HomeMy WebLinkAboutAgenda Bill 9.A-Attch03 06/21/2004A,V0
CITY OF PETALUMA
:)'PMENT IMPACT FEE CALCU
Enter Applicable Information,�in the,Sh;
Proj ect�Name/Permit. #:.
®roject Address /Location:
Applicant, Name:
Applicant's Address:
Principal"Contact Person ; °u
4
Contact's 'Daytime Phone:
School District Directly`'
�Account.#'
Please
Aquatic Facilities:
Single Family - Detached (enter total number of units):
Single - Family - Attached (enter total^_numberof units):
Multiple Family (enter total.numbei units)
`.
Manufactured Home (enter total number of units):
Single Occupancy (enter total number of units) -
Community Facilities:
Single Family - Detached (enter total number of units):
Single - Family - Attached (enter total •numb:er of units):
Multiple Family (enter total number of units):
Manufactured Home (enter total •number of units):
Single Occupancy (enter total numberrof units):
Fire Suppression Facilities:
• Residential Uses:
Single - Family (enter total, number of units):
Multi - Family (3+ units; enter total number of units):
Manufactured Housing (enter total number of units):
Seni
ed Living Units total number .of units):
Ass
Non- Residential Uses
Hotel or Other Retail l Us s (enter t t )
quare feetof;buildin
( enter t
g)
All Office Uses (enter''total square. feet ofbu'ildmg):
All Industrial Users (enter total square feet of building):
In- Lieu'Housing: (Except,Accessory Dwelling)
Total Square Footage (increments of
Library Facilities:
Single Family- Detached (enter total-number of units): .
Single - Family- Attached (enter total, number of units):
Multiple.Family (enterfotal number'of units):
Manufactured Home kenterjot0 number of units):
Single Occupancy (en
ter "totaf num vof units):
Park Land.Acauisition and,Development.
Residential. Uses:
Single Family = !Detached ( enter total.number°of units):
Single Family - Attached (enter total numb' f units):
Multiple Family (enter total number of units):
Manufactured ^Home (ente'ratotal number of units):
Single Occupancy (enter total,number of units):
Non - Residential Uses
Commercial Lodging ,(entevtotal number:of rental units)
All Commercial Uses (enter total square feet of building)
•�: . rf�r;olcALI,U'LFl`11V1rl G .
Water Connection: Please Contact Department of Water Resources" &' Conservation - 778 -4584
Sewer Connection: Please Contact: Department of Water Resources &Conservation - 778 -4584
T
410
0 -41410
1410
b
A
3
Account # NLI_EUHS /2240 -41410
2 1
�w
Account;# LIBFAC /2220 -41410
Account # PARKAQ /2251 -41410
, E
WE
k1
$154.00
$154.00
$0.00
$0.00
$0.00
$0.00
$653.00
$653.00
$0.00
$0.00
$0.00
$ 0.00
$349.00
$349.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$16,238.00
16,23.8
$254.00
$254.00
$0.00
$0.00
$0.00
$0.00
$7,133.00
$7,133.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
On e 1 co for"Suildirig l time of permit issuance. ,
Three (3) copies to.appli nt at
O co files 5i26i2004 ATTACHMENT 3
All Office Uses (enter total square feet of building):
All Industrial Users (enter total square feet of building):
Police Facilities:
Residential' Uses:
Single- Family (enter total, number of units)t
Multi - Family (3+ units; enter'total number of units):
Manufactured Housing (enter tot-al.number of units):
Senior Ho _using (enter total number of units):
1. Assisted::Living Units
Non - Residential Uses
Hotel or Motel '(enter number of rooms):
Other Retail Uses (enter total.square feet of building):
All Office Uses (enter total square'feet of building):
All Industrial Users (enter; total square feet of building):
" N' 5 C FA i ^
$0:00 .
_ $0.00
Account # POLFAC /2260 - 41410 $296.00
Public Facilities: Account.# PUBFAC/221241410
Residential Uses (enter'total number of units);
Commercial Lodging^ (enter total number of units) x
Business Uses (enter total square feet of building):
Storm Drainage: Account # STRMDRN/2230- 41410
(Refer to Storm,Drain.Fee'Worksheet to determine calculations except for additions):
New Residential ,(Standard):
New Residential (Calculated):
Commercial /Industrial (enter fromStorm Drain Fee Worksheet):
Residential Addition (enter square feet of impervious surface): r s
Comm. /Ind Addition square feet of.-impervious surface); ;;, • . .3,
Traffic Mitigation (enter all •applicable project information): Account, #'TRAFMIT /2270 - 41410
Residential'Uses:
Smgl'e- Family (entertotal number of units): p
Multi -Fannl 3+ units - I enter total number of units):
Manufactured Housing,(enter total number of units):'
Senior.Housing (enter total number of units): `
Assisted Living Units (enter total number of units):
Non - Residential .Uses
Hotel'or Motel (enter number ofrooms):, € , Ni
Other Retail Uses (enter total.square feet, of building):-
All Office Uses (enter total square feet rof building): F
All Industrial` Users (enter total square feet of building); a„ °
Administrative. Fees (Total.Admin Fees, for all••Dev. Impact Fees Account #.DEVIMPAD /1000- 45111
This is not an additional.fee and it has not been added to the-total; m
it has beemitemized so if may be deposited iri the correct account I
$296.0 ` `
$0:
$0.0
$0.00'
$0.00
$0.00
$0.00
$0.00
$0.00
$543.00
$543.00
$0:00
$0.00
$800.00
$800.00
$0:00
$0.00
$0.00
$0.00
$5,424.00
$5,424.00
$ 0.0,0
$0•.
$0 :00
$0.00
$0.00
$,0.00
$0.00'
$740.30
TOTAL. IMPACT FEES DUE: j $31,844.00
10
Three (3) co p ies'to applicant at time of permitissuance.
One ( 1) o :for Building files 5/26/2004
� hY g S /Development ImpacYFees