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Planning &Ilding Agency <br />Building 9Wy 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 />PROJECT ADDRESS: <br />PAID BY: S1 ojV) 0 C1✓1 J� � <br />Bldg — Plan Check # <br />Plmg — Plan Check # <br />Elect -- Plan Check # <br />Mech — Plan Check # <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: <br />01116002 <br />53600 $ <br />01116002 <br />53602 $ <br />01116002 <br />53601 $ <br />01116002 <br />53603 $ <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 P/C # hrs. <br />09801 1 � <br />912013 ID: CCll�LLAR <br />-r7nc., 137 A nr <br />— A <br />09801OatQ4045 <br />$ ReF:: 71214 <br />Acc Elect P/C # hrs. <br />09801 <br />iota <br />Acc Mech P/C # hrs. <br />09801pajj R40415 <br />$ <br />Boarding Fee (Community Preservation) <br />12115W263fiG7, <br />30-A, Relocp s $200.00-� <br />General Plan Update Surcharge <br />01116 � �d3b36a V - 7/.4 <br />tt_L7 <br />Statement of Fact/Public Records Research <br />011160(-t48f 0*****(6119 Auth4:07103G <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />R )q- iMic"" - <br />01116002 57770 <br />$ <br />Residential Development Fee — Specify Acct. No. <br />- 3002 <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 Fireworks <br />09801001 24015 <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />$ <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. _I--- <br />Receipt <br />Prepared hv: <br />Misc. Receipt # 71214 — Validation <br />$�.t�oT <br />