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Planning & ilding Agency <br />Building SdW Division <br />20 Civic Cen er Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />*SCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: <br />SUITE # <br />PAID BY: C-, <br />DATE: <br />Bldg — Plan Check # �/1 �i L `1 <br />01116002 53600 <br />$ [_ <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 P/C # x::) c '1 C Z1 hrs. <br />- 5 <br />$ <br />Acc Plmg P/C # T hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # hrs. <br />0I-24 45 <br />$ <br />3 y 1 <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 />01116002 51601,42 _ <br />; $ <br />SA4W_ - Caie�ory Val$_ <br />08901001 �24000'H <br />Ti$ rig-; - . <br />Building Standards Revolving Fund <br />011160`5161 i2$ <br />Copies/Microfilm <br />01116002 57770,1 Tot4$ <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />U 1 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />�g <br />01116002:51602 ,36000CS-- <br />30 Day Temporary Fee — Electrical <br />01116002 51603.36370A- <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 />v4 <br />(30 VTP Gb Rd _-4 d A .101 &0 <br />$ <br />TOTAL <br />$ Z� <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />ermits are issued within 180 days. <br />Receipt <br />Prepared by: <br />Misc. Receipt # 7 12 4 6 <br />Validation <br />