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Planning & B*ng 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 />C� <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: <br />SUITE # <br />PAID BY: <br />DATE: <br />Bldg — Plan Check # <br />011-01-5401 <br />$ <br />Plmg — Plan Check # <br />011-01-5402 <br />$ <br />Elect — Plan Check # r) <br />011-01-5403 <br />$ r ' <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 # h rs. <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 />$ <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 permits are issued within 180 days. <br />r :3i4, li���`Idt1F E�an�ic:na, rH <br />c. ST' <br />INV;4r735 <br />Receipt <br />a (19 C1001 <br />E ANSk-..rauN <br />C10096s89 3i4.2005 v:j.aai� <br />TOTAL: <br />Prepared by: <br />BY1d�n4 <br />slgg-qi, <br />t:l♦ ;r .�i <br />sit. L10 <br />Misc. Receipt # 45735 Validation <br />