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Planning & mg Agency <br />Building Safe 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 />WRCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: L1R-A P..a.00 Diz . SUITE # <br />PAID BY: <br />DATE: <br />4/3 th -] <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 P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # ;Lo! G 294- z hrs. Z <br />09801001-24045 <br />$ ZG Zz <br />Acc Mech P/C # hrs. <br />09801001-24045 <br />$ <br />I� <br />Boarding Fee (Community Preservation) <br />12115002 53507` T'�� <br />$Trnn=Y ` 75' n <br />69104 <br />General Plan Update Surcharge <br />01116002,51600-147048$ <br />_ <br />- 1/31/2017 1:24 PM <br />Statement of Fact/Public Records Research <br />011160&SIffolion ToV- <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51617 <br />Copies/Microfilm <br />01116002 5t?"0--V*"`. " <br />Residential Development Fee — Specify Acct. No. <br />3002'-57391 <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 Fe SC��� <br />01116002 51501 <br />$ <br />Fire Facilities Fee ( <br />1 47� <br />12015002 53700 <br />$ <br />�Qn YyA(X±KQ 11-0,VA U Ly, <br />$ <br />TOTAL <br />$ 2 G S, 2'Z <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 da s. <br />Receipt <br />Prepared by:� <br />Misc. Receipt # 69 1 04 <br />Validation <br />Pl ink/CounterFolder/MiscReceiptslApril 2016 <br />