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SGN2007-00220
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • • TIGA ® ` February 7, 2008 ;tea _: ` *.: spa : -. G Lynn Takahashi 9845 SW Walnut Pl. Tigard, OR 97223 Re: Permit No. SGN2007 -00219 & SGN2007 -00220 Dear Ms. Takahashi: The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the following: Site Address: 9845 SW Walnut Pl. Project Name: Tigard Playschool Job No.: N/a Refund: ❑ Check # in the am ount of $ . ® Credit card "return" receipt in the amount of $38.00. ❑ Trust account "deposit" receipt in the amount of $ . Notes: Sign permits created in error. Refund 100% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. 1: \Building \ Refunds \ Administration \LtrRefund- CancelPermit.doc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Raquest for Perri ¢tActionorRefund (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: G Lynn Takahashi DATE: January 18, 2008 9845 SW Walnut P1 Tigard, OR 97223 REQUESTED BY: Shirley Treat TRANSACTION INFORMATION: Receipt # : 20075264 Case # : SGN2007- 00219/220 Date: 11/30/2007 Address /Parcel: 9845 SW Walnut Pl/ 2S102DB -01600 Pay Method: CreditCard Project Name: Tigard Playschool EXPLANATION: Permits created in error REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: [BUILD] Permit Fee Example: 245 - 0000 - 432000 $ Amount [Sign] Temp Sign Permit 100- 0000 - 437000 17.00 [[LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 [Sign] Temp Sign Permit 100 - 0000 - 437000 17.00 [[LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 TOTAL REFUND: $38.00 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: I Date: I .2/4/1 ? By I , I:\ Building \Refunds \RefundRequesc.doc 05/23/07 MI I CITY OF TIGARD 2/6I2008 13125 SW Hall Blvd. 4:10:46PM Tigard, OR 97223 503.639.4171 TIGARD Refund Receipt #: 27200800000000000387 ./ e -6 " 4_ Date: 02/06/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid • SG N2007-00219 Reversal - [SIGN] Temp Sign Pe 100- 0000 - 437000 (17.00) SGN2007 -00219 Reversal - [LRPF] LR Planning 100- 0000 - 438050 (2.00) SGN2007 -00220 Reversal - [SIGN] Temp Sign Pe 100- 0000 - 437000 (17.00) SGN2007 -00220 Reversal - [LRPF] LR Planning 100- 0000 - 438050 (2.00) Line Item Total: ($38.00) Refund: Method Payer User ID Acct. /Check No. Approval No. Fl ow Received Amount Paid Credit Reversal GLYNN TAKAHASHI 210392 In Person (38.00) Refund Total: ($38.00) e) y 0 H o .Z a-) W ,,, y p4 1 _ w � os os r:4 o . y 1I CU N ..•) CL a s i N o ' 6 8 v 8 z +J1 0 2 a 0 E c 0 CA Q +� LM V 72 c n" a �. 7W d cs oW a. 4) u Q ( 24 o a N o hi ai . w • Ca E� w w a rage I or I .' ' ,x: CITY OF TIGARD lilai?ooa ` �. 131' SW Hall I ;Ivd. 1 1:39:41 A M } � ' Tigard, OR 97223 503.639.4171 LTv1.GARD1 rtic::r5?4: • Receipt #: 27200700000000005264 (.'.i'•' - /./V. Date: 11/30/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -002I a [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00218 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2007 -00219 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SG N2007-00219 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2007 -00220 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00220 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item Total: $57.00 Payments: Method Pacer User ID Acct. /Check No. Approval No. H ow Received Amount Paid CreditCard G LYNN TAKAHASHI ST 210392 In Person 57.00 Payment Total: $57.00 cRcccipt.ipt Page 1 of 1 Community Development TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ® City Staff (check one) REFUND OR Name: G Lynn Takahashi INVOICE TO: (Business or Individual) Mailing Address: 9845 SW Walnut PI V 12) I D City/State /Zip: Tigard, OR 97223 477 Phone No.: V 3 • ;x' - k(( O PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ® CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach receipt, if available). