711 E. La Palma Ave.
~
Anaheim Union High School District
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803-3520
(714) 999-2188
(714) 520-5741 FAX
CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES
NOTICE: The gO-day period in which you may protest the fee described herein will begin on the date this fee is
paid. However, if the fee was imposed by the City or County as a condition of approval for your project, and you
have received the requisite notice, the gO-day protest period began at the time your project was approved.
Receipt No:
1
Elementary District:
a'i:>.
High School District:
Anaheim Union High School District
Owner Information:
Name:
Address:
Phone NUl11bp.r:
r;S()CJ~( 9LfJ~
~.L-. #B
/'
).-
Applicant Information:
Name:
Phone Number: (
.;::)" '''--e
~~
)
Property Information:
Address of Project:
Development Type:
Project Name:
Type:
] Residential - New
~~~~
Residential - Room Addition [f<J Commercial
] Single Family
Multi-Family Condos/Apartments - # of units:
Equals Total Fee:
H.5.
$
t/t5 5:7
.It
$ ./'0
. 3'0
Residential:
[ ] Level 1 [ ] Level 2 - ACSO Only
Total Square Footage:
Multiplied by Current e: Elem. $
H.S. $
Commercial:
Total Square Footage:
Multiplied by Current Rate: Elem. $
Equals
$
-$
-$
-$
Fee Waiver:
Fees Waived:
Yes
] No
If yes, reason: __.__~_
ACknowledgement:
The above representations as to square footage are true. Developer/Applicant agrees that if it is later determined that such
representations are not true, Certificate shall automatically terminate and the appropriate City/County shall be notified.
Developer/Applicant Signature:
Certification:
ThiS certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code
Sections 53080 and 65995.
~,h-
Date /
0&J~
im Union High School District
ActU*S Paid:
,sh.
Anaheim Union H.S. District
$
$
~~f:t
. ,
Check No.
Check No.
~_74 3 '18
$.3t/'39?
Distribution: City/County. Developer . Accounting . Elementary District
~
Anaheim Union High School District
501 Crescent Way, P.O. Box 3520, Anaheim, CA 92803-3520
(714) 999-2188
(714) 520-5741 FAX
CERTIFICATE of COMPLIANCE
PAYMENT of SCHOOL FACILITY FEES
NOTICE: The gO-day period in which you may protest the fee described herein will begin on the date this fee is
paid. However, if the fee was imposed by the City or County as a condition of approval for your project, and you
have received the requisite notice, the gO-day protest period began at the time your project was approved.
Receipt No:
d( rj0:g
Elementary District:
4~b
High School District:
Anaheim Union High School District
Owner Information:
Name:
Address:
Phone Numbei:
Applicant Information:
Name:
Phone Number: (
~
~
~
)
Property Information:
Address of Project:
Development Type:
Project Name:
Type:
~~~
['fJ Residential - New Residential - Room Addition [lJ Commercial
] Single Family
Multi-Family Condos/Apartments - # of units:
Commercial:
Total Square Footage: '3 (P. 0:3 'if
Multiplied by Current Rate: Elem. ( . IS _ $s<ltrt.f'/
H.5. $ ,J'i! - $ .stjCp . f Y
Equals Total Fee: $ "'=?0 ~$~'6i3.68
Residential:
[ ] level 1 [ ] Level 2 - ACSO Only [ ] level 3- ACSO Only
Total Square Footage: /:0 tJ C.
Multiplied by Current Rate: Elem. $ // ~ $ /SiJ1. S-
H.S. $ /ia..->~ $/~. 7.S
-n ' _ -;?_Jr 0
Equals Total Fee: $ -<' .,;< = 't-I(JY">-'
Fee Waiver:
Fees Waived: [ ] Yes
[YJ No
If yes, reason:
.
i
~ I
Acknowledgement:
The above representations as to square footage are true. Developer/Applicant agrees that if it is later determined that such
representations are not true, Certificate shall automatically terminate and the appropriate City/County shall be notified.
Developer/Applicant Signature:
Certification:
This certifies that the above named Developer/Applicant has paid school facility fees in compliance with Government Code
Sections 53080 and 65995. Repre~~eim union~~strict
d.-//-f:J~
Date
Actual Fees paidb $ {J; 11 <I. 3y, Check No. .;;..~j39&
4~S .
