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Planning & Along 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 />MISCELLANEOUS <br />RECEIPT <br />40 <br />PROJECT ADDRESS: 2 8 `7(a s r--4✓V <br />PAID BY: �G?�t ►;r �! A <br />SUITE # <br />DATE: ! 2 - t 7- -i3 <br />Bldg — Plan Check # <br />01116002 53600 $ <br />Plmg — Plan Check # <br />01116002 53602 $ <br />Elect — Plan Check # <br />01116002 53601 $ <br />Mech — Plan Check # <br />01116002 53603 $ <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 # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />SMIP - Category Val$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee — Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee — Gas <br />30 Day TemporF—Electrical <br />Bond: Dem 3location, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 Califomia Building Code will expire if no <br />aermits are issued within 180 darts - <br />Receipt _ <br />Prepares . <br />Misc. Receipt # 61485 <br />12115002 53507 ,, I-, $ <br />01116002 51600 rm $ <br />01116002 51601''-` 7? 16, $ <br />08901001 24000 on lot $ <br />01116002 51612`GROTE $ <br />01117002 57770:rav Fe-$ <br />3002 57991 Q513t <br />01116002 51601 2401`$ <br />Id <br />01116002 51602,r�*��x$ <br />01116002 51603 $ <br />09801001 24015 $ <br />01116002 51501 $ <br />12015002 53700 $ <br />TOTAL <br />Validation <br />E-� <br />