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Planning & 194king 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: 3 ?Q(0 L� I C <br />f" ��t�dCp�-� SUITE # <br />PAID BY: a <br />DATE: <br />Bldg — Plan Check # <br />011-01-5401 <br />$ <br />Plmg — Plan Check # <br />011-01-5402 <br />$ <br />Elect — Plan Check # ,�� I�`� y--3 S <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 # c� rl L,� �i .3 S hrs. <br />011-01-5621-508 <br />$ <br />_� <br />Acc Mech P/C # hrs. <br />011-01-5621-508 <br />_ <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 />SM I P - 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 />$ S �� <br />NOTICE.- Applications for plan checking issued under <br />the provisions of Section 107.4 of the Califomia Building <br />Code will expire if no aermits are issued within 180 days <br />Receipt <br />Prepared by: <br />E LJ Lei 'aantG Ault <br />FD:2/2/2iEu5ID-RIIAFI=E1 LOC.- C.TYH - CW11 <br />C:UST: INV.4`521 <br />0062 01 09381E} 00002/2/200S 12.4,&M <br />TRANSACTION TOTAL: t1 �8.5iE <br />Building $64.25 <br />Building 25 <br />CK �1`B.SrE <br />CHANGE <br />klisc. Receipt # 45521 Validation <br />1'`� y <br />