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Planning & ing Agency <br />Building Safe y Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />vrww.santa-ana.org <br />PROJECTAD)DRESS: <br />\�I ]! <br />PAID BY: 1 r Cam,. r� <br />Bldg — Plan Check # <br />Plmg — Plan Check # <br />MISCELLANEOUS <br />RECEIPT <br />��— SUITE # <br />C_ L� DATE: <br />01116002 53600 $ <br />01116002 53602 $ <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 # <br />Acc Plmg PIC # <br />Acc Elect PIC # <br />Acc Mech PIC # <br />hcs. <br />09W I G41-24045 $ <br />hrs. <br />09801001-24045 $ <br />hrs. <br />09801001-24045 $ <br />hrs. <br />09801001-24045 $ <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 />permits are issued within 180 days. <br />Receipt <br />Prepared <br />Misc. Receipt # 690 <br />12115002 53507 <br />$ <br />01116002 51600 <br />$ <br />011160W,4AO( 1934 <br />- $/10/21)17 Il?: ELIAREH <br />08901001 @00JYH <br />$ans': 19 1 of 1 <br />_4 <br />411.1�.Q <br />1jiflyricil; IQ.;,) AM <br />01116 <br />300262ftl G vEEa$c.0 <br />0111609�Pj.gR i <br />$ �?r,;�, i_ii:i <br />ng <br />0111600fl fi1602 53600&10- - <br />0111600d:5i <br />T.' ' '00 <br />09801001 24015 <br />$ <br />01116002 51501 <br />$ <br />12015002 53700 <br />$ <br />TOTAL <br />$ <br />Validation <br />Pli nk/CounterPolderlMiscReceipts/April 2016 <br />