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Planning & Oing Agency <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.Q. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: � <br />SUITE # <br />PAID BY: <br />DATE: <br />Bldg — Plan Check# <br />01116002 53600 <br />$ <br />Plmg — Plan Check # <br />01116002 5360 <br />$$ <br />Elect -- Plan Check # <br />01116002 53601 <br />$ <br />Mech — Plan Check # <br />01116002 5360 <br />$ <br />Fire — Plan Check # <br />01116002 536 0 <br />$ <br />Bldg Permit — Trust/Special Inspel �on <br />01116002 5 601 <br />$ <br />Plmg Permit — Trust/Special Inspecti <br />01116002 1602 <br />$ <br />Elect Permit — Trust/Special Inspection <br />0111600 51603 <br />$ <br />Mech Permit — Trust/Special Inspection <br />011160 51604 <br />$ <br />Fire Trust <br />01116 2 51601 <br />$ <br />Acc Bldg P/C # hrs. <br />0111 002 57600 <br />$ <br />Acc Plmg P/C # hrs. <br />011 6002 57600 <br />$ <br />Acc Elect P/C # hrs. <br />01 6002 57600 <br />$ <br />Acc Mech P/C # hrs. <br />01 16002 57600 <br />$ <br />Boarding Fee <br />2 53507 <br />$ <br />General Plan Surcharge <br />2 51600 <br />$ <br />Statement of Fact/Record Search <br />2 51601 <br />$ <br />SMIP - Category Val$ <br />1 24000 <br />$ <br />Xerox Copy, Microfilm <br />2 57770 <br />$ <br />Residential Development Fee — specify Acct. No.57991 <br />NO2 <br />$ <br />Temporary Certificate of Occupancy <br />2 1601 <br />$ <br />30 Day Temporary Fee — Gas <br />2 5 02 <br />$ <br />30 Day Temporary Fee — Electrical <br />2 516 3 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />1 2401 <br />$ <br />$ <br />TOTAL <br />$ <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 are issued within 180 S. <br />Receipt <br />Prepared by: <br />Misc. Receipt # 058737 Validation <br />W P51 <br />Fees 2011-2012/M15C Receipts/9-20-2011 <br />