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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 />PROJECT ADDRESS: 1 ��� <� C- <br />_P iS SUITE # <br />PAID BY: V le, V 1' 0 C <br />DATE: <br />Bldg — Plan Check # �S'C f Q I <br />011-01-5401 <br />$ <br />Plmg — Plan Check # <br />011-01-5402 <br />$ <br />Elect — Plan Check # <br />011-01-5403 <br />$ <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 # hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # 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 $ 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 />TOTAL <br />$ J " <br />NOTICE: Applications for plan checking issued under <br />PD..Y24/05Il):C141 LLY LOc.. t d <br />the provisions of Section 107.4 of the California Building <br />CU61: <br />r <br />'I <br />IHV:45679 <br />�:Euia9� is8b 2/24/E1` 2 : t 4t i7 <br />Code will expire if no permit are issued within 180 da s. <br />1kON <br />k ANSACTIT <br />Building <br />(:ic <br />TOTAL: 311r.u:: <br />311]."6 <br />#� <br />Receipt <br />Prepared by: r C <br />CHANGE <br />Misc. Receipt # 45679 Validation <br />