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Planning & ading Agency <br />Building SafW 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 />&CELLANEOUS <br />RECEIPT <br />2 s <br />PROJECT ADDRESS: L-O <br />SUITE # <br />PAID BY: 1 � <br />DATE: <br />-7— J" <br />Bldg - Plan Check # rl 1 <br />01116002 53600 <br />$ <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 />09801D0124045 <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 />0111609W1t <br />SMIP - Category Val$ <br />08901OK24OO YH <br />T$ana,: z 1 of 1 <br />Building Standards Revolving Fund <br />01116&% <br />'Copies/Microfilm <br />011160OZ-67177Dn <br />7otc$ $?1 .q2 <br />Residential Development Fee - Specify Acct. No. <br />3003k9UEL <br />CRt$ <br />Temporary Certificate of Occupancy <br />01116091 . 1516691i <br />$ <br />30 Day Temporary Fee - Gas <br />n9 <br />0111600Q O 53600(40- <br />_ 94 <br />30 Day Temporary Fee - Electrical <br />011160d- '4'4t6n <br />24$7 $71= • °:' <br />Bond: Demo, 30-Day. Relocation, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />TOTAL <br />$ `] ?� <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 20 10 California Building Code will expire if no <br />permits are issued wit in 180 days. <br />Receipt <br />r� <br />Prepared by: I M^+1-k—Z'- <br />L�r <br />Misc. Receipt # 712 0 2 <br />Validation <br />