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Planning & =ding Agency <br />Building SafMy 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 />ACELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 'N� (�' �jYls' j, SUITE # <br />PAID BY: 61 c 0 Yp� � y\C . DATE: <br />Bldg — Plan Check # <br />j !Q %p C 1 <br />01116002 53600 <br />$ Z. <br />Plmg — Plan Check # <br />1,0� lD M <br />01116002 53602 <br />$ kel . Isle <br />Elect — Plan Check # <br />TO l l <br />01116002 53601 <br />$ ' <br />Mech — Plan Check # <br />( 7-57 3 <br />01116002 53603 <br />$ - , 5 $1 1-1 <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 <br />$ <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 # <br />-- <br />_� <br />Acc Plmg P/C # pN 2j eii hrs. ?L, <br />09801001-24045 <br />$ Z 2- 1 l` <br />Acc Elect PIC # lu I kcto hrs. Z <br />09801001-24045 <br />$ 'Z 7-2 . i �- <br />Acc Mech PIC # nl 2 hrs. �� <br />09801001-24045 <br />$ AL . i if <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 />011 160��,V�$13 - <br />e TYH <br />16/2018 ID: LPOSAL� <br />;..a * 47 i�� <br />SMIP - Category Val$ <br />. <br />089010Wc2#000 <br />s; <br />Ref;: 111233 <br />Building an a d'§' Fund — _ <br />-011. <br />Copies/Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee — Specify Acct. No. <br />30615MI'MC i <br />$ <br />Temporary Certificate of Occupancy <br />0111600YXW104ins <br />$ <br />30 Day Temporary Fee — Gas <br />011160��ft�,n;a <br />30 Day Temporary Fee — Electrical <br />011 160�cl 3 5c602(�10 <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />098010 JiM 53b0140- <br />.lb <br />- <br />Fireworks Stands Fee <br />011160 1 gnS3603&0- - ' 7' <br />Fire Facilities Fee <br />1201500g; fT Chec1 - $1r663.14 <br />53b3 <br />-$6P905.16 <br />Cl Cj�� � <br />ICL Check <br />4000T <br />D <br />$ <br />TOTAL <br />$ e) us' , j (e <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 />Misc. Receipt # 71233 <br />Validation <br />