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RECEIVEDBV PERMIT
For Applican[ to Fill in Completely — Use Ink Only
BVI�DING . A.P.NO.//S 3�2 �
ADORESS
BUILDING �,�. • �
TENANT�R M.D. Janes C.O. � II1C. ADDRESS
UNIT OR
ADDREss 2950 Airway Av2. , D-9 SPACENO.
TEL IOJ�.,J LOO� � � �� BLK.
c�rv Costa n4esa 92626 No.979-337
CONSfRUCiION NEW ADD ALTE0. REPAIR MOVING DEMOLISH
LENDEF N/A
BRANCH yi
OWNER S
ADDPESS VALUE n
AFCHITECT TEl US }7I� %
ORENGINEEIi S'dlll ieri 11 N 549-252
ADDRESS 1%9z`�. S]j Park Irvine g�.%1 ZONE V TVPE GROUP
APPROVED
CONTRACTOR Owner BY OATE
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ADDRESS
TEI.
CITV NO.
STATE CITV APPROVEDSETBACKS � f
LI0. NO. LIC. NO. �
SIZE NO.OF BLOGS (]� IFROM C/L STREET)
OFLOT IZTeg. NOWONLOT y� OM �FT. �
VSE OF (�
EX4STING BLDG. Y' T �
Separa[e permits aze requ'aed for �. si e SFr.
electric, plumbing and hea[ing work:
REAR FT.
VSE OF BUILDING AND WORK TO BE PERFORMED � PLANNING ACTION
DATE
!J — — S APVROVED � � �
Attached Garages. owao� �,QO. ��.
HOLD FOR SPECIAL REQUIP,Eb1�t�Ts
I hareby acknowlatlpa that I have r�etl thif epplication entl steta �
cha[ ihe eEove Informexion is correct anE a9�ea to comply with �
all laws regulating b�ilElnp conrtruction, antl I zhall not amploy
any person in vialatlon of the workman's compensatlon lawa o1 °
Na Stata af California.
m
I hereby certify that I em praperly licenxetl as a contractor untler SQ. FT. �
Me Siate of Californle Businesa entl Profassions Cotla, Dlviaion 3, TNE AMOUNT SHOWN VNDER VALUATION IS FOR m
Chapiar 9, antl thet such licenma ara In full farca antl effect, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONI�: �
am exempt trom th provisions of the Smte of Callfornia Buzinass a
VALVATION PERMIT FEE S N
antl Profesziana Co e, Div' n 3, Chepter 9. �
$Ignature Of /� P�N CHECK b O O
Parmittee S G�%/�� �
TAX 5
Of � � � U
AuthorizatlA te TOTALPAIO E
OwNER M. D. JANES CO3 INC.
JOB ADDRESS 420 Briohtnn Snri
1
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ROUGH PLUMBING
PROP. SM'R. LIHE I-I NOUSE CON.
ROUGH NE�TING RNO MR COND
iEMPOR�RY SERVICE OR POLE
UNDERGPOUN� � I GOWEA [
ROUGM WIRING
TRENCNES FORMS
FLOOR SVSTEM
BONO BEAM r� STEEL NEI�
SNEATMING
FRPME PNO FL45MING
LATNING - IN rI OOT n
P��STER, BNOWN C04T
STPUCTUR�L,FIN4L
NEATING. VENT.. REiPIG. PNU
PLUMBING. FINA� 1N0 G�5 TE!
ELE�TRIC, FIN�I
� BIIILOING. FINAI
SPECIAL pEOUIpEMENTS
IITILITv NOTIFIEO, Gs5 ❑ E
E
DATE 10-29-79
BUILDING PERMIT NO.Part
VA
SUBCONTRACTOR