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Home My WebLink About18.7.1 City Constrution Permit CITY OF FONTANA ENGINEERING DIVISION - CONSTRUCTION PERMIT Design Review No.: Permit No.: EC960010 CUP No.: Issued: 04/11/1996 City Plan/Std No.: Expires: 06/10/1996 Job Address: LOCUST AVE SEWER EXTENSfON ACROSS FOOTHILL BLVD Applicant: Contractor: S.J. BURKHARDT INC. S.J. BURKHARDT INC. 6157 MARLATT ST 6157 MARLATT ST MIRALOMA MIRALOMA 91752 Phone: 909-685 7488 91752 Phone: 909-685 7488 License Number: 510982 Applicant: S.J. BURKHARDT INC. Phone: 909-685 7488 Description: FEE SUMMARY Street Improvement: .00 Storm Drain Improvement: .00 Sanitary Sewer Improvement: 97,982.00 Traffic Signal/Signs/Striping: .00 Center Line Median: .00 Landscape Improvement: .00 Subtotal: 97,982.00 Contingency: .00 97,982.00 Permit Fee: .00 Improvement Inspection: .00 Landscape Inspection: .00 Permit Subtotal: 97,982.00 Construction Permit 53200-4835 (2109): .00 Penalty Fee ........ 53200-4835 (2109): .00 Water Construction. 81300-4478 ( ): .00 Cash Deposit ....... 710-2517 ( 854): .00 Total Fees: .00 Total Payments: .00 CONSTRUCTION ITEMS NO INSPECTION PERMIT FEE IS CHARGED ON THIS PROJECT BEING A CITY CAPITAL IMPROVEMENT PROJECT. CITY BID NO.SB 72-94. THE CONTACT AWARD AMOUNT FOR THIS PROJECT IS $97,982 NOT INCLUDING CONSTRUCTION CONTINGENCY COST. ENGINEERING DIVISION - CONSTRUCTION PERMIT Design Review No.: Permit No.: EC960010 CUP No.: Issued: 04/11/1996 City Plan/Std No.: Expires: 06/10/1996 Job Address: LOCUST AVE SEWER EXTENSION ACROSS FOOTHILL BLVD Applicant: Contractor: S.J. BURKHARDT INC. S.J. BURKHARDT INC. 6157 MARLATT ST 6157 MARLATT ST MIRALOMA MIRALOMA 91752 Phone: 909-685 7488 91752 Phone: 909-685 7488 License Number: 510982 Applicant: S.J. BURKHARDT INC. Phone: 909-685 7488 Description: FEE SUMMARY Street Improvement: .00 Storm Drain Improvement: .00 Sanitary Sewer Improvement: 97,982.00 Traffic Signal/Signs/Striping: .00 Center Line Median: .00 Landscape Improvement: .00 Subtotal: 97,982.00 Contingency: .00 97,982.00 Permit Fee: .00 Improvement Inspection: .00 Landscape Inspection: .00 Permit Subtotal: 97,982.00 Construction Permit 53200-4835 (2109): .00 Penalty Fee ........ 53200-4835 (2109): .00 Water Construction. 81300-4478 ( ): .00 Cash Deposit ....... 710-2517 ( 854): .00 Total Fees: .00 Total Payments: .00 CONSTRUCTION ITEMS NO INSPECTION PERMIT FEE IS CHARGED ON THIS PROJECT BEING A CITY CAPITAL IMPROVEMENT PROJECT. CITY BID NO.SB 72-94. THE CONTACT AWARD AMOUNT FOR THIS PROJECT IS $97,982 NOT INCLUDING CONSTRUCTION CONTINGENCY COST. ~1.157 MA,FILA'TI' MIRA LOMA, CALIFORNIA 91752 {714) 685,74,.58 TELEOPY CO~q~IL~|iCATION · zo: ~gu3uF Pr'I-Tt3'.WWAL/I ~-I ~'Pi~ ~ (UOg) 68S-7~88 T,~/F~ " (909) 68~-Y838 l~tJlcttfl OF PACE, S, INCLIIDIt~C ~DilS PACE 04/08/96 lfl;04 FAX 9~9 3T1 4296 r400RE ELECTRIC ~3002/002 PLE~E TYPE OR PRINT . ~HANGE OF OWnErSHIP ~ OF FO~TANA .CHANGE OF 8U~NE~ ADDRESS Pc. BOX 518 ~HER ~NT~A, ~ 9~518 NAME OF BUS:NEH: ~OO~ ~C~ ~~ U~ / ~ - ~sr~ ~!lne~ ~lre ~ P~ige ~nce) '~' IF BUSINESS A~R~ IS LOCATED WITHIN THE Cl~ OF ~NTANA PEASE COMPETE 1 THiU 3 1. PREVIOUS USE OF BUILDING 2, ~ES USE INVOLVE H~R~US OR HIGHLY F~MMABLE MATERIA~ YES 3, DO YOU OPE~ M~E T~N ONE BeSlNE~ AT TH~ ABOVE LOCATION? YES NO, BUSINESS MAILING ~DRE~_ (N~ end ~m el ~rlncl~ -- i~h ~!a~e ~a~ ff P~OVIDE TH~ FOLLOWING WHERE APPL1OAtLE {'FO~ ~CH OWNE~/P~INOIPA~) ~TATE 8AL~ T~ NUMBER ~ATE EMPLOYER N~MBER '~OCIAL ~ECURI~ NUMBER ~TATE CON~O~S UCENSE NUMtEe ~/~ ~ ~ C~ ~/~ GROSS RECEIPT~ (E~e if new ~lne~) ~ LICENSE T~ F~[ DUE Fu Bate S~le che~ APPUCAT;~ FeE S APPLIOAI ION P~ TOTAL AMOUNT DUE SI6~RE DATE ~'~ "~ PMNNING DEPARTMENT A~OU~ NUMBER, ~/ POLICE DEPARTMENT R~VENUE HEALTH DEPARTMENT ~ANDAHD INDUSTRY - ~ M~K YOU ~R~ D~PA~MENT ISSUING CLERK . . ENVIRONMENTAL DEPT. CERTIFICAT~ NUMBER ISSUED - BATCH NUMBER NOTICE 3M/e-e4 PL~E ~MPLETE ~ ~IDE~ OF THIS APPLICATION CITY OF FONTANA BUSINESS TAX CERTIFICATE Post Office Box 518 FONTANA, CA 92335-3598 Telephone 909-685-7488 ,,,=,~t 0182~' Epirali~ 041501?6 Date c~.o, CONTRACTOR ~., BURKHARDT, C.~.-PRESIDENT B.iness 6157 MARLATT STREET BURKHARDT, S.J. INC. MIRA LOMA, CA 91752 e..h.. 6157 MARLATT STREET Name c~ MIRA LOMA, CA 91752 LISA A. STRONG (: 04/04/96 08:46 FL'{ ~ o0~ PMI pRECAST MANHOLE INSTALLATION 5021 STONE AVENUE-RIVERSIDE'CA 92509. 909 681.0601 FAX 909 681.0608 FAX TRANSMISSION Number of pages inOludin9 this pmge: Message: 9601s~275 45833 CETY OF FONT ANA BUSINESS TAX CERTIFICATE 45833 ce..~r CONTRACTOR """"~' 50~1 STONE AVE~ ~"' JAUREGUY~ ED-PRESI~ENT ~..,~PRECAST MANHOLE INSTALLAT]ON~ INC. RIVERSIDE/ CA:92509 ,,~, 5021 .~ STONE AVE. cw RIVERSIDE/ CA 9Z509 LISA A. STRONG ~/' rri~US~NESS LICENSE APPLICATION ~z~,r_NEW PLEASE TYPE OR PRINT ____,CHANGE OF OWNERSHIP CITY OF FONTANA ____CHANGE OF BUSINESS AODRESS P.O. BOX 518 ____,OTHER FONTANA, CA 92334-0518 ,t>,> '7,,,, " PHYSICAL ~DRESS; CI~: ~n¢~o,_ ~ATE:..~ ZIP: d~-ZfiELEpHONE IF BUSINESS ADDRE~ IS LOCATED WITHIN THE CI~ OF ~NTANA PLEASE COMPLETE I TH8U 3 1. PREVIOUS USE OF BUILDING 2. DOES USE INVOLVE H~R~U8 OR HIGHLY F~MMABLB MATERIALS? YES. JNO 3. DO YOU OPE~E MORE THAN ONE B~SINE~ AT THE ABOVE LOCATION? YES__. NO ~/ BUSINESS MAILING ADDRESS RESIDENCE ADDRE~ TELEPHONE PROVIDE THE FOLLOWING WHERE APPLICABLE ("FOR EACH OWNER/PRINCIPAL) STATE SALES T~ NUMBER STATE EMPLOYER NUMBER 'SOCIAL SECURITY NUMBER STATE CONTaACTORS LICENSE NUMBER ~ ~ ? 7 C~SS APPLICATION FEE $ APPLICATION FEB - TOTIE I~NT D~E $ ~ Q ' ~ o my ~owledge and ~lief repr~ent a ~ue, ~rr~t end ~pl~e_stat~ent otJp~X POLICE DEPARTMENT BUILDING BEPARTMENT ¢~ REVENUE CODE tO~ ' RATE TABLE FIRE DEPARTMENT ~ ISSUING CLERK EN~flRONM[NTAL DEPT. CERTIFICATE NUMBER I~UED ~ BATCH NUMBER NONCE PLBSE ~MPLETE BOTH SIDES OF THIS APPLICATION TOTRL P. CITY OF FONTANA BUSINESS LICENSE CERTIFICATE rosl Office B,a~ 02128192 42~950 ~QORE~ ROSCOE ~1852 '~ PO~DNA F~DgRE ELECTRICAL CONTRACTING CORCN~ 1-~52 ~, POMONA CORONA BUS~NESS LICENSE APPLICATION _,,~_NEW PLEASE TYPE OR PRINT ____CHANGE OF OWNERSHIP CITY OF FONTAliA ____CHANGE OF BUSINESS ADDRESS P.O. BOX 518 ____OTHER FONTANA, CA 92334-0518 PHYS~CAL~oRESS:/n~O Pq~/o.