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58832 - Misc. Receipt
Planning & Being Agency Building Safety Division 20 Civic Center Plaza P.C. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org • MISCELLANEOUS RECEIPT PROJECT ADDRESS: I `S 3� P Lai, SUITE #_ PAID BY: /"Id Wa-yf Roo -A,., DATE. o� Bldg — Plan Check # Plmg — Plan Check # Elect — Plan Check # Mech — Plan Check # Fire — Plan Check # 01116002 53600 $ 01116002 53602 $ 01116002 53601 $ 01116002 53603 $ 01116002 53600 $ Bldg Permit — Trust/Special Inspection 01116002 51601 $ Plmg Permit — Trust/Special Inspection 01116002 51602 $ Elect Permit — Trust/Special Inspection 01116002 51603 $ Mech Permit — Trust/Special Inspection 01116002 51604 $ Fire Trust 01116002 51601 $ Acc Bldg P/C # hrs. 01116002`,57600 -Ml $ Acc Plmg P/C # hrs. 011 160024�1" 8021410 $ Acc Elect P/C # hrs. 01116002157W" °f 7 o -$ Acc Mech P/C # h rs. 01111600257800 ROOF I h,$ Boarding Fee 12115002 �53607 $ General Plan Surcharge 01116002 ; jWQ $ Statement of Fact/Record Search 01116002 3'11`-'' . $ SMIP - Category Val$ 08901001 24000 $ Xerox Copy, 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 09801001 24015 $ C UAvGE of A 5-1(001 $ TOTAL $ S NOTICE. Applications for plan checking submitted under Section 105.3.2 of the 2010 Califomia Building Code will expire if no permits are issued within 180 days. Receipt Prepared by: 1'� Gt -7 Misc. Receipt # f) 5 8 u 3 2 Validation