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Planning & B10ing 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: rdCc %�� L7 1�4 �+s� SUITE # l �� <br />PAID BY: r, ►rk- Ll , 411!�� 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 # hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # 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 $ 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 />,A /�k L W / I- S3N <br />$ <br />S-ZP-q Mom 4-?QK S i 7 <br />$ <br />" A - CS' CA 3 <br />TOTAL <br />$ <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building or Santo Ann <br />Code will expire if no permits are issued within 1$0 days. <br />F0:21ll 200�510;RMAFFEY 100 i.i 1H - uii4 <br />(.UST: IHV:;5589 <br />01333 [+ 02 00094674 2/ 1112005 11:35rd'; <br />Receipt TRANSACTION TOTAL. <br />Prepared by: /I !1', /� Wilding <br />Misc. Receipt # 45589 Validation <br />