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Planning & 130ing Agency S <br />+ Building Safety Division MISCELLANEOUS <br />-'Lim.911 20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />1 <br />PROJECT ADDRESS: � SUITE # <br />PAID BY: DATE: <br />Bldg — Plan Check # 01116002 53600 $ I <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech — Plan Check # 01116002 53603 $ <br />Fire — Plan Check # 01116002 53600 <br />Bldg Permit — Trust/Special Inspection 01116002 51601 $ <br />Plmg Permit — Trust/Special Inspection 01116002 51602 $ <br />Elect Permit — Trust/Special Inspection 01116002 51603 $ <br />Mech Permit — Trust/Special Inspection 01116002 51604 $ <br />Fire Trust 01116002 5160 $ <br />Acc Bldg P/C # hrs. 01116002 57 0 $ <br />Acc Plmg P/C # hrs. 1160025 600 $ <br />Acc Elect P/C # hrs. 01 16002 7600 $ <br />Acc Mech P/C # hrs. 011 00 57600 $ <br />Boarding Fee 12115 53507 $ <br />General Plan Surcharge 0111 002 1600 $ <br />Statement of Fact/Record Search 011 60025 01 $ <br />SMIP - Category Val$ 08 01001 24 0 $ <br />Xerox Copy, Microfilm 0 116002 5777 $ <br />Residential Development Fee — specify Acct. No. 3002 57991 $ <br />Temporary Certificate of Occupancy 01116002 51601 $ <br />30 Day Temporary Fee — Gas 01116002 51602 $ <br />30 Day Temporary Fee — Electrical 01116002 51603 $ <br />Bond: Demo, 30-Day, Relocation, Sign 09801001 24015 <br />TOTAL $ <br />NOTICE: Applications for plan checking submitt <br />under Section 105.3.2 of the 2010 California Bui ing <br />Code will expire if no permits are issued within 80 days. <br />Receipt <br />Prepared by: <br />Misc. Receipt # 0 8738 Validation <br />WP51 <br />Fees 2011-2012/Misc Receipisi9-20-201 <br />