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69089 - Misc. Receipt
Planning & E&ing Agency Building Safe Division ACELLANEOUS 20 Civic Center Plaza RECEIPT P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org PROJECT ADDRESS: ���J� — [Q �J �, f.�laS+�r�>G�-a aJ SUITE # PAID BY: DATE: Y2aL/17 Bldg - Plan Check # 1014 L4N - !QIQ/9v1-- 01116002 53600 $ �.`-[ Lv�3.�� Plmg - Plan Check # 3os37L?3r 3af 37`'! q 01116002 53602 $ q TL5 Elect- Plan Check # aorL23�?o-aoi�239�� 01116002 53601 $ Mech - Plan Check # 01116002 53603 $ c,r 903, S(d 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 # hrs. 09801001-24045 $ Acc Pimg P/C # hrs. 09801001-24045 $ Acc Elect P/C # hrs. 09801001-24045 $ Acc Mech P/C # 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 01116002 51612 $ Copies/Microfilm 01116002 57770 $ Residential Development Fee - Specify Acct. No. 3002 57991 $ Temporary Certificate of Occupancy 01116002 51601 $ 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 $ _ 'PLV-�- A +� ►-� 017— r=—� cx.sa rJ $ 7153 A-c - 1 o7-4 \A%-L- . PA V- . 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 # 6 9 0 8 9 Validation PYink/Cou nterFolder/M iscReceipts/Apnl 2016