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Planning & Eoing Agency <br />Building SafellFDivision <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 />ACELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 2)oc07 W . L-1 vr,a v Z v • SUITE # <br />PAID BY: <br />DATE: <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 PIC # hrs. <br />OSW I D01-24045 <br />$ <br />Acc Plmg PIC # hrs. <br />09801001-24045 <br />$ <br />Acc Elect PIC # hrs. Z <br />09801001-24045 <br />$ k 5. t Z <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 />SMIP - Category Val$ <br />0890106-f2 0 <br />Building Standards Revolving Fund <br />01116002 -51:61 $ <br />Copies/Microfilm <br />0111604 <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 />01116049;' 0 <br />30 Day Temporary Fee — Electrical <br />01116002`5t603 <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee 1 <br />01116002 51501 <br />$ <br />Fire Facilities Fee -ei 1 <br />12015002 53700 <br />$ <br />50 n Nlt-Z- <br />$ <br />$ 2G 5. 2-2— <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: �' [ /t �wC z <br />Misc. Receipt # 69103 Validation <br />PlinklCounterFolder/MiscReceiptslApril 2016 <br />