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Planning & Bang 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 />49 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: <br />SUITE # <br />PAID BY: � 1G C f4&vP - L: ia 4 <br />_ DATE: <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 />$ <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 # h rs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # h rs. <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 T orary Fee — Electrical <br />011-01-5913 <br />$ <br />Bond- emo, 0-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />$ , <br />TOTAL <br />$ <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />C. t� Oi Santa Ana <br />Code will ex ire if no permits are issued within 180 days. <br />FD:2i24i2005ID;RMAi=FEY 1.00 MH Stu <br />Receipt v; _ <br />C:US I ; <br />0047 0001 <br />TFANSACTI01.1 <br />INV:45674 <br />iiL�i�r5q&i 2r24i200tl <br />� <br />Prepared by: <br />Duildin5 <br />ra-la -13 <br />Misc. Receipt # 45674 <br />Validation <br />