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Planning &Iding Agency <br />Building SdW 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 />WCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 3G,2-j ,n% /IG-t AY•H✓ SUITE# i0 <br />I2_\I67:119i <br />DATE: 'I — 1&- t r- <br />Bldg — Plan Check # S C 2 <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 — InspectionlSpecial Inspection <br />01116002 51603 <br />$ <br />Mech Permit — Inspection/Special Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # — -- --t1 .- <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 />09801901�.�i' - <br />{�i, 4144 <br />43 <br />L <br />- 77Li `'t�l��1!'-1 ;�n rn. i wr <br />7 1 <br />Boarding Fee (Community Preservation) <br />12115w2ffi507 <br />7 <br />$ kef:: 71243 <br />General Plan Update Surcharge <br />01116dp>t'��tJ11y <br />rotaaLiui cn <br />Statement of Fact/Public Records Research <br />0111600254601 <br />t1$_0NEY <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116 i n-3 <br />$00.41) <br />Copies/Microfilm <br />011166, 70 <br />Residential Development Fee — Specify Acct. No. <br />3002 :57991******5'405 Auth#:0014M <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <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 <br />Prepared bv: Y1 �►� <br />Misc. Receipt # 71243 Validation <br />