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Planning & doing 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 />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: C _�u la i�n� SUITE # <br />IM_1fal <br />DATE <br />11z <br />Bldg — Plan Check # <br />011160021 53600 <br />$ el 4-5 3 <br />Plmg — Plan Check # <br />01116002 5360 <br />$ <br />Elect — Plan Check # <br />01116002 53 1 <br />$Z-- <br />Mech — Plan Check # <br />01116002 603 <br />$ <br />Fire — Plan Check # <br />011160 53600 <br />$ <br />Bldg Permit — Trust/Special Inspection <br />011 002 51601 $ <br />Plmg Permit — Trust/Special Inspection <br />0 16002 51602 $ <br />Elect Permit — Trust/Special Inspection <br />1116002 51603 $ <br />Mech Permit — Trust/Special Inspection <br />01116002 51604 $ <br />Fire Trust _ <br />01116002 51601 $ <br />Acc Bldg P/C # rs. <br />01116002 57600 $ <br />r <br />Acc Plmg P/C # e)h <br />01116002 57600 $ <br />Acc Elect P/C # S. <br />01116002 57600 $ <br />Acc Mech P/C # r <br />01116002 57600 $ <br />Boarding Fee <br />General Plan Su/rge <br />Statement of FacSe ch <br />SMIP - Categoryal$ <br />Xerox Copy, Mic <br />Residential DeveFee — specify Acct. No <br />Temporary Certifccupancy30 Day Temporaas30 Day TemporaElectricalBond: Demo, 30cation, Sign <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 4r&4& tred within 180 da <br />Receipt <br />Prepared by: <br />12115002 <br />53507 $ <br />01116002 <br />51600 $ <br />01116002 <br />51601 $ <br />08901001 <br />24000 $ <br />01116002 <br />57770 $ <br />3002 <br />57991 $ <br />01116002 <br />51601 $ <br />01116002 <br />51602 $ <br />01116002 <br />51603 $ <br />09801001 <br />24015 $ <br />TOTAL <br />$ <br />Misc. Receipt # 058778 Validation <br />