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Planning 8ilftlding Agency <br />Building SAWFy 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;001 (�- b� o'-- W . <br />(n�l <br />PAID BY: �K �t`1moa �w��h� M <br />IkSCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: <br />Bldg — Plan Check # tao 5Lp <br />01116002 53600 <br />S <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect — Plan Check # <br />01116002 53601 <br />$ <br />Mech — Plan Check # <br />01116002 53603 <br />$ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit — Inspection/Special Inspection <br />01116002 51603 <br />$ <br />Mech Permit — Inspection/Special Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Plmg P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # hrs. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />5� 21 ` <br />01116002 aITYH <br />$ - <br />.L�: i_RQSALE_ <br />} <br />SMIP - Category Val$ <br />08901001--241D00 <br />$ <br />71212 <br />Building Standards Revolving Fund <br />011160 n Tot, <br /><<6 I)v <br />Copies/Microfilm <br />011160Q� 5777 <br />HF11TAOF <br />Residential Development Fee — Specify Acct. No. <br />30 M)TOME <br />Temporary Certificate of Occupancy <br />011160P2i"' <br />f3,546 <br />30 Day Temporary Fee —Gas <br />b + i. - 536[iOC� <br />01116002 a2 01. <br />iC� <br />0 114 23 <br />$3.94A <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />TOTAL <br />S 3&5 <br />U . us <br />NOTICE: Applications for plan check submitte nder Section <br />105.3.2 of the 2010 California Building C pikwill expire if no <br />permits are issued within 180 daKsy/ <br />Receipt <br />Prepared <br />Misc. Receipt # 71212 Validation <br />