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Planning & tng 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: Z� I 1 . 1 q l ' l 9. SUITE # <br />PAID BY: <br />Bldg - <br />Plan Check # <br />Plmg <br />- Plan Check # <br />Elect <br />- Plan Check # <br />Mech <br />- Plan Check # <br />/, - WD X <br />01116002 53600 $ <br />01116002 53602 $ <br />01116002 53601 $ <br />01116002 53603 $ <br />Bldg Permit - Inspection/Special Inspection <br />01116002 51601 $ <br />Plmg Permit - Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit - Inspection/Special Inspection <br />01116002 51603 $ <br />Mech Permit - Inspection/Special Inspection <br />01116002 51604 $ <br />Acc Bldg PIC # hrs. <br />0"01001 2404.5 <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 />09801001-24045 <br />$ <br />BoardingFee (CommunityPreservation <br />121150 ."b7'.ly26/ <br />�Qu&A1 7 W. ELzzaBErH <br />General Plan Update Surcharge <br />011160Ca& *00 <br />$ RQr=: "k911 <br />Statement of Fact/Public Records Research <br />0111600�1743st`° <br />PM t i on 7ot�1 <br />Alt <br />- _ '"" <br />5ICO.?7 <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />011.16002 51612 <br />Q <br />Copies/Microfilm <br />0111600�'57TI T - - - - <br />Residential Development Fee - Specify Acct. No. <br />300i�,��� �_ ra <br />ifi►a— <br />$100.27 <br />Temporary Certificate of Occupancy <br />0111600,;CS"C)T,******$*3146 <br />Autht:035699 <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 />TOTAL <br />$ 1 1DO .- <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />vermits are issued within 180 days. <br />Receipt n <br />Prepared by: tA (A_A_" <br />Misc. Receipt # 6 9 0 g n U Validation <br />Plink/CounterFolder/MiscReceipts/April 2016 <br />