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71221 - Misc. Receipt
Planning BIding Agency Building SAW Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ano.org INSCELLANEOUS RECEIPT PROJECT ADDRESS: 1121 IE• AL m W SUITE # PAID BY: L PA l fn,G- DATE: -7 /it �!W Bldg - Plan Check # _ tot? 5-0 01116002 53600 $ 222. ib Plmg - Plan Check # 3o i 3 9 tO T 5 01116002 53602 $ Z 2z / tv Elect - Plan Check # 01Gfv37Y_ 01116002 53601 $ 2�X.142 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 # hrs. 09801001-24045 $ Acc Pimg - - - -firs. --19988489�-24�4r ---$� — Acc Elect PIC # hrs. 09801001-24045 $ Acc Mech PIC # hrs. 09801001-24045 $ Boarding Fee (Community Preservation) 12115002 53507 $ General Plan Update Surcharge 01116002 51600 $ Statement of Fact/Public Records Research 01116002 51601 $ SMIP - Category Val$ 08901001 24000 $ Building Standards Revolving Fund �yt 742 - 011160 �+ '• � YH ° 1 ALES an-'* 17 1 OF 4 C'opteSlRnfcrvfltnr 9 7Q Residential Development Fee - Specify Acct. No. _ �� 30&Mj� Tot Temporary Certificate of Occupancy 011160 �5TlSO 1 $ 30 Day Temporary Fee - Gas 01116051602 $ 30 Day Temporary Fee - Electrical 011160q'gj0;236 0+ $222.16 Bond: Demo, 30-Day, Relocation, Sign, Fireworks 0980100*214l i i5ins $222.16 Fireworks Stands Fee 3360 011160 iric $222.16 Fire Facilities Fee 120150y14 336°ML - 14g AL,rm.so..cP-► a«oa &jT Caw PWW -. AWC . S a rl* , $ 7-�.{7 995 l ur- !mot TOTAL $ (pipt'o . y 5r 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 da s. Receipt �. Prepared by: Misc. Receipt # 71221 Validation