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1 <br />Planning & Oing 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 />9 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: `�'[�'� ti�] <br />PAID BY: �� 1; _ [71 ► Y1 U �EQ <br />10 QMC�C,i��ITF # <br />c DATE: L�[.-1�--� <br />nn <br />` <br />Bldg - Plan Check # IC j r]t_.# <br />01116002 53600 <br />$ �--� <br />Plmg - Plan Check # <br />01116002 53602 <br />$ <br />Elect - Plan Check # <br />01116002 53601 <br />$ <br />Mech - Plan Check # <br />01116002 53603 <br />$ <br />Fire - Plan Check # <br />01116002 53600 <br />$ <br />Bldg Permit - Trust/Special Inspection 01116002 51601 $ <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 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 <br />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 />NOTICE: Applications forplan 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: <br />Misc. Receipt # 058777 Validation <br />$ - so <br />-ht:IILry'� 14I1.L au• �u� <br />Lri f ire: r Uri s': ;" <br />Acct:: [�fef T: <br />R-;, tom; CO,", 4i_,ci 2/14/2012 11:4 <br />TransaCtlul: Cotal $4110.1 <br />AZENINA FAVRFI it <br />l3wildins <br />r.11116iui; - `3601JQLIO- <br />Credit Card Fee <br />LiII10002 c3gl'EiiiiiiLi- <br />Vi=ai� <br />�r�►rxx#:�rrr�r34 Ci <br />Aut 1: _. ,aA xP Date: I�il:: <br />