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit # : SGN2007 -00219 Site Address or Parcel # : 9845 SW Walnut PI Project Name: Tigard Playschool Subdivision Name: Lot # : EXPLANATION: Sign permit created in error - signs no longer permitted to be placed at current site. Signature: � , �/ diutat Date: 1/18/08 Shirley Treat Print Name: Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 - weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date By Rte to Admin: Date 9 C tr By rr Refund Processed: Date AAVe' f By Invoice Processed: Date By Permit Canceled: Date e2/ /c r By Parcel Tag Added: Date I y Receipt # art J- 5 %y Date ///;',./;., 7 Method <' (' Amount $ el, , I: \Building \Forms \RegPemutAction -dooc R6 07/26/07 ~ / � CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2007 -00220 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/30/2007 PARCEL: 2 S 102 B D -01600 BUSINESS NAME: TIGARD PLAYSCHOOL ZONE: R -12 SIGN LOCATION: 09845 SW WALNUT PL 100 JURISDICTION: TIG APPLICANT /AGENT: TIGARD PLAYSCHOOL BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2.5' X 2' TOTAL SIGN AREA: 5 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 2 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary A -frame sign 2.5' X 2'. Sign must be placed on private property, not in public right -of -way. Valid 8/15/08 - 9/15/08 Sign #3 MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 19.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY: 11 f PERMITTEE SIGNATURE: Ue(L"`i' DATE: 11/30/2007 SIGN PERMIT APPLICATION City of Tiganl Permit Center 13125 SW Hall Blul, Tigtzre4 OR 97223 Phony~ 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site 11 4Akt PI l 011.0D1 Air Address/ Street firfddress Permit No.: G / i "C 9 " Location cm q c SIA) k)k kv,,tit, F I Expiration Date: Suite /Bldg. # City/State p Zip T 5(br , O ie £ '1 2 (of Receipt # : c= -19 1 5— Name J" Approved By S -1 Property Date: /1/30/07 Owner Mailing Address Suite M /TL # 9 - Siva Zoning: 2-I ?"" Gry /State Zip Phone Tenant or Name Electrical Permit Required? ID Yes ErNo Business Building Permit Required? El Yes io Name Rev. 7/1/07 is \curpin \ masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit issuance, a copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are (Note: applications will not be accepted required if without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of Tigard's database) ❑ Completed Application Form Proposed ❑ Permanent IN Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign M Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that Other ❑ Billboard ❑ Balloon size requirement: 8 /z" x 11 ", or 11" x 17" appl)) �l ❑ New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: 2 c ' - z 1 (3 copies, if a building permit is required) size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): S ❑ $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W NE NW SE SW Height to top of sign (feet): 2. - • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. Co py • Wall signs do not require site /plot plans. Materials: WOO b • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes IN No permit. Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME ❑ Yes No NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) I hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with the City of Tigard. DATED this O day of Jvti , 20 OY %,1 Signature of Owner /Agent Gi-t. a,„ Ta4Aia 32- 6: /D Contact Person Name Phone No. CITY OF TIGARD 11/30/2007 1312; SW Hall Blvd. 10:32:1 I AM Tigard. OR 97223 503.639.4171 T I GARD Receipt #: 27200700000000005264 Date: 11/30/2007 Line Items: Case No "Iran Code Description Revenue Account No Amount Paid SGN2007 -00218 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00218 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2007 -00219 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00219 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2007 -00220 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00220 [LRPF] LR Planning Surcharge 100-0000-438050 2.00 Line Item Total: 557.00 Payments: Method Payer User 1D Acct. /Check No. Approval No. How Received Amount Paid CreditCard G LYNN TAKAI- IASI -II ST 210392 In Person 57.00 Payment "Total: S57.00 • 'cReceipi.rpi Page 1 of 1 ? .k City of Tigard, Oregon ° 13125 SW Hall Blvd. © Tigard, OR 97223 `� 'i -Anti U N' ' t b' x r 3 , .r ;:r:.j :-.t:,''.'"