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Planning & ing 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 />ACELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: SUITE # <br />PAID BY: ih'v �* (:�, DATE: k s�— 1 g <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 $ 1 y S-A. as <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 # <br />hrs. <br />09801001-24045 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />SMIP - Category Val$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee — Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee — Electrical <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 Califomia Building Code will expire if no <br />Dermits are issued within 180 days. <br />IReceipt I <br />Prepared bv: <br />12115002 <br />53507 $ <br />01116002 <br />51600 $ <br />01116002 <br />51601 $ <br />08901001 <br />24000 $ <br />01116002 <br />51612 $ <br />01116002 <br />57770 $ <br />3002 <br />57991 $ <br />01116002 <br />51601 $ <br />01116002 <br />51602 $ <br />01116002 <br />51603 $ <br />09801001 <br />24015 $ <br />01116002 <br />51501 $ <br />12015002 <br />53700 $ <br />TOTAL <br />Misc. Receipt # 6 910 0'J Validation <br />$ =. '/7S <br />