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Permit Support Document N T.IGARD City of Tigard January 28, 2020 Sunset Heating&Cooling 0607 SW Idaho St Portland, OR 97239 Re: Permit No. MEC2019-00825 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 14129 SW Fanno Creek P1 Project Name: Paule/193455FH Job No.: N/A Refund Method: ® Check#234518 in the amount of$83.78. 0 Credit card"return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. 0 Trust account"deposit"receipt in the amount of$ Comment(s): Per applicant's request as job was cancelled. Refund 80% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov _, : q City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Sunset Heating& Cooling DATE: 1/17/2020 0607 SW Idaho St Portland, OR 97239 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 427096 Case#: MEC2019-00825 Date: 11/22/2019 Address/Parcel: 14129 SW Fanno Creek PI Pay Method: CreditCard Project Name: Paule/193455FH EXPLANATION: Per applicant's request as customer cancelled job. Refund 80%of permit fees. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Mechanical Permit 230-000-43102 $74.80 12% State Surcharge 100-0000-24001 8.98 TOTAL REFUND: $83.78 APPROVALS: SIGNA URES/DATE: If under$5,000 Professional Staff 41("5-4/0-7-€_-71-(__ If under$12,500 Division Manager If under$25,000 Department Manager If under$100,000 City Manager If over$50,000 Local Contract Review Board FOR ACCELA SYSTEM ADMINISTRATION USE ONLY , Case Refund Processed: Date: _ ,,7 y L 13Y: .039d I:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: PAULE/I93455FH Site Address: 14129 SW FANNO CREEK PL AT-1A. Receipt Number: 436204 - 09/03/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MEC2019-00825 $-83.78 Total: $-83.78 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 234518 DHOWSE 09/03/2021 $-83.78 Payor: Sunset Heating &Cooling Total Payments: $-83.78 Balance Due: $83.78 Page 1 of 1 CITY OF TIGARD !' ECEFPT IN a „ 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Ti'C AR.D Project Name: PAULE/I93455FH Site Address: 14129 SW FANNO CREEK PL ()/Z(6./ Receipt Number: 427096 - 11/22/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MEC2019-00825 Air Conditioning 230-0000-43102 I-p 'Jv $46.75 f MEC2019-00825 Furnaces < 100K BTU 230-0000-43102 fo'' $46.75 * MEC2019-00825 12% State Surcharge-Mechanical 100-0000-24001 /p '70 $11.22.<-- Total: $104.72 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT A','T Credit Card 5791297 PUBLICUSER256 11/22/2019 $104.72 Payor: Total Payments: $104.72 Balance Due: $0.00 Page 1 of 1 Julie Drinkwater From: fharmon@sunsethc.com Sent: Monday, November 25, 2019 11:07 AM To: #Building Permit Technicians Subject: 14129 SW Fanno Creek PI. Attachments: Scan.pdf Importance: High 1 , Warning! This message was sent from outside your organization and we are unable to verify the sender. 1 Good morning, Please see attached for a refund &cancellation to a permit. Thank you, Fret v zttAt H-a rwt.©v►, 1 IvustaLL coo rdwLator Sunset Heating & Cooling 0607 SW Idaho Street `` Portland OR 97239 503 94 3-6403 direct Sunset 503.234-0611 main sunsethc.com HEATING&COOLING ELECTRICAL "Our Family Serving Yours Since 1922" --Disclaimer—Sunset Heating&Cooling,Inc.-- This message(including any attachments)is intended only for the use of the individual or entity to which it is addressed and may contain information that is non-public,proprietary,privileged,confidential,and exempt from disclosure under applicable law.If you are not the intended recipient,you are hereby notified that any use,distribution,or copying of this communication is strictly prohibited.Although steps have been taken to check for viruses, the recipient(s)should also check to ensure messages are virus free. 1