~ ~' CITY: ~Y'/4CL~,TFA,, STATE: CA ZIP: q,-~'~>S--~"fELEPHONE: (V~ious businesses req-ke edd~oneJ Pc~k~s ~esr~rcel IF BUSINESS ADDRESS IS LOCATED WITHIN THE CITY OF FONTANA PLEASE COMPLETE 1 THOU 3 ~. PREVIOUS USE OF BUILDING 2. DOES USE INVOLVE HAZARDOUS OR HIGHLY FLAMMABLE MATERIALS? YE O 3. DO YOU OPERATE MORE THAN ONE B~SINESS AT THE ABOVE LOCATION? YES___ NO BUSINESS MAILING ADDRESS (If different than business location} TYPE OF OWNERSHIP NDI IDU PART ERSH{P _~'CCORPORAI'ION owNER,s> ! (Names ~a~'hlles of principals -- attach separate sheet if necessan/) RESIDENCE ADDRESS TELEPHONE PROVIDE THE FOLLOWING WHERE APPLICABLE ('FOR EACH OWNER/PRINCIPAL) STATE SALES TAX NUMBER STATE EMPLOYER NUMBER 'SOCIAL SECURITY NUMBER 5 STATE CONTRACTORS LICENSE NUMBER i~ 'i{ 8 5 7 7 CLASS · ached) $ 7.~"' o o APPUCAT~ON FEE $ APPLICATION FEE - ~35.6a TOTAL AMOUNT DUE $ //O ' ~ o I 8eclare under penalties of Derjury that this application and any attachments thereto, have exa d by m , and he ~st of my knowledge and belief represent a true, correct and complete statement of facts. PLANNING DEPARTMENT I~?~ ' ~' 1996 ACCOUNT NUMBER POUCE DEPARTMENT ~ REVENUE CODE BUILDING DEPARTMENT Y C / .EALT. DEPA.T. ENT ISSUING CLERK FIR DEPARTMENT X.?C;;MENTAL DEPT. CERTIFICATE NUMBER ISSUED BATCH NUMBEll Business licenses 8re issued pending the approval of any or all of the above named Regulatory Departments. Preliminary filing of this application does not constitute evidence that the above described business has met the requirements of the Fontaria City Code or Regulaton/Agencies Of the City of Fontana. arena-94 PLEASE COMPLETE BOTH SIDES OF THIS APPLICATION MODE ' MEMORY TRANSMISSION START=APR-04 11:13 END=APR-04 FILE NO.- 154 NO. ' C~ ABBR/NT~K STRT I ~ ~/ P~ES PRG. NO. PR[~ ~ ~LEP~NE ~. 001 OK · ~5~ 002/002 -AY~ ~ENG X~. ~ · ]()~0 Pop~a~ Avenue, Pb. tana. Ca]~[om~a 9~335-6395 · FACSIMI~ TRANSMI~AL SHEET Please delive~ the following pages to: ~ame: Dave Fir~: s.J. Surkhar~t Contracting Total Numbe= of Pages (~ncluding Cove= Shee~) 2 Please nottf) us immediately a~ ~909 )3~0-89~0 should ~ou fail to ~eceive all Date: April 4~ ~996 Answer RequiTed: YES NO -. Sent B): ~athy Ayalams F~ No. (9Q9)350-0936. Reference: Locust Avenue Sewer Extension [ontana Here is a copy of our accepted City of Pontana Business License Application. We were told that the actual license will be mailed to our office. We will fax you a copy of the actual license when we receive it. If there are any questions please feel free to contact our office at (909)350-8940.