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Planning & B*ing Agency <br />Building Safety 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 />0 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: ! �(E�l� SUITE # <br />PAID BY: . ICE z 1 `� G l'�- /Y �� L 1 DATE: <br />Bldg — Plan Check # <br />,, <br />011-01-5401 <br />$ - <br />Plmg — Plan Check # <br />011-01-5402 <br />$ <br />Elect — Plan Check # <br />011-01-5403 <br />$ <br />Mech — Plan Check # <br />011-01-5405 <br />$ <br />Fire — Plan Check # <br />011-01-5401 <br />$ <br />Bldg Permit — Trust/Special Inspection <br />011-01-5911 <br />$ <br />Plmg Permit — Trust/Special Inspection <br />011-01-5912 <br />$ <br />Elect Permit — Trust/Special Inspection <br />011-01-5913 <br />$ <br />Mech Permit —TrustlSpecial Inspection <br />011-01-5915 <br />$ <br />Fire Trust <br />011-01-5911 <br />$ <br />Acc Bldg PIC # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg PIC # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect PIC # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech PIC # <br />hrs. <br />011-01-5621-508 <br />$ <br />Boarding Fee <br />121-01-5579 <br />$ <br />Statement of Fact/Record Search <br />011-01-5911 <br />$ <br />Microfilming of Records $ <br />per <br />011-01-5911 <br />$ <br />SMIP - Category Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Development Fee - Specify District # <br />301-01-5070 — <br />$ <br />Temporary Certificate of Occupancy <br />011-01-5911 <br />$ <br />30 Day Temporary Fee — Gas <br />011-01-5912 <br />$ <br />30 Day Temporary Fee — Electrical <br />011-01-5913 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />TOTAL <br />$ <br />$ 77 <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />Code will expire if no permits ogre issued within 180 days <br />Receipt <br />Prepared by: <br />:. i t� �i Santa Rna <br />f'D:r/I" i20U`51D:RMAFFEY L00 CTYH - (02 <br />C:U'ST: INV:4`6i3 <br />U076 00(11 00094980 2/ 1 `1 200 16: 20AM <br />TFiHHSAC.TIUha TOTAL: f419.77 <br />Buildins $419.77 <br />C.K f4 i 9. 77 <br />(MANGE so.00 <br />Misc. Receipt # 45618 Validation <br />