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Planning & Sing 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: 1 301 j 6Lr f ,<3 <br />SUITE # <br />PAID BY: <br />DATE: <br />6/e) <br />Bldg — Plan Check # C1 f <br />011-01-5401 <br />$ 66 _ <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 />01 <br />$ <br />Bldg Permit — Trust/Sp cial Inspec ' <br />011-01-5911 <br />$ <br />Plmg Permit — Trust! ecia pection <br />011-01-5912 <br />$ <br />Elect Permit -- Trust/Special Inspectio <br />011-01-5913 <br />$ <br />Mech Permit — Trust/Special Inspec ' <br />11-01-5915 <br />$ <br />Fire Trust <br />11-01-5911 <br />$ <br />Acc Bldg PIC # hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg PIC # hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect PIC # h rs. <br />011-01-5621-508 <br />$ <br />Acc Mech PIC # hrs. <br />vj;: 1 621-508 <br />$ <br />Boarding Fee <br />1 1-01-5579 <br />$ <br />Statement of Fact/Record Search <br />01 -01- <br />$ <br />Microfilming of Records $ r <br />0 -0 1 -11 <br />$ <br />SMIP - Category Val$ <br />089-0 611 <br />$ <br />Xerox Copy <br />11- 8-6311 <br />$ <br />Residential Development Fee - Specify Dhrltric <br />3-01-5070 — <br />$ <br />Temporary Certificate of Occupancy <br />11-01-5911 <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 />$ <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 # 45636 Validation <br />