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Planning & Sing 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 />PROJECT ADDRESS: <br />s <br />MISCELLANEOUS <br />RECEIPT <br />SUITE #cl <br />DATE <br />a-2-3-12- <br />Bldg — <br />Plan Check # <br />01116002 <br />53600 <br />$ <br />Plmg <br />— Plan Check # 3O <br />j a '% 73 P- 01116002 <br />53602 <br />$ j 3� <br />Elect <br />— Plan Check # <br />01116002 <br />53601 <br />$ <br />Mech <br />— Plan Check # 40 <br />1 29.62 01116002 <br />53603 <br />$ -Zd2 sl <br />Fire — <br />Plan Check # <br />01116002 <br />53600 <br />$ <br />Bldg Permit — Trust/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit — Trust/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit — TrusVSpecial Inspection <br />01116002 51603 <br />$ <br />Mech Permit — Trust/Special Inspection <br />01116002 51604 <br />$ <br />Fire Trust <br />01116002 51601 <br />$ <br />Acc Bldg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # .30,2 7 7 3,�2- hrs. 0'-)- <br />01116002 57600 <br />$ 42.3 S 42 <br />Acc Elect P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # Lf4phrs. �_ <br />01116002 57600 <br />$ 35 <br />Boarding Fee <br />12115002 53507 <br />$ <br />General Plan Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Record Search <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Xerox Copy, Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee — specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />09801001 24015 <br />$ <br />TOTAL <br />$ <br />NOTICE.- Applications for plan checking submitted <br />under Section 105.3.2 of the 2010 California Building <br />Code will expire if no permits are issued within 180 days. <br />Receipt <br />Prepared by: r N1 Gt, 1&-k Z <br />Misc. Receipt # (I 5 $ 15 Validation <br />