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58738 - Misc. Receipt
Planning & 130ing Agency S + Building Safety Division MISCELLANEOUS -'Lim.911 20 Civic Center Plaza RECEIPT P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org 1 PROJECT ADDRESS: � SUITE # PAID BY: DATE: Bldg — Plan Check # 01116002 53600 $ I Plmg — Plan Check # 01116002 53602 $ Elect — Plan Check # 01116002 53601 $ Mech — Plan Check # 01116002 53603 $ Fire — Plan Check # 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 5160 $ Acc Bldg P/C # hrs. 01116002 57 0 $ Acc Plmg P/C # hrs. 1160025 600 $ Acc Elect P/C # hrs. 01 16002 7600 $ Acc Mech P/C # hrs. 011 00 57600 $ Boarding Fee 12115 53507 $ General Plan Surcharge 0111 002 1600 $ Statement of Fact/Record Search 011 60025 01 $ SMIP - Category Val$ 08 01001 24 0 $ Xerox Copy, Microfilm 0 116002 5777 $ 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 TOTAL $ NOTICE: Applications for plan checking submitt under Section 105.3.2 of the 2010 California Bui ing Code will expire if no permits are issued within 80 days. Receipt Prepared by: Misc. Receipt # 0 8738 Validation WP51 Fees 2011-2012/Misc Receipisi9-20-201