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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 />PROJECT ADDRESS: Z8"9n N - <br />PAID BY: <br />Bldg — <br />Plan Check # <br />Plmg <br />— Plan Check # <br />Elect <br />— Plan Check # <br />Mech <br />— Plan Check # <br />MISCELLANEOUS <br />RECEIPT <br />S-t - SUITE # <br />DATE: I <br />01116002 <br />53600 $ <br />01116002 <br />53602 $ <br />01116002 <br />53601 $ <br />01116002 <br />53603 $ <br />706 -�) <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 # VOL l hrs. <br />09801001-240" <br />$ <br />Ace 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 />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 F cilities Fee <br />1 28�) <br />Y\41 CA6,j Oil Cy <br />L <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 <br />Misc. Receipt # 6 9 0 9 9 <br />12115002635077208 - $/31/2017 ID: ELIZABETH <br />01116000 ralf6O TY1� $rans,• <br />l P c = . 690129 <br />01116002 51,601,-46772 $- 1/31/2017 9.42 Arl <br />089010M t4obd on Tot$1 <br />01116002 51612 _ <br />0111600i2, ins . <br />300 7,360 00- - <br />W69.22 <br />can C:he <br />011160a;� 1- 2404- LCI- - <br />01116002 `50Z,, d .13 <br />a.t'«s3FY#fifF#�?Fw}tA.,Ia_7.tt}77 <br />01116002 51603 $ <br />09801001 24015 $ <br />01116002 51501 $ <br />12015002 53700 $ <br />TOTAL <br />1►F1R'I tii.TI <br />PI ink/Counterfoider/MiscReceipts/April 2016 <br />