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Planning &JW&ing Agency <br />Building SallIIIIIIIIIIIIIIIIIIIIIIInvision <br />20 Civic Cen er Plaza <br />P.Q. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />�ELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: ,2qy/ �/, ,x,� <br />V SUITE # l3 <br />PAID BY: 7ftAmT ('/L 1 <br />DATE: <br />7 !� <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 />01116002 51604 <br />$ <br />Acc Bldg P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Plmg PIC # hrs. <br />09801001-24045 <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 />SAal Val$_ _ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />011160� 5f617 <br />T. I., <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 />01116002'1602 <br />$ <br />30 Day Tempo Fee — Electrical <br />01116002 51603 <br />$ Ayy,oy <br />Bond: Demo, 30-D Relocation, Sign, Fireworks <br />09�Ort699 25 <br />t . $ / *� <br />Fireworks Stands Fee <br />01116002.5.1501 <br />Fire Facilities Fee <br />12015002'53700 <br />2/\S 8l i � r <br />$ <br />Ir��11 ^7 /] <br />TOTAL <br />$ /, A yy- p q <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 />' <br />Prepared by: <br />Misc. Receipt # 71211 Validation <br />