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Planning & Being 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 />0 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 60 I SUITE # In n <br />PAID BY: 1<a � If -DQ 1a u DATE: A/ a 3 In <br />Bldg -- Plan Check # <br />011-01-5401 <br />$ <br />P1mg — Plan Check # <br />011-01-5402 <br />$ <br />Elect — Plan Check # Q <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 # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # <br />h rs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # _ a _ <br />h rs. <br />011-01-5621-508 <br />$ j WZ -' <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 />$ �`� • �-a <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 />Misc. Receipt # 45666 <br />1 L.9 Ji c)all La 17fla <br />Pb'.2/ !a/ 2U0',I WRHAFFEi L0('. C I th - ou2 <br />CU,0 i : INV: 45&56 <br />0055 0001 (400; 5829 2i 2312UC11 12:11 Fi'I <br />TRM'4SA(=TI6H TOIAL: i�;S.K <br />Bu I id i n9 $2114." <br />Budding S138.50 <br />Credit Card Fee <br />V:,�i45521 <br />Validation CHANGE 6. t 10 <br />