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City of Newport Beach Public Works Department
3300 Newport Blvd, Newport Beach, CA 92663 Public Works & Inspection Requests (949) 644-3
Permit No,-M 002-0381
M~L.Elx;M..,. (949) .... , ,, ,
Job Address : 312 CATALINA DR NB
Description : MODIFY SEWER LATERAL. INSTALL SEWER MANHOLE AND INSTALL
CITY ALLEY. BUILD WALL -ALL PER ATTACHED PLAN.
Parcel#:
Legal Desc :
Owner:
Phone :
Address:
Applicant :
Phone :
Address :
425-382-18
TR 444 LOT 10 NWL Y 85 FT
CITY OF NEWPORT BEACH
949-644-3311
3300 NEWPORT BEACH
NEWPORT BEACH, CA 92663
KILBRIDE MIKE LTD
949-548-0106
PO BOX 3341
NEWPORT BEACH CA
Special Cond. : NO FEE/CITY WORK
STANDARD DRAWINGS: 401-L, 140, 141
AND 105
Permit Processing Fee :
Agreement Fee :
Sewer Connection :
4TT Box Cover :
' -, Thomas Guide: 888 H6
Contractor :
Phone:
Address:
Contractor State Lie:
License Expire :
Class Code :
Business License :
Business Expire :
COAST WATER AND POWER
949/548-0106
PO BOX 3341
NEWPORT BEACH CA 92659
738400
07/~003
BT96014951
07/31/2003
Workers' Compensation Insurance - -
Carrier : STATE COMPENSATION FUND
Policy No : 1362825-01
W. C. Expire : 10/01/2003
Paid •:
Balance :
o -~;t2.n :,-o< ... o
CD CD m ::r :, c.c,geS'
S,:!:fDC~
521»::!: ~ .. .,,6 .. -CD u,:.~-
949-289-oofl3 2. ~ ;-3 (
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:::, Iii .s-. co "'i ,::, ... ,.m 3 0 :a 0 n cg~ _.,..o»
·""' 0 -'C .. ~
Streel/Alley/Walk/Closure :
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Water Meters(Meter + Conn) :
~-00
$0.00 ~~
$0.00
$0.00
$0.00
Receipt No : £,,(_;::ct"fl;e.c{
$0.00
10.00
Public Works Field lnsp. :
Utilities Field lnsp.:
Refundable Deposit :
Processed By :
JJtllities Approval : ~~
Traffic Approval :
General Services Approval :
Const. Water Meter :
Water Meter Box :
Adjustment :
Date : l_l_a~,e, 2-
Date :~D'Z.---
Date :_/_/ __
Date:_/_/ __
Other Department :
Permit Denied :
Issued Permit : 7+L
Date:_/_/ __
Date :_/_/ __
Date:p_f;oc
1.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::?!:;~A~:~:~qJV1:f?.~i::.:r:~::1:M~::F::{?.!:;~P~•.~:G::!NF::.<?~N1:A:t•P~:::::::::::::::::::::::::::::::::::::::::::::=:::===:=:::::=:::::=::::1
11PROJECT ADDRESS: 3 \o 't 3 \ i c A11\u (\A-uL 11
I; ESCRIPTION OF WORK: Hu,nN s~~("\ ~4-LJ 1(£il-A \mtk.n ... .
\ {\S"iC\ \\ 0E\,,)cJL H~f\\\o~ !eL L\D\ -L. -
\ (\jrl\ \\ c,~ ~\\~ VeL \4o + \4.\ -L
,,_~V\l~ w 4-b.., Ye-L L \tJ..th6o >
APPLICANT: MIKE KILBRIDE Phone: 949-289-0078
Mailing Address: City/State/Zip:
r"\ PO BOX 3341 NEWPORT BEACH, Ct\ 92659 . .
OWNER: _lJJ. Of lJN_l)\)\llU !.:fl\(\ Phone:
Mailing Addres~ I City/State/Zip:
CONTRACTOR: MIKE KILBRIDE Office Phone: 949-548-0106
Company (if different): Jobsite Phone: 949-289-0078
COAST 'vV ATER AND POWER Other Phone: FAX: 949-548-1616
Mailing Address: City/State/Zip:
• PO BOX 3341 NEWPORT BEACH, CA 92659
State License Number & Class: City Business License Number:
738400 A, B, C-10 BT9601491
WORKERS COMPENSATION INSURANCE • Certificate of Insurance (Section 3800 Labor Code)
Company: STATE FUND Policy No: 1362825 Expires: 10/01/2002
REFUNDABLE DEPOSIT INFORMATION (If Applicable) VffintifJ -.. 1 ~J 3
Made Payable To: MIKE KILBRIDE
Mailing Address: PO BOX 3341, NEWPORT BEACH, CA 92659
~-' ;_::---·.·.,,--~-:<_.,,:,~--':--;: ,--~•:-:__..,_ __ , -_ -,::'~c __ •·;,_.,•0,..:;;fQR'QFEICE U$.EtQNl,;Yi"~~•-~•~,~ :; '';' i,~' ~' ,-: -c:•'. ·,_ ;_k,0:,:,, ,,_~,;~ ,:,:•,-:-' -'~-•
Special Conditions of Permit: /1/ rJ Fee P..,,, /JJ, v~ ~ ~ /~ r,'
I I· I
_./4,, r _ l ) 'lo , LJ, 1/'J Gj'
I ,. I
Utilities: I V Traffic:
General Services: I Other:
Engineering Techicianfa-'4/ Permit Tect;zrc:.
t'] ,.·. u u !... u ..I \-:I J.
1:/userslpbw/sharedlencroachlmasierslepworksheel.xls
02-09-2005
4:45 pm
A/P/0 Information
lnse:ction Re~uest Reportin~ NE PORT BEACH, CA -CIT
Requested Inspect Date: Assigned To: Inspection Type: Inspection Area: Site Address:
Thursday, February 10, 2005 zzzzzzzzzzz* ENCROACH PW
312 CATALINA DR NB
Page 1
Activity: Const Type: N2002-0381 Type: ENCROACH Sub Type: NEW Status: APPROVED Occupancy: Use: lnsp Area: PW Owner: Applicant: CITY OF NEWPORT BEACH Phone: 949-644-3311
Description: KILBRIDE MIKE LTD Phone: 949-548-0106 MODIFY SEWER LATERAL. INSTALL SEWER MANHOLE AND INSTALL CITY ALLEY. BUILD WALL-ALL PER ATTACHED PLAN.
Requested lnspection(s)
Item: 10250 FINAL -PW Requester: WEBUSER Comments: ANY-final please Assigned To: zzzzvzzzzz•
Action:
Inspector: /K'! c IC
Comments:
REPT131
Time Exp:
Requested Time: 12:00 AM Phone:
Entered By: WEBUSER WB
Date: ,.(_ --Iv --o > Time: AM PM ----
hcPt2k s::
Run Id: 7 77