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45613 - Misc. Receipt
Planning & B ing Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org �J MISCELLANEOUS RECEIPT PROJECT ADDRESS: SUITE # PAID BY: Q, nfAC-,, E��CA CC �(-'1QeS( DATE: — c-' — Bldg - Plan Check # 011-01-5401 $ Plmg - Plan Check # 011-01-5402 $ Elect - Plan Check # 011-01-5403 $ Mech - Plan Check # 011-01-5405 $ Fire - Plan Check # 011-01-5401 $ Bldg Permit - Trust/Special Inspection 011-01-5911 $ Plmg Permit - Trust/Special Inspection 011-01-5912 $ Elect Permit - Trust/Special Inspection 011-01-5913 $ s2 , Mech Permit - Trust/Special Inspection 011-01-5915 $� , Q Fire Trust 011-01-5911 $ Acc Bldg P/C # hrs. 011-01-5621-508 $ Acc Plmg P/C # hrs. 011-01-5621-508 $ Acc Elect P/C # hrs. 011-01-5621-508 $ Acc Mech PIC # h rs. 011-01-5621-508 $ Boarding Fee 121-01-5579 $ Statement of Fact/Record Search 011-01-5911 $ Microfilming of Records $ per 011-01-5911 $ SMIP - Category Val$ 089-01-3611 $ Xerox Copy 11-508-6311 $ Residential Development Fee - Specify District # 301-01-5070 - $ Temporary Certificate of Occupancy 011-01-5911 $ 30 Day Temporary Fee - Gas 011-01-5912 $ 30 Day Temporary Fee - Electrical 011-01-5913 $ Bond: Demo, 30-Day, Relocation, Sign 098-01-3611-507 $ TOTAL NOTICE: Applications for plan checking issued under the provisions of Section 107.4 of the California Building Code will expire if no permits are issued within 180 days. Receipt Prepared by: S �tf Santa r;r-' eD:2/15/20051D:Ri1AFFQ LOC : 01H C:DSI: IµV:45e13 C1040 0014 00095010 2/15/2005 11:16siil RAM3Ai-i1DH TDfP%L: f17Y3123.70 Building $233.75 Building $329.40 Building 61J -` i Misc. Receipt # 45613 Validation