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Planning & B�ng Agency <br />Building Sat ivision NWELLANEOUS <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 ADDRESS: 1 71Z_k�j" <br />�'T' . SUITE # <br />PAID BY: LQ C/ <br />DATE: <br />'7 L3r 1 'Er - <br />Bldg - Plan Check # is 01 1 7t 171 <br />01116002 53600 <br />$ 3B� �- <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 24 <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 />121150r,5 d - <br />ce TYH <br />31/2-18 10. LR©SALE_ <br />I�` t _ <br />General Plan Update Surcharge <br />011160I�£0 <br />W Rpf"-: 7j30'3 <br />Statement of FactlPublic Records Research <br />011160pg[o 5637 ' .. t Nt� <br />n Totr$ 0+ <br />` SMtP`z <br />08901001n24000 <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />011160Q2: W770 ns <br />$ s <br />Residential Development Fee - Specify Acct. No. <br />30631 f <br />Temporary Certificate of Occupancy <br />011 1600MTl"1*******$66:t AtithT:086783 <br />30 Day Temporary Fee - Gas <br />01116002 51602 <br />$ <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 />-7 � Z 1 Vo leg PP-, 4t,3 <br />- --1 L)N T 11\'Qr_-4L' UUA -_+-1 CA. 07 2 <br />$ <br />TOTAL <br />$ p o <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />ermits are issued within 180 days. <br />Receipt <br />Prepared by: 2 <br />Misc. Receipt # 71303 <br />Validation <br />