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Planning &[Wing Agency <br />Building Saf Division A-CELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: IQ A LAJ <br />SUITE # <br />PAID BY: 'iC' h4 C"'e4 <br />DATE: <br />1— <br />1 %— j 7 <br />Bldg — Plan Check # i j g f �'b'(p <br />01116002 53600 <br />$ <br />' 70 a' <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 />Acc Bldg PIC # 101 7' I jk6 hrs. 3 <br />09W 1001-24045 <br />$ <br />3 q '7 8' <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 />e,ctt;C�l''J7U1j % <br />Boarding Fee (Community Preservation) <br />i P. <br />1211500�1 507 <br />I..-r. <br />t <br />6 rMIMJ <br />R.' :: s, ,. <br />General Plan Update Surcharge <br />01116odggf§,0'11 ` <br />"' ' - <br />To 1 <br />717117, 7'- <br />b -' <br />Statement of Fact/Public Records Research <br />�n <br />01116002 51601 <br />$ <br />,{ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01 M in4 <br />- {•'="=� <br />Copies/Microfilm <br />0111116360 99F-R-n <br />�' ' <br />$ 3 9 18 <br />Residential Development Fee — Specify Acct. No. <br />3002V9gt <br />Temporary Certificate of Occupancy <br />0111600 1601 <br />$ <br />7 <br />30 Day Temporary Fee — Gas <br />01116002� PF602''*"j <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 />$ <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: V A <br />W <br />Misc. Receipt # 6 9 0 5 6 <br />Validation <br />PlinklcounterFolderlMiscReceiptslApril 2016 <br />R`` <br />Pic- <br />r,,p <br />�1*•l <br />yf,w <br />