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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 />PROJECT <br />PAID BY: <br />Bldg — Plan C ck # <br />Plmg — Plan Che # <br />Elect — Plan Check <br />Mech — Plan Check # <br />Fire — Plan Check # <br />40 <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: <br />01116002 53600 $ <br />01116002 53602 $ <br />01116002 53601 <br />01116002 53603 $ <br />01116002 53600 $ <br />Bldg Permit — Trust/Special In ection 01116002 51601 $ <br />Plmg Permit — Trust/Special Insp tion 01116002 5160 $ <br />Elect Permit — Trust/Special Inspec ' n 01116002 51 3 $ <br />Mech Permit — Trust/Special Inspectio 01116002 604 $ <br />Fire Trust 0111600 1601 $ <br />Acc Bldg P/C # <br />hrs. <br />01116 2 57600 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />011 002 57600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />01 16002 57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />116002 57600 <br />$ <br />Boarding Fee <br />115002 <br />53507 <br />$ <br />General Plan Surcharge <br />01 6002 <br />51600 <br />$ <br />Statement of Fact/Record Search <br />0111 0251601 <br />$ <br />SMIP - Category Val$ <br />089010 1 <br />24000 <br />$ <br />Xerox Copy, Microfilm <br />0111600 <br />7770 <br />$ <br />Residential Development Fee -specify Ac . No. <br />3002 <br />991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 <br />51 1 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 <br />5160 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 <br />51603 <br />$ <br />Bond: Demo, 30-Day, Reloc tion, Si <br />09801001 <br />24015 <br />$ <br />TOTAL_ <br />NOTICE: Applications for plaYreissued <br />ecking submitted <br />under Section 105.3.2 of the California Building <br />Code will expire if no permits within 180 da <br />Receipt <br />Prepared by: <br />Misc. Receipt # I I $ 7 6 $ Validation <br />WP51 <br />Fees 2011-2012/Misc Receiptsl9-20-201 1 <br />V� <br />