01116002 <br />57770 <br />$ <br />3002 <br />57991 <br />$ <br />01116002 <br />51601 <br />$ L4 E <br />01116002 <br />51602 <br />$ <br />01116002 <br />51603 <br />$ <br />09801001 <br />24015 <br />$ <br />01116002 <br />51501 <br />$ <br />12015002 <br />53700 <br />$ <br />TOTAL <br />Misc. Receipt # 712 5 2 U Validation <br />