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Planning & qWing Agency <br />Building SafMT Division ACELLANEOUS <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: ZZl S S . S�r��+g <br />fl SUITE # <br />PAID BY: 'P¢k,w+t <&Z4- <br />DATE: <br />141,42 <br />Bldg - Plan Check # I of 4 I $'256— <br />01116002 53600 <br />$ <br />41MEAtyl 3 S- z <br />Plmg - Plan Check # <br />01116002 53602 <br />$ <br />Elect - Plan Check # <br />01116002 53601 <br />$ <br />Mech - Plan Check # Lj pl 3 0*73-g- <br />01116002 53603 <br />$ <br />f 1 4, d3 <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 # ( pl'Tt WE Y hrs. <br />09801001-24045 <br />$ <br />2--2- <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 # 0 %3a-7s- V- hrs. 1. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />01116002 57770 <br />$ <br />Residential Deveiopment 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 />�k A.SS'kAt tzA <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 />Precared bv: _ rn� <br />TOTAL <br />$ I _dSg. 21 <br />Misc. Receipt # 6 9 0 3 0 <br />Plink/CounterFolder/MiscReceiptslApril 2016 <br />Validation <br />