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Planning 81&ilding Agency <br />Building SWy 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: I 0'C W �Tl_ SA SUITE 4 <br />PAID BY: Ckr),SbOn &jhA6L i 1 OC <br />i _WU C0 BATE: <br />2 (j [� - <br />Bldg — Plan Check # <br />01116002 53600 <br />$ <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect — Plan Check # <br />01116002 53601 <br />$ <br />Mech — Plan Check # Di< <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 # 14 C L- T hrs. 2 <br />09801001-24045 <br />$ t� , <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 24000yj <br />_ "$_4/?019 Tn: NGAR( <br />Building Standards Revolving Fund <br />01116002 51612'' <br />=: 16 i (01 <br />Copies/Microfilm <br />01116002 577701.139 <br />$ 7/741707F 17771 AN <br />Residential Development Fee — Specify Acct. No. <br />3002,57991', <br />Toto$ *6S6.�u <br />Temporary Certificate of Occupancy <br />011160D-2351601 *0THE4, <br />PtUMANUAL <br />30 Day Temporary Fee — Gas <br />01116002 51602 i cal <br />$ t_.--�- <br />30 Day Temporary Fee — Electrical <br />01116002 51603.36030$1- <br />Bond: Demo, 30-Da Relocation, Sign, Fireworks <br />Y� 9 <br />09801001 24015 cher-1 <br />,363701- - <br />Fireworks Stands Fee <br />01116002 51501 <br />02%71 s°•-�•�, <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />�Iufsiw <br />$ <br />TOTAL <br />$ <br />!NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 Califomia Building Code will expire if no <br />permits are issued within 180 days. <br />Receipt <br />Prepared by: FA <br />Misc. Receipt # 71270 `_� Validation <br />