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Planning & B�iTrding 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 AELDRESS: <br />• <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />PAID BY: <br />DATE: <br />Bldg — Plan Check (11 <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 Insp tion <br />Pimg Permit — Trust/Special Inspec n <br />Elect Permit — Trust/Special Inspectio <br />Mech Permit — Trust/Special Inspection <br />Fire Trust <br />01116002 51601 <br />01116002 51602 $ <br />01116002 51603 $ <br />01116002 51604 $ <br />01116002 51601 $ <br />Acc Bldg P/C # hrs. <br />01116002 57 0 <br />$ <br />Acc Pimg P/C # hrs. <br />01116002 600 <br />$ <br />Acc Elect P/C # hrs. <br />0111600 57600 <br />$ <br />Acc Mech P/C # hrs. \1011160 <br />2 57600 <br />$ <br />Boarding Fee <br />1 1 002 53507 <br />$ <br />General Plan Surcharge <br />0 6002 51600 <br />$ <br />Statement of Fact/Record Search <br />111 0251601 <br />$ <br />SMIP - Category Val$ <br />08901 1 24000 <br />$ <br />Xerox Copy, Microfilm <br />0111600 57770 <br />$ <br />Residential Development Fee — specify Acct. No. <br />3002 7991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 5 01 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51 2 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 5160 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />09801001 24015 <br />$ <br />$ ` <br />TOTAL r <br />$ <br />'N <br />NOTICE: Applications for plan chg6jking submitted <br />under Section 105.3.2 of the 201 California Building <br />I <br />Code will expire if no permits a issued within 180 days. <br />\ ( <br />Receipt <br />Prepared by: <br />Misc. Receipt # ff58772 Validation <br />