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Planning BIding 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-ano.org <br />INSCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 1121 IE• AL m W <br />SUITE # <br />PAID BY: L PA l fn,G- <br />DATE: <br />-7 /it �!W <br />Bldg - Plan Check # _ tot? 5-0 <br />01116002 53600 <br />$ 222. ib <br />Plmg - Plan Check # 3o i 3 9 tO T 5 <br />01116002 53602 <br />$ Z 2z / tv <br />Elect - Plan Check # 01Gfv37Y_ <br />01116002 53601 <br />$ 2�X.142 <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 PIC # hrs. <br />09801001-24045 <br />$ <br />Acc Pimg - - - -firs. --19988489�-24�4r <br />---$� <br />— <br />Acc Elect PIC # hrs. <br />09801001-24045 <br />$ <br />Acc Mech PIC # 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 />$ <br />Building Standards Revolving Fund <br />�yt 742 - <br />011160 �+ '• � YH <br />° <br />1 ALES <br />an-'* 17 1 OF 4 <br />C'opteSlRnfcrvfltnr <br />9 7Q <br />Residential Development Fee - Specify Acct. No. <br />_ �� <br />30&Mj� Tot <br />Temporary Certificate of Occupancy <br />011160 �5TlSO 1 <br />$ <br />30 Day Temporary Fee - Gas <br />01116051602 <br />$ <br />30 Day Temporary Fee - Electrical <br />011160q'gj0;236 0+ <br />$222.16 <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />0980100*214l i i5ins <br />$222.16 <br />Fireworks Stands Fee <br />3360 <br />011160 iric <br />$222.16 <br />Fire Facilities Fee <br />120150y14 336°ML - <br />14g <br />AL,rm.so..cP-► a«oa &jT <br />Caw PWW -. AWC . S a rl* , <br />$ <br />7-�.{7 <br />995 l ur- !mot <br />TOTAL <br />$ (pipt'o . y 5r <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 da s. <br />Receipt <br />�. <br />Prepared by: <br />Misc. Receipt # 71221 <br />Validation <br />