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Planning &ding Agency <br />Building S 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 />WCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: � � ur � 3 *SUITE # <br />PAID BY: DATE: < <br />Bldg - Plan Check # 01116002 53600 $ <br />Plmg -- Plan Check # 01116002 53602 $ <br />Elect - Plan Check # 01116002 53601 $ <br />Mech - Plan Check # 01116002 53603 $ <br />Bldg Permit - Inspection/Special Inspection 01116002 51601 $ <br />Plmg Permit - Inspection/Special Inspection 01116002 51602 $ <br />Elect Permit - Inspection/Special Inspection 01116002 51603 $ <br />Mech Permit - Inspection/Special Inspection 01116002 51604 $ <br />Acc Bldg P/C # �l��C� ��k hrs. 09801001-24045 $ <br />Acc Plmg P/C # hrs. 09801001-24045 $ <br />Acc Elect P/C # -_= rs. 09801001-24045 $ <br />Acc Mech P/C # hrs. 09801001-24045 $ <br />Boarding Fee (Community Preservation) 12115002 53507 $ <br />General Plan Update Surcharge 01116002 51600 $ <br />Statement of Fact/Public Records Research 01116002 51601TYH $ <br />SMIP - Category Val$ 0890100,1p24000t736r $ <br />Building Standards Revolving Fund 0111606Y51612.3n Tot $ <br />Copies/Microfilm 0 1116002 57770—'"$" <br />Residential Development Fee - Specify Acct. No. 3002 57991 $ <br />Temporary Certificate of Occupancy 01116002 51601-1cheQ-' I$ <br />53b3.' <br />30 Day Temporary Fee - Gas 01116002 51602 $ <br />30 Day Temporary Fee - Electrical 01116002 51603*****"$ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks 09801001 24015 $ <br />Fireworks Stands Fee 01116002 51501 $ <br />Fire Facilities Fee 12015002 53700 $ <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. <br />Receipt <br />Prepared by: <br />Misc. Receipt # 7119 8 Validation <br />