‘. :;' K ®til , 1 4 44 ", a ii,':.. .., e...: 1 February 7, 2008 G Lynn Takahashi 9845 SW Walnut Pl. Tigard, OR 97223 Re: Permit No. SGN2007 -00219 & SGN2007 -00220 Dear Ms. Takahashi: The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the following: Site Address: 9845 SW Walnut Pl. • Project Name: Tigard Playschool Job No.: N/a Refund: n Check # in the am ount of $ . ® Credit card "return" receipt in the amount of $38.00. ❑ Trust account "deposit" receipt in the amount of $ . Notes: Sign permits created in error. Refund 100% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, , ` r, - ! ,' 7- - �`' Dianna Howse Building Division Services Coordinator Enc. 1: \ Building \ Refunds \Adminust ration \LtrRefund- CancelPermit.doc 01/16/07 Phone: 503.639.4171 o Fax: 503.684.7297 ® www.tigard or.gov ® TTY Relay: 503.684.2772 .1 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Pernat A ction or ROtnd form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: G Lynn Takahashi DATE: January 18, 2008 9845 SW Walnut Pl Tigard, OR 97223 REQUESTED BY: Shirley Treat TRANSACTION INFORMATION: Receipt # : 20075264 Case # : SGN2007- 00219/220 Date: 11/30/2007 Address /Parcel: 9845 SW Walnut PI/ 2S102DB -01600 Pay Method: CreditCard Project Name: Tigard Playschool EXPLANATION: Permits created in error REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: [BUILD] Permit Fee Example: 245 - 0000 - 432000 $ Amount [Sign] Temp Sign Permit 100- 0000 - 437000 17.00 [[LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 [Sign] Temp Sign Permit 100 - 0000 - 437000 17.00 [[LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 TOTAL REFUND: $38.00 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY ' Case Refund Processed: Date: i. %> :r c4' By. I: \Building \Refunds \RefundRequest.doc 05/23/07 t CITY OF TIGARD 2/6/2008 • ' s 13125 sus' Hall lll d. 4:10146PM • ioarcl, OR 97323 503.639.4171 LITMAN Refund Receipt #: 27200800000000000387 7, M 1 '= y--- Date: 02/06/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -00219 Reversal - [SIGN] Temp Sign Pe 100- 0000 - 437000 (17.00) SGN2007 -00219 Reversal - [LRPF] LR Planning 100- 0000 - 438050 (2.00) SGN2007 -00220 Reversal - [SIGN] Temp Sign Pe 100- 0000 - 437000 (17.00) SGN2007 -00220 Reversal - [LRPF] LR Planning 100- 0000 - 438050 (2.00) Line Item Total: ($38.00) Refund: Method Payer User ID Acct. /Check No. Approval No. 1 - IoW Received Amount Paid Credit Reversal GLYNN TAKAHASHI 210392 In Person (38.00) ''N Refund Total: ($38.00) y O v u4 = �O .ti 1] L .�° O '�K 4-1 ) a.) N t ' Ft ' w Y 1 ,x cn C 9. L v \ds 5 a ct S." f ' O 1....; s o ^.2 ) c.. (U v O 1-4 y,, U A N y . N O 'Cj �i . ■1,': ,. o- C C Y 'f' W O X ' a O x cC v V 'b w c Q, ul O ' u y a+ ' t.. \ ui C g V C cd U N 1--, 1=4 0 0 L. t1 F iti O 0 '' - cci . c - Q H w c� a rage I of I CITY ®9� �91G��� fj 1/13/2008 :., r: e ;: 13125 S\V Hall Blvd. 1 1 :39:4 AM 1 y, " T'iya rd OIZ 97273 X03.639.3 1 71 • .4;1 �F Receipt #: 27200700000000005264 .. ,j'�j Date: 11/30/2007 Line Items: Case No Trail Code Description Revenue Account No Amount Paid SGN2007 -00218 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00218 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2007 -00219 [SIGN] Temp Sign Perm 100 -0000- 437000 17.00 SGN2007 -00219 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2007 -00220 [SIGN] Temp Sign Perm 100- 0000 - 437000 •17.00 SGN2007 -00220 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item Total: $57.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCarcl G LYNN TAKAHASHI ST 210392 In Person 57.00 Payment Total: $57.00 ciZeicipl.rpi Pine 1 of 1 I I ' Community Development TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard - or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ® City Staff (check one) REFUND OR Name: G Lynn Takahashi INVOICE TO: (Business or Individual) Mailing Address: 9845 SW Walnut P1 \I Q 1 D City /State /Zip: Tigard, OR 97223 oZ/ 0 49 Phone No.: SO 3 ` 3 -g/ I 0 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (•): ® CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach receipt, if available). n INVOICE FOR FEES DUE (attach case fee schedule and explain below). REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit # : SGN2007 -00220 Site Address or Parcel # : 9845 SW Walnut P1 Project Name: Tigard Playschool Subdivision Name: Lot # : EXPLANATION: Sign permit created in error - signs no longer permitted to be placed at current site. Signature: A I Date: 1/18/08 Shirley at ' Print Name: Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY �! //J Rte to Sys Admin: Date By Rte to �Admin: Date a 9 p p By �. Refund Processed: Date 0/0, By. Invoice Processed: Date By Permit Canceled: Date . J%? By 44e— Parcel Tag Added: Date By Receipt # ,f17.s',Z7y Date //. lte 7 Method C Amount $ 't, 0 I: \Building\ Forms \RegPemutAction.doc v 07 /26/07