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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 />L� <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRES : ` -�'o <br />1 ✓e— SUITE # <br />rL <br />PAID BY: .�e .-j - n <br />DATE: <br />3 <br />Bldg - Plan Check # �� C / ' �r <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 # hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # 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 />r�� S 0/�v-e,_ <br />$ <br />G, c-, Cj ea To �j <br />TOTAL <br />$ <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 permits are issued within 180 days <br />Receipt <br />Prepared by: <br />ro A-64- <br />C.i t9 U1 J{L i Ll 1IIILL <br />NO: 3/18/EiSID:GKELLY LOC: 0 YH U_1 <br />I : INV:45810 <br />LIM 0001 00093439 3/ 18/U:5 4.09i-17 <br />TKASSAC-TION TOTAL: $',o".•-t ' <br />Building $46j.4t_ <br />CK <br />(:HAN6t <br />Misc. Receipt # 45810 <br />Validation <br />