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Planning & doing Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />%%IWW.santa-ana.org <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRES : L+O I S V I k � 4 SUITE # A i r� <br />PAID BY:SC'r-) 1 l 11 lI `' I DATE: <br />Bldg — Plan Check # <br />01116002 53600 <br />$ <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect — Plan Check # Q1(a 2 - -2-'7 <br />01116002 53601 <br />$ /nl S <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 # -bur. <br />09801001-24045 <br />$ <br />Acc Plmg P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # 0�Q/ (a -;27 hrs. <br />09801001-24045 <br />$ S'�O `f`f <br />Acc Mech P/C # hrs. <br />09801001-24045 <br />_ <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 California Building Code will expire if no <br />Dermits are issued within 180 days. <br />Receipt <br />Prepared by: L41ervi ct V4, <br />Misc. Receipt # 69074 <br />12115002 <br />53507 <br />$ <br />01116002 <br />51600 <br />$ <br />01116002 <br />51601 <br />$ <br />08901001 <br />24000 <br />$ <br />01116002 <br />57770 <br />$ <br />3002 <br />57991 <br />$ <br />01116002 <br />51601 <br />$ <br />01116002 <br />51602 <br />$ <br />01116002 <br />51603 <br />$ <br />0980100124015 <br />$ <br />01116002 <br />51501 <br />$ <br />12015002 <br />53700 <br />$ <br />TOTAL <br />Validation <br />u <br />Plink/Counterfolder/MiscReceiptslApril 2016 <br />