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Planning & Ang Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: <br />PAID BY: <br />Bldg — Plan Check # <br />Plmg — Plan Check # <br />Elect — Plan Check # <br />Mech — Plan Check # <br />Fire — Plan Check # <br />• <br />MISCELLANEOUS <br />RECEIPT <br />CYc, t,J Tbr ,,1 6"E # <br />DATE: 7 —o2 t <br />011-01-5401 $ <br />011-01-5402 $ <br />011-01-5403 $ <br />011-01-5405 $ <br />011-01-5401 $ <br />Bldg Permit— Trust/Special Inspection <br />011-01-5911 <br />$ <br />Plmg Permit — TrusttSpecial Inspection <br />011-01-5912 <br />$ 7 <br />—� <br />Elect Permit — Trust/Special Inspection <br />011-01-5913 <br />$ <br />Mech Permit — Trust/Special Inspection <br />011-01-5915 <br />$ <br />Fire Trust <br />011-01-5911 <br />$ <br />Acc Bldg P/C # hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # hrs. <br />011-01-5621-508 <br />$ <br />Boarding Fee <br />121-01-5579 <br />$ <br />Statement of Fact/Record Search <br />011-01-5911 <br />$ <br />Microfilming of Records $ per <br />011-01-5911 <br />$ <br />SM I P - Category Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Development Fee - Specify District # <br />301-01-5070 — <br />$ <br />Temporary Certificate of Occupancy <br />011-01-5911 <br />$ <br />30 Day Temporary Fee — Gas <br />011-01-5912 <br />$ <br />30 Day Temporary Fee — Electricai <br />011-01-5913 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />Il te Fvtz <br />$ <br />$ <br />TOTAL <br />$ <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the Califomia Building <br />Code will expire if no permits are issued within 180 days <br />Receipt <br />Prepared by: <br />�-i t�j of Santa Ann <br />P():7/25/201)5ID:GKELLY LOCH (JYH <br />GUST: INV:46705 <br />1)W7 0001 00002778 7/25/200b 2:`_-IPil <br />-IRANSAUION TOTAL: f6'I.'iC1 <br />Building $67.51 <br />V.A $100.00 <br />CHANGE $32. Su <br />Misc. Receipt # 46705 <br />Validation <br />