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Planning & &ding Agency <br />Building SAW 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 />&CELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: SJY� 3� SUITE # <br />PAID BY: �,'rt/�a� DATE: <br />Bldg — Plan Check # 16) 900 '7 01116002 53600 <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech — Plan Check # <br />01116002 53603 $ <br />Bldg Permit — <br />Inspection/Special Inspection <br />01116002 51601 $ <br />Plmg Permit <br />— Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit — <br />Inspection/Special Inspection <br />01116002 51603 $ <br />Mech Permit <br />— Inspection/Special Inspection <br />01116002 51604 $ <br />Acc Bldg P/C # hrs. <br />09801001-24045 <br />$_ - <br />Acc Plmg P/C. # hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # hrs. <br />,...,� _ <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002 53507,'SSI t 112Y261d O 'Pn <br />General Plan Update Surcharge <br />n Tota <br />01116002 51600 <br />R$0ETT <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000wj <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 '36000 I- <br />CopieslMicrofilm <br />011 16002'57770 <br />03Auth4:01k <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 />$ <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 />oermits are issued widhin 180 days. <br />Receipt j <br />Prepared by: 1kC_1 ^ o`1 'Z_ <br />Misc. Receipt # 71197 Validation <br />