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Planning &lding Agency <br />Building SAW 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 />'11SCELLANEOUS <br />RECEIPT <br />S� <br />AM <br />PROJECT ADDRESS: I <br />SUITE # <br />PAID BY: I ii ►tiC , <br />DATE: <br />�] w l (� <br />Bldg — Plan Check # 1 0 <br />01116002 53600 <br />$ 1Z <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 />01 116002 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 # (L'� Gj hrs. Z <br />09801001-24045 <br />$ 2 Z 2 1 (4 <br />Acc Plmg P/C # 1 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 />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />01 116002r546i4?79 <br />- 7$2/2018 ID: HGARCIA <br />SMIP - Category Val$ <br />08901cZ�,44b66"` <br />T91 ~Re16 71224 <br />Building Standards Revolving Fund <br />01 116Q©2tSIM23209 -$ 7/12/2018 11:19 AN <br />Copies/Microfilm <br />011160T6, p*8n <br />Totl <br />Residential Development Fee — Specify Acct. No. <br />300P%T5'3T"WIETs <br />Temporary Certificate of Occupancy <br />01116Q0? WN1ng <br />$ <br />30 Day Temporary Fee —Gas <br />01116�03 253600�- ` <br />Ae ChecE- $2q2 '6 <br />30 Day Temporary Fee — Electrical <br />an <br />011160021518035363764- - <br />Bond: Demo, 30-Day, Relocation, Sign. Fireworks <br />098010bi �4'01'5 <br />121f 4»+" :t <br />Fireworks Stands Fee 01116002 51501 $ <br />Fire Facilities Fee 2 12015002 53700 $ <br />j� t ✓� <br />Y1 C 2Co <br />l <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 <br />Misc. Receipt # 71229 Validation <br />