Anaheim Union H.S. District $ (p'7I<1.a?o Check No. :J...'313Cf7
Di<:trihlltinn~ ritv/Cnuntv _ npVp!nnPf _ A.c~nt""tlnn ~ Flf'mpnt;o,N Oi<:trirt
PUBLIC WORKS DEPARTMENT FEES
~lJ I~ --TRAFFICENGINEERINGFEES--
BUILD # c4 - ClI\ 8~ . C>
PROJECT SITE: 3 <:1, 0.3> ~ t;-- 5 r .
SIZE: <71I$'..~...ccr/.:;~.k..:A.v...A}
RAFFIC FEES CITYWIDE: 3 00 ~ 'i" x . 2!\- 0
278-i12-F724-1818 7(
+- '2.
'"3 t X 8"', +(l~ 3~
TE # l l "2..
-
.....
TRAFFIC SIGNAL FEE:
279-412-F724-3017
o TRAFFIC SANTA ANA CANYON FEE:
278-412-F724-2001
o EASTERN TRANSPORTATION CORRIDOR FEE:
101-412-F724-670 0.... ....... .
.~
COMMENT.
VI
Aq
--DEVELOPMENT SERVICES FEES--
GHTOFWAY ~( .. REVIEWEDBY {lPO DATE: ID-~.()1
OLD ZONING CODE (i.e. in plan check or ent~~ent prior to July 8,2004) --,
NEW ZONING CODE .
STREET IMPROVEMENTIREPAIR
~ f" t;;
SEWER CONNECTIO)> FEE ~.~~~T' '24- ,,<- f7"t - ,0'-"
CITY SEWER ASSESSMENT '30 o?, SF XC T # .Jl;...-n
.' l' $'?"0 10>l>~f>- Mllov
DRAINAGE ASSESSMENT FEE utA ACCT #
GRADING: &ttt~~~ D2-J1 \ Aferuv-cJ.. 17/0'3. A.,. ~.9-y""lt tSSv-J. it:
WATER QUALITY MANAGEMENT PLAN (WQMP) OTv1'l.<b,~OOFl-'t ttff{dv-UI.
LAND SUBDIVISION: COL 7AxJ,? - 000"1;, i> ~~ '<, ~J..u{ .
REVIEWED BY: IQ/"lJt,!o'/.
. '- -"-."
,
PUBLIC WORKS DEPARTMENT FEES
Rq,..\J\~ -- TRAFFIC ENGINEERING FEES--
BUILD # 04 - 01' '8~~, LJ;t.Cilp..y.;.:I::,J
PROJECT SITE: (7n.e;,.........F '""
SIZE: 4- 0 S 7 It S F'
TRAFFIC FEES CITYWIDE:
278-412-F724-1818
.
.
TRAFFIC SIGNAL FEE:
279-412~F724-3017
~\ ><'89
l~
.:::;,
=
"3,'
o TRAFFIC SANTA ANA CANYON FEE:
278-412-F724-2001
o EASTERN TRANSPORTATION CORRIDOR FEE:
101-412-F724-670
DATE: 10-1'3':":04
--DEVELOPMENT SERVICES FEES--
R1GHTOFWAY '60' REVIEWEDBY otP DATE: 1O.2.l~
~ OLD ZONING CODE (i.e. in plan check or entitlement prior to July 8, 2004) .
o NEW ZONING CODE
DEDICATION '22:>1
CREDIT ~~Lfo1,~q ~""-It.h ft'lOw\.~W?(\)lf...Ollg1
STREET IMPROVEMENTIREPAIR
. ~ ~or fCUNao - neN1
" ....
.------
SEWER CONNECTIO.N FEE/ AC0' # Sl.e. !hu:>ZCO'{-o....t 'b'1
CITY SEWERASSESSMENT '{O, vrtbSf'/'I- ACCT #
. ~7 /wvJr ...
DRAINAGE ASSESSMENT FEE ~(A ACCT#
GRADING: bc2A-'1.A:>~ ...-0'2-11 \ (~'7 Pu.;l
WATER QUALITY MANAGEMENT PLAN (WQMP) orKlP~ -oD\ L"I.
LAND SUBDIVISION: GaL 1LD~ - 000.> <t f.t.tf~ \ ~
REVIEWED BY: to I zJ:> I P1