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MEMORANDUM <br />TO: <br />FROM: <br />SUBJECT <br />Finance & Management Services Agency <br />Planning and Building Agency <br />Miscellaneous Cash Transaction <br />MCT # 42681 <br />Wednesday, January 16, 2019 <br />I <br />All fees are subject to change at any time and may also be affected by scheduled adjustments on July 1 of each year. The Payee must <br />pay the prevailing rate at the time payment is made. <br />ISSUED TO <br />ADDRESS: <br />Steve Levisee <br />PBLA Engineering, lnc <br />4790lrvine Blvd, Suite 10s262 <br />lrvine, CA 92620 <br />ii <br />Ti <br />TOTAL AMOUNT RECEIVED $ 463.51 <br />Comments: <br />C of O No. 80426537 <br />lssued By: Guevara, Jerry (Planning and Building Agency) <br />GL Account # <br />01 1 16002 51605 <br />Total <br />$463.51 <br />PROJECT NAME: <br />PROJECT ADDRESS: <br />C of O for PBLA Engineering, lnc <br />1809 E Dyer Rd Unit# 301, Santa Ana, CA 92705-5731 <br />MASTER tD #2019-148817 <br />AP #430-032-19 <br />Application # MISC-2019-54-CO Permit # <br />ITEM DESCRIPTION QTY UNIT RATE AMOUNT FUND NO. <br />1 Certificate of Occupancy (Fee Purposes Only)1.0000 $463.51 $463.51 01 1 16002 51605 <br />Botchi:i7970 - iiiai20il i0: i.i.iiEi.i.A <br />Olf ice: iTr'ii Transi; 2i i oi ? <br />Acct i: Ref i: +2ri8iRcpt*:B25uin53''tiio.iiuil ii:ii ttti <br />Tronsoction Toini i67o.it <br />PitLA ENGiiiEErttii,ir iiit. <br />Cert i f icote of [r],ruPollce <br />0l 1 16002- iiotriuiru- <br />ICL Check ti2a3 <br />!+oJ <br />i,67c) <br />NOTES:For payment to be considered complete, a <br />Miscellaneous Cash Transaction (MCT) must be paid <br />in full. Applicant must return to Planning with <br />stamped cashier validation of the paid MCT for <br />closure in the Planning system. <br />Page 1 of3