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Home My WebLink AboutPierachini, Eleanor 2016-08-25COU No. 1617-152 Connection Fee Deferral Agreement FmUNIS APPLICATION # 1736 T}• Z� Planning and Community Development Department lJ K 300 Seminary Avenue Ukiah, Ca. 95482 (707) 463-6207 APPLICANT- PLEASE PRINT CLEARLY AND FILL ALL APPLICABLE SECTIONS Connection Fee Deferral Program The Connection Fee Deferral Program allows to defer payment of impact fees until certificate of occupancy. Project Name: Nori Pierachini Project Site Address: 106 Echo Way, Ukiah CA 95492 Project Description (Attach additional sheets if needed) New 2 -Bedroom single family dwelling APPLICANT: Name and mailing address of person requesting the fee deferr NAME: F e'1 COMPANY ADDRESS��%� � CITY / STATE / ZIP Iy �7CJ PHONE#�`�� E-MAIL ADDRESS` n tW9 * SIGNATURE: OWNER: Person who will be responsible for payment of deferred fee when due. NAME: COMPANY ADDRESS: 1-, 66 ecl- 7` CITY / STATE / ZIP PHONE#�------- --— E-MAIL ADDRESS-- ---- ----...._-_.__.-----__._.-- SIGNATURE:f "z 'd,ti �-- Total amount of connection fees deferred: Sewer: $ 10,911.00 Water: TOTAL: $ 10,911.00 Payment information: There will be no building permit issued until all fees other than the deferred connection fees are paid. Projects receiving fee deferrals are not eligible for temporary occupancy. I hereby submit this Connection Fee Deferral Agreement for review by the City of Ukiah. All information contained herewith is true to the best of my knowledge. Copies to: Project Permit File: Finance Controller: Senior Management Analyst: City Clerk: V;� (Original) Connection Fee Deferral Agreement I MUNIS APPLICATION # 1736 Ukiah T], p, Planning and Community Development Department r % City D, f kia L 300 Seminary Avenue r., Ukiah, Ca. 95482 (707) 463-6207 APPLICANT- PLEASE PRINT CLEARLY AND FILL ALL APPLICABLE SECTIONS Connection Fee Deferral Program The Connection Fee Deferral Program allows to defer payment of impact fees until certificate of occupancy. Project Name: Nori Pierachini Project Site Address: 106 Echo 1n/av I Ikiah C4 45492 Project Description (Attach additional sheets if needed) New 2 -Bedroom single family dwelling APPLICANT: Name and mailing address of person requesting the fee deferr COMPANY �/�� ADDRESS, CITY/STATE/ZIP PHONE# fig E-MAILADDRESSi� r SIGNATURE: OWNER: Person who will be responsible for payment of deferred fee c�when `` due. NAME: COMPANY ADDRESS: /In� ecl4o CITY / STATE / ZIP PHONE# `u> E-MAIL ADDRESS�d V0 X r . SIGNATURE&— 115' Total amount of connection fees deferred: Sewer: $ 10,911.00 Water: TOTAL: $ 10,911.00 Payment information: There will be no building permit issued until all fees other than the deferred connection fees are paid. Projects receiving fee deferrals are not eligible for temporary occupancy. I hereby submit this Connection Fee Deferral Agreement for review by the City of Ukiah. All information contained herewith is true to the best of my knowledge. Person Responsible for payalp Signature-,��Gc�G� Date: Copies to: Project Permit File: Finance Controller: Senior Management Analyst: City Clerk: (Original) Building Permit Permit Number: 2377 Cit(�uaFi City of Ukiah Issue Date: 12/15/2016 300 Seminary Avenue Permit Type: PUBLIC WORKS FEE ONLY PERMIT Ukiah, CA 95482 Application No.: 1736 Site Address: 106 ECHO WAY Use of Building: APN: 001-181-33 Value of Work: Property Owner: +MARTIN TIMOTHY E TTEE & MEEK Contractor: NONE PATRICIA K CID: 29710 CID: 34933 Property Owner Address: Contractor Address: 1410 WILDWOOD RD UKIAH, CA 95482 UKIAH, CA 95482 Phone: Phone: Contractor License #: Contractor License Exp: Business License #: Business License Exp. Date: Description of Work: PUBLIC WORKS FEE ONLY PERMIT Detailed Project Description: DEFERRAL OF SEWER CONNECTION FEE MUST BE PAID PRIOR TO CERT OF OCCUPANCY Zoning: Conditioned Square Footage: Fees: Unconditioned Square Footage: SEWER CAPITAL IMPR (RESID)CITY 10,911.00 Garage/Carport Square Footage: Basement Square Footage: Total Square Footage: First Floor Square Footage: Second Floor Square Footage: Third Floor Square Footage: Fire Sprinklers: # of Sprinkler Heads: Occupancy Type: Occupancy Load: Number of Stories: Construction Type: Number of Units: Total: 10,911.00 Building Code Edition: Permit Conditions: Eleanor Pierachini-OWNER Inspection requests require 24 hour notice. Please call: (707) 463-6739. Any permit issued expires six (6) months after the date of issuance if no inspections have been made or six (6) months from the date of the last inspection and sign off. Permits may be extended with a written request. TYPE OF INSPECTION DATE INSPECTOR REMARKS Fou dation Inspection / Setba s Prior to Trenching Erosion ontroi Measures UFER Gro d Trenches/Fo s/Rebar Concrete Block\ Under Floor - Ele rical Under Floor - Mech ical Under Floor - Plumbing, Under Floor - Framing DO NOT COVER WORK UNTIL ABOVE ITEMS HAVE BEEN SIGNED OFF Framing Inspection i Rough Electrical Rough Mechanical Rough Plumbing Rough Framing Siding / O.S. Lath Roof Sheathing Shear Wall Sprinklers DO NOT COVER WORK UNTIL ABOVE ITEM HAVE BEEN SIGNED OFF Wallboard Inspection Sheet Rock Firewall f DON T COVER WORK I INTIL`A13WE ITEMS HAVE BEEN SIGNED OFF Public Works Department Sediment & Erosion Control Tree/Sensitive Area Protection Grading Storm Drain Construction Post Construction BMP Sanitary Sewer Construction Sewer Lateral Test Water Construction/Service Concrete Formwork Finish Concrete/Paving/Surfacing Street Trees DO NOT COVER WORK UNTIL ABOVE ITEMS HAVE BEEN IGNED OFF Planning Department Tree Protection Condition Compliance Mitigation Compliance DO N6T COVER WORK UNTIL ABOVE ITEMS HAVE BEEN SIGNED OF, F Final Inspection Roofing Electrical Mechanical Plumbing Building Gas Pipe Testing Water Pipe Testing Building Sewer Electrical Turn -On Gas Turn -On Insulation Certificate Post -Construction Eleva on Certificate Public Works Encroachment Permit: \ Fire Department Planning Department Permit Final By Date