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Planning & 818ing 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 />40 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT -ADDRESS: `-7:1Y\ �� \ _� A, A \ _) SUITE # <br />.: 10=1120M FAMM"MIlKWOMMUMas�IM <br />Bldg — Plan Check # 1 t �, �A _ 011-01-5401 <br />Plmg — Plan Check # 011-01-5402 $ <br />Flert — 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 # hr <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect PIC # 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 />$ <br />TOTAL <br />$ v!!��— <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building y of Santa Arun <br />Code will expire if no permits are issued within 180 days. FD:2/9r 20051D:Ri1AFFE7 LOC.: C irkl - k11-12. <br />(U'T: IN`1:45 569 <br />Receipt (1042 0001 C1004501 2/ 9/201J 1 ] : 5SAN <br />Prepared b TRANSACTION TOTAL: llvO19.72 <br />P y: $utldin9 $165.72 <br />Du I Id l n9 i l`.�4 .00 <br />C:K 9 .;, <br />CWiNGE <br />Misc. Receipt # 45569 Validation <br />