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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 <br />v <br />PSCELLANEOUS <br />RECEIPT <br />SUITE # <br />PAID BY: DATE: H O` 1 ! <br />Bldg - Plan Check # <br />01116002 53600 <br />$ 12 ��Ls <br />Plmg - Plan Check # 30 3 7 7 <br />01116002 53602 <br />$ 3 9'- <br />Elect - Plan Check # ap 1 go a 3 V:!� <br />01116002 53601 <br />$ p a <br />Mech - Plan Check # 4,o/ 3 -o7(a 7 <br />01116002 53603 <br />$ 6p 5L fe <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 # �cQ/ ! / �s� hrs. �` <br />09801001-24045 <br />$ ��62 3 o - <br />Acc PImg P/C # 3o f 37(a-] 1 hrs. <br />09801001-24045 <br />$ z¢ <br />Acc Elect P/C # 2� f (vv� 3 �� hrs. o� <br />09801001-24045 <br />$ oZ�o $ �� <br />Acc Mech P/C # 4-01 3c:i? 7 hrs. a <br />09801001-24045 <br />$ .2-j <br />Boarding Fee (Community Preservation) <br />12115002 53507 $ <br />General Plan Update Surcharge <br />01116002 51600 $ <br />Statement of Fact/Public Records Research <br />01116002 51601 $ <br />SMIP - Category Val$ <br />08901001 24000 $ <br />Building Standards Revolving Fund <br />01116002 51612 $ <br />Copies/Microfilm <br />01116002 57770 $ <br />Residential Development Fee - Specify Acct. No. <br />3002 57991 $ <br />Temporary Certificate of Occupancy <br />01116002 51601 $ <br />30 Day Temporary Fee - Gas <br />01116002 51602 $ <br />30 Day Temporary Fee - Electrical <br />01116002 51603 $ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 $ <br />Fireworks Stands Fee <br />01116002 51501 $ <br />Fire Facilities Fee <br />12015002 53700 $ <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />hermits are issued within 180 days. <br />Receipt <br />Prepared by: l Gt "y <br />Misc. Receipt # 6 9 0 4 2 <br />Plin k/Cou nterFolderlM iscReceiptstApnl 2016 <br />TOTAL <br />Validation <br />$ 3a <br />