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Planning & Boling 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 />• <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT A R SS: of J SUITE # <br />PAID BY: Yr d M lJr1 � DATE: <br />( Bldg — Plan Check # 011-01-5401 $ <br />Plmg — Plan Check # 011-01-5402 $ <br />Elect — Plan Check # 011-01-5403 $ <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 />h rs. f_ <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 />hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech PIC # <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 />$ <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 permits are issued within 180 days <br />Receipt <br />Prepared by: <br />is itj Li atat,ta hr,_( <br />PD;2y"11!200,51D:RMAFFEY LOC : C i 3N - .,,_14' <br />WST : INV:45587 <br />0028 w-K'1 uC+U94665 2/11/200151 1C�:4�r1i1 <br />TFANSAC:TION 10 AL - <br />Building Building $109 <br />Building $232.75 <br />fired i t C.or d i ee S2. �5 <br />MC056152 $3r.`,.`4 <br />CHANGE 31:E.+:1i+ <br />Misc. Receipt # 45587 Validation <br />