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71233 - Misc. Receipt
Planning & =ding Agency Building SafMy Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org ACELLANEOUS RECEIPT PROJECT ADDRESS: 'N� (�' �jYls' j, SUITE # PAID BY: 61 c 0 Yp� � y\C . DATE: Bldg — Plan Check # j !Q %p C 1 01116002 53600 $ Z. Plmg — Plan Check # 1,0� lD M 01116002 53602 $ kel . Isle Elect — Plan Check # TO l l 01116002 53601 $ ' Mech — Plan Check # ( 7-57 3 01116002 53603 $ - , 5 $1 1-1 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 # -- _� Acc Plmg P/C # pN 2j eii hrs. ?L, 09801001-24045 $ Z 2- 1 l` Acc Elect PIC # lu I kcto hrs. Z 09801001-24045 $ 'Z 7-2 . i �- Acc Mech PIC # nl 2 hrs. �� 09801001-24045 $ AL . i if Boarding Fee (Community Preservation) 12115002 53507 $ General Plan Update Surcharge 01116002 51600 $ Statement of Fact/Public Records Research 011 160��,V�$13 - e TYH 16/2018 ID: LPOSAL� ;..a * 47 i�� SMIP - Category Val$ . 089010Wc2#000 s; Ref;: 111233 Building an a d'§' Fund — _ -011. Copies/Microfilm 01116002 57770 $ Residential Development Fee — Specify Acct. No. 30615MI'MC i $ Temporary Certificate of Occupancy 0111600YXW104ins $ 30 Day Temporary Fee — Gas 011160��ft�,n;a 30 Day Temporary Fee — Electrical 011 160�cl 3 5c602(�10 Bond: Demo, 30-Day, Relocation, Sign, Fireworks 098010 JiM 53b0140- .lb - Fireworks Stands Fee 011160 1 gnS3603&0- - ' 7' Fire Facilities Fee 1201500g; fT Chec1 - $1r663.14 53b3 -$6P905.16 Cl Cj�� � ICL Check 4000T D $ TOTAL $ e) us' , j (e 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 # 71233 Validation