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Planning $ Oing Agency • <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: SUi`rE # <br />PAID BY: DATE: <br />Bldg — Plan Chec # 01116002 53600 $ <br />Plmg — Plan Check 01116002 53602 $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech — Plan Check # 01116002 53603 $ <br />Fire — Plan Check # 01116002 53600 $ <br />Bldg Permit — Trust/Special Insp ction 01116002 5i601 $ <br />Plmg Permit — Trust/Special Inspe ion 01116002 51602 $ <br />Elect Permit — Trust/Special Inspecti 01116002 51603 $ <br />Mech Permit — Trust/Special Inspectio 01116002 516 $ <br />Fire Trust 011160025 01 $ <br />Acc Bldg P/C # hrs. 0111600 57600 $ <br />Acc Plmg P/C # hrs. 01116 2 57600 $ <br />Acc Elect P/C # hrs. 011 002 57600 $ <br />Acc Mech P/C # hrs. 0 16002 57600 $ <br />Boarding Fee 2115002 53507 $ <br />General Plan Surcharge 0 116002 51600 $ <br />Statement of Fact/Record Search 011 6002 51601 $ <br />SMIP - Category Val$ 0890 01 24000 $ <br />Xerox Copy, Microfilm 01116 2 57770 $ <br />Residential Development Fee — specify A t. No. 300 57991 $ <br />Temporary Certificate of Occupancy 01116002 1601 $ <br />30 Day Temporary Fee — Gas 01116002 5 02 $ <br />30 Day Temporary Fee — Electrical 01116002 51 3 $ <br />Bond: Demo, 30-Day, Relocation, ign 09801001 240 $ <br />TOTAL $ <br />NOTICE: Applications for pl n checking submitted <br />under Section 105.3.2 of t 2010 California Building <br />Code will expire if no per its are issued within 180 days. <br />Receipt <br />Prepared by: <br />5 <br />Misc. Receipt # 058797 Validation <br />