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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 />E <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: � - f <br />L'V 1-/ 1 /-' <br />SUITE # <br />PAID BY: / 0 �p <br />DATE: <br />�l <br />Bldg — Plan Check # 1 �� <br />011-01-5401 <br />$ 3 7 <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 # <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 # <br />h rs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <br />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 $ <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 permit$ are issued within 180 days <br />Receipt <br />Prepared by:/�7- r V] Ci 2 <br />$ %U <br />t 1 -1 ui :,arttn Ana <br />../14/01ID:C:KELLY LOC:: C:TYH - iji-jl <br />U094 UUU1 00089902 2/14/0_, 1:t4Fil <br />IkANSAGTIIN 101AL: Building 1?1s8.tu <br />S1r2.36.7u <br />CA <br />CHANGE $1 x138. !U <br />$0.00 <br />Misc. Receipt # 45600 Validation <br />