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Planning 8.lding Agency <br />y, <br />Building S Division <br />A <br />20 Civic Center Plaza <br />P.Q. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />OSCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: c2 5-10 11✓ SUITE # <br />PAID BY: �DATE: <br />Bldg — Plan Check # 01116002 53600 $ <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech — Plan Check # 01116002 53603 $ <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 />011160pn2t,J�09'11)34 <br />- 726.''�+t8 u?' �fF9SAE= <br />SMIP - Category Val$ <br />08901 06YR <br />71nng: <br />Building Standards Revolving Fund <br />0 111 60PP):�2239 $ �_� 111Q1d ;f�:7L Di4 <br />Copies/Microfilm <br />0111600 &&ZH&n <br />Tote$ $888.64 <br />Residential Development Fee — Specify Acct. No. <br />30 o R�E <br />t:OH f�nrTTnw <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee —Gas <br />011160YRVO. 3bc�atr�t�- <br />30 Day Temporary Fee — Electrical <br />01 116010�f 1603 <br />$ sss° <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />TOTAL <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 <br />Prepared by: <br />Misc. Receipt # 712 8 0 Validation <br />H� <br />