HomeMy WebLinkAboutPetaluma Ecumenical Properties 2017-04-19 Connection Fee Deferral Agreement MUNI.SAPPLICATKQ N # ( , 32,
'' w Planning and Community Development Department
c.o of300 Seminary Avenue
_ w
,.n.. Ukiah., Ca. 95482
(707)463.5207
APPLIC'AI PLEASE PRINT CLEARLY AN FILL ALL APPLIcAI1LE SECTIONS
Connection Fee Deferral Program
The Connection Fee Deferral Program avows to defer payment of impact fees untii certificate of occupancy.
Project Na e: Sun House Senior Apartments
Project Site Addr s.s: ;,oil
Project Description (Attach additional sheets if needed)
New construction of a 42 unit senior apartment complex
APPLICANT; Name and mailing address of person OWNER: Person who will be responsible for payment of
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COMPANY PEP 1---1 (OMPANY
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SOGNATURE: 404 Al „ed. 4/f/ SiGNATURE: (75,1"7"
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Total amount of connection fees deferred:
Sewer connections: $425,314.38 General plan fees: $10l141.16
Water meter fees: $10,330.47 Electric construction fees: $42,769.38
TOTAL' ,�4Q054539
. ' .
Payment information:Therwill 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.
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Signature: c�l �/ /.v Date: ` ~
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Co pies to:
Project Permit File:
Finance Controller:
Senior K8anagernentAnalyst:
PAID
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City Clerk: (Original)
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Cit kulh
City of Ukiah
City Hall
300 Seminary Ave
Ukiah, CA 95482
(707) 463-6200
002814-0020 Elizabeth 06/28/2017 03:22PM
PERMITS / INSPECTIONS
BUILDING W/ PLAN REVIEW
COM - REVIEW
2016 Item: 163218093
Balance due: 0.00
Balance unpaid: 0.00 51,324.87
Payment Id: 53131
MASTER UTILITY - COM -
REVIEW
2016 Item: 163218510
Balance due: 0.00
Balance unpaid: 0.00 1,585.67
Payment Id: 53132
PEP HOUSING
PUBLIC WORKS FEE ONLY
PERMIT - REVIEW
2016 Item: 16321P001
Balance due: 0.00
Balance unpaid: 0.00 435,634.85
Payment Id: 53133
488,545.39
Subtotal 4882545.39
Total 4882545.39
CHECK 478,404.23
Check Number 1107
CHECK 10,141 .16
Check Number 1117
Change due 0.00
Paid by: PEP HOUSING
Thank you for your payment
City of Ukiah COPY
DUPLICATE RECEIPT