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Planning & Being 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 />40 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 3 53 I W StjjTF # <br />PAID BY: C7� DATE: r /46 <br />Bldg — Plan Check # 01116002 53600 $ <br />Plmg — Plan Check # 30 7J 01116002 53602 $8 — <br />Elect — Plan Check # 01116002 53601 $ <br />Mech — Plan Check # 01116002 53603 $ <br />Fire — Plan Check # 01116002 53600 $ <br />Bldg Permit — Trust/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit — Trust/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit — Trust/Special 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 # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />01116002 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 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 />$ 30 8 _ <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: j/✓I C� „`�,Y � <br />Misc. Receipt # 6 5 8 7 9 2 Validation <br />