ZAL2019-00003 71 "
TIGARD
City of Tigard
January 28, 2020
Stafford, Owens, Piller,Murnane,
Kelleher&Trombley, PLLC
One Cumberland Ave
Plattsburgh,NY 12901
Re: Permit No. ZAL2019-00003
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 16200 SW Pacific Hwy A
Project Name: Stafford Owens ZAL
Job No.: N/A
Refund Method: ® Check#234483 in the amount of$664.80.
❑ Credit card "return"receipt in the amount of$ .
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 as client no longer interested in site. Refund 80%
of application 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
1
y 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 forPermit 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: Stafford, Owens, Piller,Murnane, DATE: 1/17/2020
Kelleher&Trombley,PLLC
One Cumberland Ave
Plattsburgh, NY 12901 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt#: 426924 Case#: ZAL2019-00003
Date: 11/12/2019 Address/Parcel: 16200 SW Pacific Hwy A
Pay Method: Check Project Name: Stafford Owens ZAL
EXPLANATION: Per applicant's request as client no longer interested in site. Refund 80%of application
fees per Sam Copelan.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Zone Analysis Letter 100-0000-43116 $664.80
TOTAL REFUND: $664.80
APPROVALS: SIGN U / TE:
If under$5,000 Professional Staff
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: 9/372/ By: 4) 4
l:\Budding\Refunds\RefundRequest.doc x 09/01/2010
CITY OF TIGARD RECEIPT
Ni • 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Stafford Owens ZAL
Site Address: 16200 SW PACIFIC HWY A
Receipt Number: 436208 - 09/03/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
ZAL2019-00003 $-664.80
Total: $-664.80
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 234483 DHOWSE 09/03/2021 $-664.80
Payer: Stafford, Owens, Pillar, Murnane,et al
Total Payments: $-664.80
Balance Due: $664.80
Page 1 of 1
INIICITY OF TIGARD RECEIPT
la, 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIG;11;fl
Project Name: Stafford Owens ZAL
Site Address: 16200 SW PACIFIC HWY A 0i ltit
Receipt Number: 426924 - 11/12/2019
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
ZAL2019-00003 Zone Analysis Letter(Detailed) 100-0000-43116 AQ cm $831.00
Total: $831.00
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 35374 SCOPELAN 11/12/2019 $831.00
Payor: Stafford,Owens, Piller, Murnane, Kelleher&Trombley, PLLC
Total Payments: $831.00
Balance Due: $0.00
Page 1 of 1
RECEIVED
NOV 202019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGARD
II a PLANNING/ENGINEERING
. Request for Permit Action
Ti G n in) 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or,l:ovv
TO: CITY OF TIGARD 0 1
Building Division r
13125 SW Hall Blvd.,Tigard,OR 97223 //�/
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner pi Applicant ❑ Contractor D City Staff
Check(✓)one
REFUND OR Name: t K.
h� € 74.a/`7,6 Z by, .. C.INVOICE TO: (Business or Individual) 1"1 %ijh I'.\ 7t iJC
Mailing Address: One 1V(l.1r1 11 L-e rl1a n 6 /Wei/VI-6
City/State/Zip: Pia fS-I:611` h� ►ve+v \orb I g-q 0 I
Phone No.: ( ? ]K) 56,1" 4400
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
ppCANCEL/VOID PERMIT APPLICATION.
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#: Z4-1,-a20/ ! 410002
Site Address or Parcel#: I 'Z OO $1/V Pao i /c, fh 9ki vraj,J , ti 90
Project Name: a 4
Subdivision Name: I`eo "'St M L Lot#:
J
EXPLANATION: C! jOH- is- flO IeriGI['V )l 2 f5'e(1 1 K1
Iie J
Signature: -A /]�m C -&elf. Date: — ///?ll2 I
Print Name: (e Yin 0 r 7 cl i IL_
Refund Polk% .•,•////
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 fec 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 be 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.
