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Planning & Bering 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: 1 �j <br />�'�� <br />_ _ SUITE # <br />PAID BY: <br />DATE: <br />— e]—n L� <br />Bldg — Plan Check # 1 U W E(21 <br />_ -- U <br />011-01-5401 <br />$ �77�,Lq , 7�2� <br />Plmg — Plan Check # <br />011-01-5402 <br />$ <br />Elect — Plan Check # Q <br />011-01-5403 <br />$ <br />Mech — Plan Check # <br />011-01-5405 <br />$ y , r7 {�1 <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 — Trust/Special Inspection <br />011-01-5915 <br />$ <br />Fire Trust <br />011-01-5911 <br />$ <br />Acc Bldg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <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 />$ <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 are issued within 180 days• <br />Receipt <br />Prepared by: <br />_ � C __,i o�1riLCi r'siltt <br />F'D:2i8i20051D-RMAFFE1 LOC; C i iH - 1-101 <br />CAL,1: INV:45557 <br />0054 0001 00094405 2/8J2005 1:1`F'11 <br />TRANS -AU IUN TuiAL.' $4 (1.60 <br />Building 3365.3: <br />8uildin3 $63.73 <br />$ul ld in!� <br />Cr,edry5563 it Card FeeMC0 <br />RANGE $1".00 <br />Misc. Receipt # 45557 Validation <br />