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Planning & ring 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: 2J 3 W t L �� <br />PAID BY: 61"1111 '7�- 11, 0-5-fvuC 7�h <br />• <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: a? - o2 a2 ` / °Z <br />Bldg - Plan Check # -101 -7 40-3 <br />01116002 <br />53600 <br />$ S�a9 C9 <br />Plmg - Plan Check # <br />01116002 <br />53602 <br />$ <br />Eject - Plan Check # <br />01116002 <br />53601 <br />$ <br />Mech - Plan Check # <br />01116002 <br />53603 <br />$ <br />Fire - Plan Check # <br />01116002 <br />53600 <br />$ <br />Bldg Permit - Trust/Special Inspection <br />01116002 <br />51601 <br />$ <br />Plmg Permit - Trust/Special Inspection <br />01116002 <br />51602 <br />$ <br />Elect Permit - Trust/Special Inspection <br />01116002 <br />51603 <br />$ <br />Mech Permit -- Trust/Special Inspection <br />01116002 <br />51604 <br />$ <br />Fire Trust <br />01116002 <br />51601 <br />$ <br />Acc Bldg P/C # (] I ~'74g4 3 <br />hrs. <br />01116002 <br />57600 <br />$ _ -�-'� n &' <br />Acc Plmg P/C # <br />hrs. <br />01116002 <br />57600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />01116002 <br />57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />01116002 <br />57600 <br />$ <br />Boarding Fee <br />12115002 <br />53507 <br />$ <br />General Plan Surcharge <br />01116002 <br />51600 <br />$ <br />Statement of Fact/Record Search <br />01116002 <br />51601 <br />$ <br />SMIP - Category Val$ <br />08901001 <br />24000 <br />$ <br />Xerox Copy, Microfilm <br />01116002 <br />57770 <br />$ <br />Residential Development Fee - specify <br />Acct. No. <br />3002 <br />57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 <br />51601 <br />$ <br />30 Day Temporary Fee - Gas <br />01116002 <br />51602 <br />$ <br />30 Day Temporary Fee - Electrical <br />01116002 <br />51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />09801001 <br />24015 <br />$ <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 da <br />Receipt <br />Prepared by: 4�6A C` <br />Misc. Receipt # 0,58812 Validation <br />