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Planning & Wding Agency <br />Building SalW 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: Ltp t40 G ✓ri <br />SUITE # <br />PAID BY: <br />DATE: <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 />0111 W H <br />T ns4: 21 1 or 1 <br />Plmg Permit — Inspection/Special Inspection <br />01116 <br />$ e '' 71 <br />Elect Permit — Inspection/Special Inspection <br />i P 651 n/ S 1 /'fA 1 4 l f� a 47 AM <br />01116 41 rota$ $464.22 <br />Mech Permit — InspectionlSpecial Inspection <br />0111MW51604 <br />OfAb <br />Acc Plmg PIC # hrs. <br />VZYUV <br />- �4 i 01 f' . i .. <br />09801 hl- $464.:1 <br />Acc Elect PIC # hrs. <br />0980106f3'24 **sss$*673 Auth;:089531) <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 />Buildina_Siandards Ravalviag,.Fund -_ <br />444WAGa&W)42 <br />$ <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, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />TOTAL <br />$ <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 wi in 1,60 days. <br />Receipt <br />Prepared by:�4y-V-A- A, <br />Misc. Receipt # 71219 <br />Validation <br />