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1554 Brookhollow Dr Unit# A - Misc. Receipt
Planning & Aing Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org LJ MISCELLANEOUS RECEIPT PROJECT ADDRESS: j `52j _ RC)9K Ht-4 LLk-c> SUITE # PAID BY: S,FziZ,K,c a iJC Bldg — Plan Check # Plmg — Plan Check # Elect — Plan Check # Mech — Plan Check # DATE: 01116002 53600 $ 01116002 53602 $ 01116002 53601 $ 01116002 53603 $ Bldg Permit — Inspection/Special Inspection 01116002 51601 $ Plmg Permit — Inspection/Special Inspection 01116002 51602 $ Elect Permit — Inspection/Special Inspection 01116002 51603 $ Mech Permit — Inspection/Special Inspection 01116002 51604 $ Acc Bldg P/C # /019-0 713 hrs. , 01116002 57600 $ ;2 L`I Acc Plmg P/C # hrs. 01116002 57600 $ Acc Elect P/C # hrs. 01116002 57600 $ Acc Mech P/C # hrs. 01116002 57600 $ Boarding Fee (Community Preservation) 12115002 53507 $ General Plan Update Surcharge 0111600t?,P1600 ,,, ; : i114 it): Statement of Fact/Public Records Research 0111600251801 SM I P - Category Val$ 089010 $__ Building Standards Revolving Fund 01116002 6M12 -� T t$t b 24` ., -r Copies/Microfilm 0111700;�70� Residential Development Fee — Specify Acct. No. 3002 57991 Temporary Certificate of Occupancy 01116415�6Q_1`� 30 Day Temporary Fee — Gas 0111600�11511602 30 Day Temporary Fee — Electrical 01116002 51603 $ Bond: Demo, 30-Day, Relocation, Sign, Fireworks 09801001 24015 $ Fireworks Stands Fee 01116002 51501 $ Fire Facilities Fee 12015002 53700 $ SCi2/"SIC iNc- MArCAZ4AL liµ%1'-1am �ii'(ilN it �(v1 &-LAM i-IC Sr, - - $ "OM -NJ Ca y l7(-J- TOTAL $ 04 S-.0 NOTICE: Applications for plan check submitted under Section 105.3.2 of the 2010 California Building Code will expire if no permits are issued within 180 days. Receipt Prepared by:� - Misc. Receipt # 61733 Validation