HomeMy WebLinkAboutN2017-0608wt City of Newport Beach II�II��II���III II
100 Civic Center Drive, Newport Beach, CA 92660
F `{. Permit Counter Phone (949)644-3311
Online Inspection Request- www.newportbeachca.gov/Online
Services
Job Address : 130 39TH ST NB Thomas:Guide:
Description : REPAIR EXISTING SEWER LATERAL AND INSTALL CLEAN OUT PER STD 406-L..
Parcel # : 4233-220-1 -
Legal Desc : RIVER SECTION BLK 38 LOT 16
Owner: 431 SANE ANAA AVEE
Phone:
Address : 431 SANTA ANA V
NEWPORT BEACH CA 92663
L1
Applicant: COAST WATER & POWER I '
Phone : 949-548-0106 949-289-00781
Address : P 0 BOX 3341
NEWPORT BEACH CA 92659
Special Cond.: PRE -CONSTRUCTION MEETING REQUIRED
Permit No: N2O17-060Z -
Project No: 2955-2073
Inspection Requests Phone (949)644-3255
888G6
REVIEWED
Contractor: COAST WATER & POWER
Phone: 949-548-0106 949-289-0078
Address: P O BOX 3341
NEWPORT BEACH CA 92659
Contractor State Lic: 738400
License Expire: 07 31, 2019
Business License: BT96014951
( Business Expire: 12 31, 2017
Workers' Compensation Insurance - -
Carrier: STATE COMP INS FUND
Policy No: 9087110
W. C. Expire: 10 01, 2018
Permit Processing Fee :
$241.00
Sewer Connection:
$0.00
Agreement Fee:
$0.00
4TT Box Cover:
$64.00
Traffic control Plan Check:
$0.00
Total Water Meters :
$0.00
Inspection Fee :
$330.00
Water Meter Connection:
$0.00
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Date: _/ /
Utilities Approval :
Date: _1
Traffic Approval :
Date:
General Services Approval :
Date:
Other Department:
Permit Denied :
Issued Permit
Total Fee
Paid :
Balance
Receipt No:
$635.00
$635.00
$0.00
Date
INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
,becember 4, 2017 at 3:05:20 PM PST 96 3 Received
Ir; r
rPa'r 1�.
PLEASE COMPLETE THE FOLLOWING INFORMATION
PROJECT ADDRESS:
130 39TH ST
DESCRIPTION OF WORK:
REPAIR SEWER LATERAL & INSTALL CLEAN -OUT PER 406-L
APPLICANT: MIKE KILBRIDE 1PhORW 949-289-0078
Mailing Address:
PO BOX 3341
Cityfstatelzip:
NEWPORT BEACH CA 92659
OWNER: Phone:
Malling Address;
City/State/zip:
CONTRACTOR: MIKE KILBRIDE
Office Phone:
949-548-0106
Company (if different): lJobsite.Phone: 949-289-0078
COAST WATER AND POWER 10ther Phone: FAX; 949-548-1616
Mailing Address: City/State/zip:
PO BOX 3341 NEWPORT BEACH, CA 92659
State License Number & Class:
A B, C-10
City Business License Number:
I BT9601491 EXP:12-31
2017
=738400
WORKERSNSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code)
STATE FUND PolicyNo: 9087110A4-2 Ex ices; 10/112018
REFUNDABLE DEPOSIT INFORMATION ftA licabla)
Made Pa able To: MIKE KILBRIDE Vendor No:
9833
Mailing Address: PO BOX 3341, NEWPORT BEACH CA 92659
Immm
Special Conditions of Permit:
UI'
Utilities: Traffic:
General Services: Other:
Engineering Technician:
Public r(cs Specialist:
1 \) 1121
bate: _
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Permit No
N2017- �
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=POWER POLE
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ENCROACHMENT PERMIT
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APPLICANT
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