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Planning & ding Agency <br />Building Sao Division <br />WCELLANEOUS <br />20 Civic Center Plaza <br />RECEIPT <br />— - P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />\#'t' <br />S �C� �'t' ' <br />PROJECT ADDRESS: �/IJJ� 1 1 i <br />SUITE # <br />PAID BY: �j�����i'l ��_� <br />DATE: <br />Bldg — Plan Check # �C�� t9fl { _ _ _ _ <br />01116002 53600 <br />$ �� 2� <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 />Pimg 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 />' $121a1b IV: F,Lu''' <br />H <br />Trans4' �1 <br />Acc Bldg P/C # hrs. <br />09801001=24045,u- <br />{f <br />Acc Plmg P/C # hrs. <br />09801b <br />rFli ' <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # hrs. <br />09801001-24045 <br />$ , <br />Boarding Fee (Community Preservation) <br />12115002 53507******:$,7F _MA ,ao,`,, <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />01116002 57770 <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 />ire Facilities Fee <br />12015002 53700 <br />$ <br />TOTAL <br />$ 71 S . <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 0 0 Validation <br />