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Planning & Aking Agency • <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDR SS: 1 'q'0O Cam- (fq >'n <br />e SUITE # <br />14 <br />PAID BY: <br />DATE: p2-p27-% <br />Bldg - Plan Check # r j Eb?Sb <br />01116002 53600 <br />$ p- <br />Plmg - Plan Check # <br />01116002 53602 <br />$ <br />Elect - Plan Check # o-2 o 113 y t <br />01116002 53601 <br />$ a3Y - r7 3 <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 # / p /dos lSa hrs. �� <br />01116002 57600 <br />$ ys-. 6,Y <br />Acc Pimg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # eg hrs. 2 <br />01116002 57600 <br />$ ;;I y,S-: Y <br />Acc Mech P/C # hrs. <br />01116002 57600 <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 />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001.2400.a,,cli <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 " <br />$' <br />Copies/Microfilm <br />01117002 5777042249 <br />$ <br />Residential Development Fee - Specify Acct. No. <br />3002 57991' OR Tot$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee - Gas <br />01116002 5160? o flg <br />$ <br />30 Day Temporary Fee - Electrical <br />01116002 516E3 <br />� c60 <br />fir" - - � <br />d., .�, <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />f <br />09801001 24G15- 53601$00- <br />� <br />- <br />Fireworks Stands Fee <br />:n the <br />01116002 51.5b� ;76014(11; <br />Fire Facilities Fee <br />1201500.2 5�-(Qior d <br />TOTAL <br />$ <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />permits are issued within 180 days. <br />Receipt �< 11 C <br />Prepared by: <br />Misc. Receipt # 61742 <br />Validation <br />