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Planning & B10ing 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 />�'� <br />ESS: �� <br />PROJECT ATliwe-*Vs-no <br />f, <br />/� SUITE # <br />PAID BY: <br />DATE: <br />3� 1� S <br />Bldg — Plan Check # <br />011-01-5401 <br />$ <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 # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <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 Tempo Fee — Electrical <br />011-01-5913 <br />$ <br />Bond: Dem 3 - a el-%o�catio , Sign <br />098-01-3611-507 <br />$- <br />�0 <br />$ <br />[�+ �-f� <br />TOTAL <br />$ <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 perrnlits are issued within 180 days <br />Receipt <br />Prepared by <br />Yi-7 q 't-0i �' <br />i t�t of Danta An Li <br />P1):3/29/2O(15ID:RMAFFE1 LOCI: C.TYH - C <br />C:UST: INV:458?6 <br />0009 i1001 00098759 3/29/20(jr, 9:4 6AM <br />TPANSACTION TOTAL: fl?163.35 <br />Building f160.50 <br />Building $1 r000.CIO <br />Credit Gard Fee $2.8S <br />VS0556113 $1 } I63. 35 <br />CHANGE $0. i ii o <br />Misc. Receipt # 45870 Validation <br />