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Planning & Biking 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 />0 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT AD R S: r i'j <br />-~S <br />�G��( SUITE # <br />PAID BY: <br />S'�C , DATE: <br />_ <br />Bldg — Plan Check # It <br />011-01-5401 <br />$ �S <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 PIC # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc PI mg PIC # <br />h rs. <br />011-01-5621-508 <br />$ <br />Acc Elect PIC # <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 # 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 />$ <br />$ <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />GUST: " <br />i14V:45529 <br />Code will ex ire if no perm,its are issued within 180 days. <br />0024 0001 <br />00093896 2e3/2005 <br />11:i130 <br />TRANSAC-TION <br />TriiaL: <br />4-4 <br />Receipt <br />Building <br />Prepared by: C"&O� 2 <br />CHANGE <br />Misc. Receipt # 45529 Validation <br />