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Planning & Being 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 ADDRESS: O <br />C�I`� <br />W` SUITE # <br />PAID BY: <br />DATE: <br />Bldg — Plan Check # IC I <br />011-01-5401 <br />$ 4Z,3 . <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 # LLLLrfLu <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg PIC # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect PIC # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <br />h rs. <br />011-01-5621-508 <br />$ <br />Boarding Fee <br />Statement of Fact/Record Search <br />Microfilming of Records $ per <br />SMIP - Category Val$ <br />Xerox Copy <br />Residential Development Fee - Specify District # <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee — Electrical <br />Bond: Demo, 30-Day, Relocation, Sign . <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 />121-01-5579 <br />011-01-5911 <br />011-01-5911 <br />089-01-3611 <br />11-508-6311 <br />301-01-5070 — <br />011-01-5911 <br />011-01-5912 <br />011-01-5913 <br />098-01-3611-507 <br />TOTAL <br />,unto <br />U: .i/.jA/0: 6u:+.. ,LiJ f LUG: <br />0SR : It4v:h5vr I <br />126 <br />FANSACTION TOTAL: <br />U 1 .1J 1 N <br />:,U1dL�f' <br />iiAN�H <br />Misc. Receipt # 45877 Validation <br />