HomeMy WebLinkAboutN2013-0242SCANNED
eq�g nMPLE�tT,,fjyt J` City of Newport Beach Public Works Departmn `�' o: N2013-0242
3300 Newport Blvd, Newport Beach, CA 92663 Public Works &Inspection Requests (949) 644- 31 ion Requests (949) 644-3011
Job Address: 1225 W BALBOA BLVD NB Thomas:Guide: 919A1
Description: Install (2) sewer laterals per STD 406-L. Install 1" water
service per STD 502-L.cle(olinc�, REVIEWED11l2tr �) ¢
208485. Cap existing sewer lateral.
Parcel#: 0595-2013
Legal Desc : N TR 234 BLK 12 LOT 18
Owner: WEST JOHN JAMES
Contractor:
COAST WATER AND POWER
Phone: 0
Phone:
949-548-0106
Address : 22111 CAPE MAY LN
Address:
P 0 BOX 3341
HUNTINGTON BEACH, CA^
NEWPORT BEACH CA 92659
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Contractor State
Lic: 738400
Applicant: MIKE KILBRIDE, LTD
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License Expire :
07 31, 2013
Phone: 949-548-0106 [
Address : PO BOX 3341
NEWPORT BEACH, CA 92659
Business License: BT96014951
Business Expire
: 12 31, 2013
Special Cond.: PC# 0595-2012
Workers' Compensation Insurance - -
Carrier :
STATE COMP INS FUND
Policy No:
238-0012920
W. C. Expire:
10 01, 2013
Permit Processing Fee :
$236.00
Sewer Connection :
$500.00
Total Fee
$2,061.58
Agreement Fee:
$0.00
4TT Box Cover:
$109.44
Paid:
$2,061.58
Traffic control Plan Check :
$0.00
Total Water Meters:
$420.00
Balance : C
$0.00
Inspection Fee :
$750.00
Water Meter Connection :
$281.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$46.14
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Date: _/_/
Other Department :
Date:
Utilities Approval :
Date: _/ /
Permit Denied
Date :
Traffic Approval:
Date
Issued Permit
I
: _/_/
:
Date:
General Services Approval :
Date