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Planning & ding Agency <br />Building Safety Division ACELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 547-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: k W J <br />SUITE # <br />PAID BY: D15,011 L�0- , <br />DATE: <br />I `� <br />Bldg — Plan Check # l Q 1 (q 3 ,� <br />01116002 53600 <br />$ 7 <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 />Ace Bldg P!C # hrs. <br />G98G 1 GG 1-24045 <br />Acc Plmg P/C # hrs. <br />0980loot, r <br />Acc Elect P/C # hrs. <br />09801004--C#045 <br />$ <br />Acc Mech P/C # hrs. <br />0980100;1"7'41041, <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />0111600s2,6j&QQ inq <br />$ $827.64 <br />Statement of Fact/Public Records Research <br />011160* 5"61- 5360C$011- <br />- <br />Qi7 64 <br />SMIP - Category Val$ <br />0890100i'-&WQ&*****4*4`97 <br />AU04:04339 <br />Building Standards Revolving -Fund <br />01.1.1_6 02 51612 <br />$ <br />Copies/Microfitm <br />01116002 57770 <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 />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 />$ 02 7 <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: i�L✓) G A -Ole t- <br />Misc. Receipt # 6907 1 <br />Validation <br />Plin WCou nterFolder/MiscRece ipts/Apri 12016 <br />