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Planning & E 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 />vi".santa-ana.org <br />ACELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: ails 0 • "t j0"LoPE SUITE # <br />PAID BY: <br />DATE: I-Li-qp-7 <br />Bldg — <br />Plan Check # <br />01116002 <br />53600 <br />$ <br />Plmg <br />— Plan Check # <br />01116002 <br />53602 <br />$ <br />Elect <br />— Plan Check # <br />01116002 <br />53601 <br />$ <br />Mech <br />— Plan Check # <br />01116002 <br />53603 <br />$ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 $ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit — Inspection/Special Inspection <br />01116002 51603 $ <br />Mech Permit — Inspection/Special Inspection <br />01116002 51604 $ <br />Acc Bldg PIC # 101,1 & -7 3T <br />hrs. 2 <br />09801.001-24045 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # <br />hrs. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002 <br />53507 <br />$ <br />General Plan Update Surcharge <br />01116002 <br />51600 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 <br />51601 <br />$ <br />SMIP - Category Val$ <br />08901001 <br />24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 <br />51612 <br />$ <br />Copies/Microfilm <br />01116002 <br />57770 <br />Residential Development Fee — Specify Acct. No. <br />3002 <br />57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 <br />51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 <br />51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 <br />51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 <br />24015 <br />$ <br />Fireworks Stands Fee <br />01116002 <br />51501 <br />$ <br />Fire Facilities Fee <br />12015002 <br />53700 <br />$ <br />fol 1 0W-J G L-LN 6 <br />$ <br />�dr.1Td 1.NL C+4 92'7p` <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: <br />Misc. Receipt # 69025 <br />EF1trF11GTi <br />PlinklCounterFolder/MiscReceipts/April 2016 <br />