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Planning & Bu!JW Agency <br />Building SafetylWision <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 />MIOELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: <br />/ --d-02 Sr✓iP�,,� <br />SUITE # <br />PAID BY: L-0k-- <br />Y/4'Z'40 Qf—Z-- <br />DATE: <br />Bldg — Plan Check # <br />f L % 9 70" <br />01116002 53600 <br />$ <br />Plmg — Plan Check # <br />3P 3 9 <br />01116002 53602 <br />$ <br />t <br />Elect — Plan Check # <br />1 (K L - <br />01116002 53601 <br />$ <br />Mech -Plan Check # <br />401 3��2y <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 # hrs. <br />09801001-24045 <br />$ <br />Acc Plmg P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # hrs. <br />098010 1'4O YH - <br />$/17/2018 1D: CCUELL4 <br />Acc Mech P/C # hrs. <br />09801O,�tt240 <br />r".*.A-n'3Z'1L'14T <br />�• U <br />Refs: 71?45 <br />- <br />Boarding Fee (Community Preservation) <br />ii 1 inn. -: M <br />121150( k(p` dilon Tot9 ssss•6� <br />en <br />�'" <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />0111609Z5�1,gQata9 <br />$ •�._ `.1n <br />SMIP - Category Val$ <br />0890109.1124NO.5360000- _ <br />Building Standards Revolving Fund <br />0111606�_$'x PJZ 536026r, <br />Copies/Microfilm <br />70-ic $ <br />� � � i�-"- 53601r <br />011160�?V1,9B <br />Residential Development Fee — Specify Acct. No. <br />30021 n ical <br />Temporary Certificate of Occupancy <br />01116002�!ftoj 53603oso--ISO _ <br />30 Day Temporary Fee — Gas <br />6� <br />011160Ca:&1.6(Q******$0222 Autn::0099m <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <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 />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 Li <br />Prepared by. I TIL--- <br />Misc. Receipt # 71245 Validation <br />i " . <br />