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Planning & Blaing Agency <br />Building Safety 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 />• <br />MISCELLANEOUS <br />RECEIPT <br />s� <br />PROJECT ADDRESS: S 'ldi? kj SUITE # <br />PAID BY: G' (-� 1 DATE: �� S <br />Bldg — Plan Check # <br />011-01-5401 <br />$ <br />Plmg — Plan Check # <br />011-01-5402 <br />$ <br />Elect — Plan Check # <br />011-01-5403 <br />$ 17 <br />Mech — Plan Check # <br />011-01-5405 <br />$ <br />Fire -- Plan Check # <br />011-01-5401 <br />$ <br />Bldg Permit — Trust/Special Inspection <br />011-01-5911 <br />$ <br />Plmg Permit — Trust/Special Inspection <br />011-01-5912 <br />$ <br />Elect Permit — Trust/Special Inspection <br />011-01-5913 <br />$ <br />Mech Permit — Trust/Special Inspection <br />011-01-5915 <br />$ <br />Fire Trust <br />011-01-5911 <br />$ <br />Acc Bldg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Boarding Fee <br />121-01-5579 <br />$ <br />Statement of Fact/Record Search <br />011-01-5911 <br />$ <br />Microfilming of Records $ <br />per <br />011-01-5911 <br />$ <br />SMIP - Category Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Development Fee - Specify District # <br />301-01-5070 — <br />$ <br />Temporary Certificate of Occupancy <br />011-01-5911 <br />$ <br />30 Day Temporary Fee — Gas <br />011-01-5912 <br />$ <br />30 Day Temporary Fee — Electrical <br />011-01-5913 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />$ <br />TOTAL <br />NOTICE.' Applications <br />for plan checking issued under <br />FD: .-- . <br />C.ht — t LOo <br />the provisions of Section 107.4 of the California Building <br />CllST: <br />' iNSAC <br />!NV:45693 <br />uiECI91i�u 1 1l21/ti5 <br />Code will expire if no permits;I <br />are issued within 180 days. <br />RA t 1 T I <br />k AfJ h1 <br />Building <br />I' U 1 Ai- : <br />$64.1' <br />Receipt <br />Credit Card <br />Fee <br />Preared b Y p <br />f 17 `1 L•_ <br />MC38387i <br />CA'AHGE <br />$0.b0 <br />p1 <br />Misc. Receipt # 45693 Validation <br />