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Home My WebLink AboutLance, Mary Ann and Bowen, James - Yokayo Development, LLC - 2016-07-15COU No. 1617-079 Connection Fee Deferral Agreement MUNISAPPLICATION# F�,( & C*City of ZTkia Planning and Community Development Department 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: Project Site Address: Project Description (Attach additional sheets if needed) d ti[Iq L.,t✓ "r -1k i1,1( Ly - �5 0VY1 �C VKt' APPLICANT: Name and mailing address of person requesting he fee deferral NAME: Jc k -0 ( COM PAW�A 1%C PV�,AeAI L ADDRESS: ( "4� CITY/ STATE/ ZIP s S. -A`' \ \V'V y-1- PHONE# 2 "-/� L 0- E-MAIL ' E-MAI L i;114m, CV OWNER: Person who will be responsible for payment of deferred fee when due. ''}kr-V A �Q LAM&,E, NAME:-- COMPANY 6Ic Va-1 v4ecr i -f / C� ADDRESS `" , �" VelJ%O✓i di �C CITY /STATE / ZIP�Oo;,4.. - PHONE# E-MAIL ADDR SSS SIGNATUR . Total amount of connection fees deferred: Sewer:121 ODL. Water: -e"" TOTAL: _4 12l 6101, 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. Signature: I Date: / �^ Copies to: Project Permit File: Finance Controller: Senior Management Analyst: City Clerk: (Original) Building Permit Permit Number: 2501 CZt k1:ahCity of Ukiah Issue Date: 02/15/2017 300 Seminary Avenue Permit Type: PUBLIC WORKS FEE ONLY PERMIT Ukiah, CA 95482 Application No.: 1966 Site Address: 125 FORD STREET #A Use of Building: APN: 002-121-21 Value of Work: Property Owner: +LANCE MARY ANN Contractor: YOKAYO LAND CO CID: 44234 CID: 14594 Property Owner Address: Contractor Address: 2659 SILVER STONE LN PO BOX 540 SANTA ROSA, CA 95407 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: DEFERRED SEWER Zoning: Conditioned Square Footage: Fees: Unconditioned Square Footage: SEWER CAPITAL IMPR (RESID)CITY 12,002.00 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: ^ D Number of Stories: Construction Type: �J Number of Units: Total: 12,002.00 Building Code Edition: Permit Conditions: DEFERRED FEES FOR SEWER 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 Foundation Inspection Setbacks Prior to Trenching Erosion Control Measures UFER Ground Trenches/Forms/Rebar Concrete Block Under Floor - Electrical Under Floor - Mechanical Under Floor - Plumbing Under Floor - Framing DO NOT COVER WORK UNTIL ABOVE ITEMS HAVE BEEN SIGNED OFF Framing Inspection Rough Electrical Rough Mechanical Rough Plumbing Rough Framing Siding / O.S. Lath Roof Sheathing Shear Wall Sprinklers DO NOT COVER WORK UNTIL ABOVE ITEMS HAVE BEEN SIGNED OFF Wallboard Inspection Sheet Rock Firewall DON T COVER WORK IJNTIL ABOVE 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 SIGNED OFF Planning Department Tree Protection Condition Compliance Mitigation Compliance DO NOT COVER WORK UNTIL ABOVE ITEMS HAVE BEEN SIGNED OFF 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 Elevation Certificate Public Works Encroachment Permit: Fire Department Planning Department Permit Final By Date