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Planning & mg Agency <br />Building Sat ivision ACELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />vrww.santa-ana.org <br />PROJECT ADDRESS: Ivey I j�, /has <br />�. SUITE # <br />PAID BY: A K CDATE: <br />-7Zit g~ <br />Bldg — Plan Check # <br />01116002 53600 <br />$ <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 />01116�t2�1 <br />ACC Bldg P/C # hrs. <br />098016&1424045 <br />$ Ref;: 71220 <br />Acc Plmg P/C # hrs. <br />09801%j�g78Qta�ZS Ri <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech PIC # hrs. <br />0980166154)04tS <br />$ <br />4 <br />Boarding Fee (Community Preservation) <br />12115 753636- <br />1 . 3 <br />General Plan Update Surcharge <br />011160 0 <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />S11441. Cateeolu _ .1 .$. <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116052 51 <br />Copies/Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation gn Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />16&5p 64o,-4.tc4L A.,E . 5� �� g . <br />$ <br />LL ics L'Lgf N om.L , CA 9LS 3a <br />Q51�Y77� $'S/I� <br />TOTAL <br />$-raves_ <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 # 712 2 0 <br />Validation <br />