,f-'.3/ ITV ' 6 Y. (D - 4,", o
Route to Sys Admire: Date By Route to Records: Date J 3 By
Refund Processed: Date/4 y/Ze By _�I�nvoice Processed: Date / �� B
Permit Canceled: Date r//hp 24 B—�+�7r1 i arcel Tai;Added: Date
I:\Building\Forms\RegPemvtAcdon_120 8.doc
RECEIVED
CITYPO Box 2947
STAFFORD OWENS NOV 12 2019 plattsburgh,NY1a9o1 P518.561.pyoo
PILLER•MURNANE•KELLEHER&TROMBLEY.PLLC
CITY OF TIGARD
Igir Attorneys&Counselors at Law PLANNING/ENGINEERING F 518.561.4848
staffordowens.com
eA-L .o 0oo05
William L.Owens
Edward J.Trombley November 7, 2019
Susanna S.Piller
VIA FIRST CLASS MAIL
Thomas M.Murnane
City of Tigard
Jacqueline M.Kelleher Department of Community Development
Jessica L.Miller 13125 SW Hall Boulevard
Justin R.Meyer Tigard, OR 97223
Brendan P.Owens
Meghan E.Zedick RE: Request for ZAL for Property located at 16200 SW Pacific Highway,
Tigard, OR 97224
Maxwell C.Radley Dear Sir or Madam:
This letter is to request an advisory opinion that there are no outstanding
violations with respect to the above-referenced property, that the property is zoned in
a manner that will allow the use of the property as a blood plasma donation center as
a use by right, and that no approval or permit is required to use the property for such
use. Please provide the advisory opinion letter to the undersigned via e-mail to
mzedick@staffordowens.com and by regular mail. A check in the amount of$831.00
is enclosed herewith.
Thank you for your cooperation in regard to this matter. If you have any further
comments regarding this property that would be applicable to my client's use of such
property as a blood plasma donation center, please advise in writing.
Very truly yours,
STAFFORD, OWENS, PILLER, MURNANE,
KELLEHER& TROMBLEY, PLLC
,i/1/1CMI t*Pje,ea-ei
Meghan E. Zedick, Esq.
MEZ/kapa
Ronald B.Stafford Enclosure
(1935-2oo5)
Samuel Copelan
From: Meghan E.Zedick <mzedick@staffordowens.com>
Sent: Thursday, November 21, 2019 7:13 AM
To: Samuel Copelan
Subject: RE:ZAL2019-00003 Additional Information
Attachments: Request to Cancel ZAL Request_11-21-19.pdf
Follow Up Flag: Follow up
Flag Status: Completed
Warning! This message was sent from outside your organization and we are Allow sender Block sender
unable to verify the sender.
Good morning:
My client has decided not to pursue this site. Attached, please find request to cancel ZAL request.
Please advise if you need anything further.
Regards,
Meghan
From:Samuel Copelan<samuelc@tigard-or.gov>
Sent:Tuesday, November 19, 2019 3:57 PM
To: Meghan E.Zedick<mzedick@staffordowens.com>
Subject: RE:ZAL2019-00003 Additional Information
Good afternoon Meghan,
Thank you again for your answers. Please let me know when you have the suite number so that I can determine if a
Change of Use will be required.
Sincerely,
Sam Copelan
Assistant Planner
City of Tigard; Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelca,tigard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
1
From: Meghan E.Zedick<mzedick@staffordowens.com>
Sent:Tuesday, November 19, 2019 11:54 AM
To:Samuel Copelan<samuelc@tigard-or.gov>
Subject: RE:ZAL2019-00003 Additional Information
Good afternoon Sam:
I am checking on suite number and will get back to you. My client operates a blood plasma donation
center-it collects blood plasma that is used in life-saving medications. Each donor receives a full
examination annually by a licensed medical professional along with medical oversight and review
upon each donation. Prior to each donation, certain medical screening tests are performed.A trained
phlebotomist puts a sterile needle in a vein in the donor's arm to draw blood.The donor relaxes on a
donation bed while the blood cycles through special, sterile equipment that separates plasma from the
other parts of the blood. The first visit can take up to two hours because it includes a health screening
and tests.After that, each visit takes about an hour.The donor is compensated for their time.An RN
or LPN will be onsite during all hours of operation. Please let me know if you have any further
questions.
Thanks.
Meghan
From:Samuel Copelan<samuelc@tigard-or.gov>
Sent: Monday, November 18,2019 8:32 PM
To: Meghan E. Zedick<mzedick@staffordowens.com>
Subject:ZAL2019-00003 Additional Information
Good evening Meghan,
Staff is working on your Zoning Analysis Letter, and we would like the following information:
• Suite number for 16200 SW Pacific Highway
o This is important to see if the use will increase the minimum parking requirement,which could
require land use
• Detailed description of business
o This will help us determine a use category
Please let me know if you have any questions.
Sincerely,
Sam Copelan
Assistant Planner
City of Tigard;Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelc(atigard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
2