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71287 - Misc. Receipt
Planning & &ding Agency Building Sa Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org &CELLANEOUS RECEIPT PROJECT ADDRESS: I151%5 N, VRV'r�j e-vr SUITE # PAID BY: '� j 7-CC.VL -j::XL 4priai"4 SW-"LCO65w DATE: Bldg — Plan Check # 10 2 R -7 1 ca3 Plmg — Plan Check # Elect — Plan Check # Mech — Plan Check # 01116002 53600 $ j 7 3. 9 rD 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 # 102-1-7I V3 hrs. 3 -� 09801001-24045 Acc Plmg P/C # hrs. 09801001-24045 $ Acc Elect P/C # hrs. 09801001-24045 $ Acc Mech P/C # hrs. 09801001-24045 $ Boarding Fee (Community Preservation) 121150 � T.5- .� � . TYH /a_ arcs',! �? 1 of 1 General Plan Update Surcharge 011160fYA2=+Y1H��,'1,�Yi, p �fLr $ ReM 71287 ��r�i n (.„6 Statement of Fact/Public Records Research f1� G' C T i,Q�141171M4 011160@ibl6b1vn Tote Y.i�� (_^1 L 1 $1.601.04 SMIP - Catagoiy Val$ 089010 1 nn i�Fi�FTINS Building Standards Revolving Fund 011 T-60 Copies/Microfilm 01116061, _ � 53tQ0($ 1, C-- Residential Development Fee — Specify Acct. No. 3002-67NM Ghecl$ 3�?'•', Temporary Certificate of Occupancy 0111606Y&M 7 �3�c37 30 Day Temporary Fee — Gas 01116002 51602 $ 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 $ R- t DXA.Gr, F, 4 S1944 1 C tis f.-r3 r 7Awsra P NA 4,j 31o3,9Z $ F4,0-r4N4 CA 92'332 TOTAL $ I,{Dp 1. oY 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 01) Prepared by: _A-e-L Misc. Receipt # 71287 Validation