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Planning & 1341ing 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 ADDRESS: <br />SUITE # <br />PAID BY: 1 <br />DATE: <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 # 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 PIC # 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-D y, Relocatio ign <br />098-01-3611-507 <br />$ ` <br />�i <br />$ <br />I LA <br />TOTAL <br />$ <br />$ <br />per` <br />NOTICE: Applicatibhs for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />` of ana <br />Code will expire if no ermits are issued within 180 days. <br />�D:s/9/21�U5 YD:kI�AFFE1 <br />1- <br />LOCI: GT1H - i�ll2 <br />Receipt <br />(11-3 <br />C1053 0002 <br />DIV : 45763 <br />00097420 3/9/2C�ti5 11:3;'Ali <br />Mfi ,L: <br />Prepared by: <br />I:F3NSACIIGN <br />M isc. Receipt # 45763 <br />Validation <br />