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Planning & Bling 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 />PROJECT AbQRE$:E�. t \ � ) r \ . )� )\ �$UIT$ # <br />PAID BY: �\ M X J \� \k (, \ ( ) DATE: <br />Bldg — Plan Check # \ �_ )��� <br />�� <br />011-01-5401 <br />$ T <br />Plmg — Plan Check #J <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 />h s. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # <br />rs. <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 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 />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />. i is of �aritn Fr�c� <br />Code will expire if no permits are issued within 180 days. F'D:3/9/2ui'5I0:RihAFFEY LOf : i i i - <br />IJ'aT: IHV:45766 <br />Receipt 0093 0001 L100971t6c 31'�,22ul-15 3:3, <br />Prepared bY. Bu~ld~n9Iot 10AL: sS449 <br />C NRtalik #i_.:tCi <br />Misc. Receipt # 45766 Validation <br />