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Planning & QWfiding Agency <br />` Building SaAWDivision <br />ACELLANEOUS <br />y 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: ,�2t3jll- ,�oy2 , 5�4 T SUITE # <br />PAID BY: ffiffi <br />DATE: <br />7-0-IJ- <br />Bldg - Plan Check # �Q cj� I F3 - S-Y <br />01116002 53600 <br />$ 13 z ' <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 />cc dg P/C # <br />09801001-24045 <br />$ 1 <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 />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />Building Standards Revolving Fund <br />011160��fiH <br />77�$r <br />l�f�a�5,: 4n „r I- <br />Copies/Microfilm <br />011160r • <br />$ Ref:: 71223 <br />Residential Development Fee -Specify Acct. No. <br />�Q 22935 <br />30 a't on Tot f1r5��2.32 <br />Temporary Certificate of Occupancy <br />Temporary <br />011160Q&�S <br />$ <br />30 Day Temporary Fee - Gas <br />01116002 5W <br />$ <br />30 Day Temporary Fee -Electrical <br />011160 <br />6 11 <br />AYk60 <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />- <br />09801001c1214016 chec4 $569.',.' <br />Fireworks Stands Fee <br />0111608I&a561 53111TO <br />Si,502 ?2 <br />Fire Facilities Fee <br />1201500Y'56f******"!5246 " '" <br />$ <br />TOTAL <br />$ i 2 <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: -eil,/tLr J--- <br />Misc. Receipt # 71223 <br />Validation <br />