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Planning & ing Agency <br />Building Saf ivision <br />ACELLANEOUS <br />-qL 20 Civic Center Plaza <br />RECEIPT <br />-; P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />-, www.santa-ana.org <br />PROJECT ADDRESS: 322-oVy SUITE # <br />PAID BY: ^ uWoy-, Llin ,l{,'� <br />DATE: <br />Bldg - Plan Check # 10 1 j 7 O 1 7 <br />01116002 53600 <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 # j d j '�-7,0!% hrs. <br />09801001-24045 <br />$ o; lc- <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 />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />12115(pl --� ? t� - <br />YH <br />7 Y0: ccul:f <br />"� -� <br />General Plan Update Surcharge <br />E i� p: <br />011160Q2t5160( <br />nsOff 1 <br />Tr rrs�' <br />Rer;: 71240 <br />Statement of Fact/Public Records Research <br />01116V ?n��dn Total- $712 nv <br />SMIP - Category Val$ <br />08901006111WO0 <br />64CIA <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />0111 <br />$ $444.31 <br />Residential Development Fee - Specify Acct. No. <br />30 'Ch00 <br />Temporary Certificate of Occupancy <br />011160021&T601--36370Cq- <br />- <br />30 Day Temporary Fee - Gas <br />a- <br />011160*r� 2 S)I$62 <br />"Vr <br />30 Day Temporary Fee - Electrical <br />01116002 51603 <br />$ <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 />$ <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 by: <br />VAA <br />Misc. Receipt # 71240 <br />Validation <br />