PRE2021-00013 11111
,1
TIGARD
City of Tigard
August 13,2021
Blake Wehling
11513 SW 33'Ave
Portland, OR 97219
Re: Permit No. PRE2021-00013
Dear Applicant
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 9620 SW Frewing St
Project Name: Frewing Street Partition
Job No.: N/A
Refund Method: ® Check#240267 in the amount of$275.20.
❑ Credit card "return"receipt in the amount of$ .
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account"deposit"receipt in the amount of$ .
Comment(s): Per applicant's request to cancel permit as lawsuit was filed against
property owner and titel company was unable to proceed with transaction. Refund 80% of
application fees paid as review was completed prior to cancellation.
If you have any questions please contact me at 503.718.2430.
Sincerely,
g<:a5fe7/t-"Vn-e./et.A------ .
Dianna Omelas
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
:U ■ City of Tigard
T IGARD 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: Blake Wehling DATE: 8/6/2021
11513 SW 33rd Ave
Portland, OR 97219 REQUESTED BY: Dianna Ornelas
LS
TRANSACTION INFORMATION:
Receipt#: 433067 Case#: PRE2021-00013
Date: 2/24/2021 Address/Parcel: 9620 SW Frewing St
Pay Method: Check Project Name: Frewing St Partition
EXPLANATION: Per applicant's request as a lawsuit was fled against property owner and title company
was unable to proceed with transaction. Refund 80% of application fee per Lina Smith.
REFUND INFORMATION: ,a .., ' =s. ,';, '"'' 'rc`.-"' .,:;
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Application Fee 100-0000-43116 $275.20
TOTAL REFUND: $275.20
APPROVALS: SIGNATURES/DATE:
If under$5,000 Professional Staff
If under$12,500 Division Manager .(0.1'to
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: .`/_;` By:
I:\Building\Refunds\RefundRequescdoc x 09/01/2010
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENA 11 0
Request for Permit Action R� I Li
.aka
I oi:.t 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 1'igard.BuildingPetmits@tigard-or.gov
FROM: ❑ Owner 4 Applicant ❑ Contractor ❑ City Staff
Cheek(/)one
REFUND OR Name:
INVOICE TO: (I3usinearorind'vidtml) S "t
Mailing Address: t { l `„:7 �\ ? . l e ,
City/State/Zip: Z�V " 1.c , 1C 61 2 11
Phone No.: 5 ` 5 � ' 9 Lei
PLEASE TAKE ACTION FOR THE ITER4(S) CHECKED (1):
Pj CANCEL/VOID PERMIT APPLICATION.
E] REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: �G . ` 2. —000 ( 3
Site Address or Parcel#:
Project Name: / ( Z- 0 5 li`1,: Ls
Subdivision Name: Lot#:
EXPLANATION: j t C..` 'v } esVOvt r
; 1 c c` �2�1 V S I-
Signature: _ Date: / `� I 2,E2.-�
Print Name: /G L `FG 1 tic
Refund Policy Per Planning, please issue 80% refund. LS 3/10/21 .
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will he returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests. 3 y. Tt) — , .7 S. "
Route to Sys Adntin: Date. By Route to Records: Date,'/g /2/ By r)
Refund.Processed: Date F/ , 7 By p9 Invoice Processed: Date / By
Permit Canceled: Date PA6e*� Bye Parcel Tag Added: Date By
l:\Building\Pamir\RegPerrnitAction`l205 tfi.doc
CITY OF TIGARD RECEIPT
r # ' 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: 9620 Frewing St. Partition
Site Address: 9620 SW FREWING ST / "1%4A./A
Receipt Number: 435823 - 08/13/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
PRE2021-00013 $-275.20
Total: $-275.20
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 240267 DHOWSE 08/13/2021 $-275.20
Payor: Blake Wehling
Total Payments: $-275.20
Balance Due: $275.20
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7tf,
CITY OF TIGARD RECEIPT
Ill . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: 9620 Frewing St. Partition
Site Address: 9620 SW FREWING ST
Receipt Number: 433067 - 02/24/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
PRE2021-00013 Application Fee 100-0000-43116 $344.00
Total: $344.00
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 7400094 PUBLICUSERO 02/24/2021 $344.00
Payor:
Total Payments: $344.00
Balance Due: $0.00
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