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Planning & E&ing Agency <br />Building Saf 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 />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 10G Z4- 5►t- , <br />SUITE # <br />PAID BY: well- I <br />DATE: <br />? <br />Z5 �Sl <br />Bldg — Plan Check # l 0 q 7/Ya <br />01116002 53600 <br />$ <br />ZZZ, t L <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 —InspectionlSpecial Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # /Of 17r yn hrs. 1Z_ <br />09801001-24045 <br />$ <br />Z gV. 7(z, <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 />01116002 51601 <br />$ <br />F -SUIR--Cawgory Val$ <br />0890100124-0010 <br />.$.., <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$' <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <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 />�2�► <br />$ <br />TOTAL <br />$ <br />5 ao . 9 2- <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 # 71277 <br />Validation <br />