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Planning 8 Biting 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 />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: lG s `}� ti SUITE #Ut I <br />PAID BY: T11 1� U DATE: <br />Bldg — <br />Plan Check # <br />Plmg <br />— Plan Check # <br />Elect <br />— Plan Check # <br />Mech <br />— Plan Check # <br />011-01-5401 $ <br />011-01-5402 $ <br />011-01-5403 $ <br />011-01-5405 $ <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 Tru Special Inspection <br />011-01-5913 <br />$ �7) <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. Z <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 />TOTAL <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />Code will expire if no permits are issued within 180 days <br />Receipt <br />Prepared by: <br />l.I L9 o1 c :.a .., <br />i u 1/24/0510'.GKELLI i_OC. <br />J.j I <br />CUM: I NV : 4t4678 <br />0075 0001 0009089S 2/24/U s <br />1:40r'J1 <br />1NAN5AC1IUN 10TAL: <br />$1 .Ylj <br />Building <br />*11.1u <br />Building <br />3`u.A' <br />Building <br />$94. 2'> <br />CK <br />315 5. yc <br />CHANGE <br />su_�, <br />Misc. Receipt # 45678 Validation <br />