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Planning & Blang 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 />FJ <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: HOLi Y1 <br />SUITE # <br />PAID BY: cL ,-JA°`u���i r �`, .ri <br />y <br />__ DATE: <br />` <br />- _�— <br />Bldg - Plan Check # j n 23p >� _ <br />---r —� <br />011-01-5401 <br />$ <br />c_ <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 - Trust/Special Inspection <br />011-01-5915 <br />$ <br />Fire Trust <br />011-01-5911 <br />$ <br />hrs. <br />Acc Bldg P/C # �yn..� � _ <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C. # hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # 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 $ 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 />$ <br />-, <br />TOTAL Fa: .�: ��iaa._ <br />$ <br />f:tr�r: <br />NOTICE: Applications for plan checking issued under <br />,,, A( ION <br />TOT>°' <br />the provisions of Section 107.4 of the California Building <br />i Ru i k d i ns <br />Code will e xp ire if no p ermits are issued within 180 days. <br />Tu i Id in-9 <br />ci< <br />s425 <br />$1,u56sa. 2', <br />Receipt <br />_ <br />Prepared by: <br />Misc. Receipt # 45825 Validation <br />