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71302 - Misc. Receipt
Planning & B g Agency Building Safety ivision M&ELLANEOUS 20 Civic Center Plaza P.O. Box 1988 (M-19) RECEIPT Santa Ana, CA 92702 (714) 647-5600 www.santa-ana.org PROJECT ADDRESS:r;ZDo I S • /H4it ) mot`. SUITE # PAID BY: T"�fzµc-� �i� ��� I w�G _ DATE: -7 3 ! Bldg — Plan Check # 101 17 t 9 1s 01116002 53600 $ 3, 2 9 z . s ( Plmg — Plan Check # 01116002 53602 $ Elect — Plan Check # 01116002 53601 $ Mech — Plan Check # 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 PIC # 101 171 hrs. 09801001-24045- Acc PI mg PIC # h rs. 09801001-24045 $ Acc Elect PIC # h rs. 09801001-24045 $ Acc Mech PIC # hrs. 09801001-24045 $ Boarding Fee (Community Preservation) 12115002 53507 $ General Plan Update Surcharge 98 01116(V i�lb - Tr-6� a. ,n , nr , Statement of Fact/Public Records Research 01116002t34 601 $ Ref;: 71302 SiW#P - catagory Val 08901 { �n M Totap t4s431.55 Building Standards Revolving Fund 01-1161`T6'12`� Copies/Microfilm 0111666MM"' Residential Development Fee — Specify Acct. No. 3 Tq IRA t3P292.51 Temporary Certificate of Occupancy 01116 A Check -1) $1.139.04 30 Day Temporary Fee — Gas 01116SI� 3b3 e O1b4� 11 - .�_�3�-�5 30 Day Temporary Fee — Electrical 01116 16 3 Bond: Demo, 30-Day, Relocation, Sign, Fireworks 09801001 24015 $ Fireworks Stands Fee 01116002 51501 $ Fire Facilities Fee 12015002 53700 $ po 1 ,.,Wc4stoW- Z�-. $ s,a Oa G-+0. T ! 4 2�3 TOTAL $ '/� 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 # 713 O 2 validation