Correspondence E/c, 2c=� , /ice
L r 1 a "
C of Tigard, Oregon 13 125 SW Hall Blvd. Tigard, OR 97223 ,'; s F 4- '`;4
I
April 16, 2007
Andrew Schaffer
13870 SW 121 Ave.
Tigard, OR 97223
Re: Permit No. ELC2007 -00145
Dear Mr. Schaffer:
The City of Tigard has processed a credit "return" for a credit card overcharge error for
permit fees on the above referenced permit and enclose a receipt for the following:
Site Address: 13870 SW 121st Ave.
Project Name: Schaffer
Job No.: N/A
Refund: Credit card "return" receipt in the amount of $80.30.
Notes: Only (1) 200 amp service was required. Refund amount for additional service.
If you have any questions please contact me at 503.718.2430.
Sincerely,
.U' e -'7
Dianna Howse
Permit Specialist
Enc.
1: \ Building \ Refunds \ Adnwtist ratio n \LtrRefund- CGOvercharge.doc 01/ 16/07
Phone: 503.639.4171 o Fax: 503.684.7297 o www.tigard- or.gov e TTY Relay: 503.684.2772
City of Tigard
4.
TIGARt Tidemark Refund Request
This form is used for refund requests of land use, engineering and building application fees paid by
all methods. Receipts, documentation and the Request for Pernit A ction or Refund 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: Andrew Schaffer DATE: April 16, 2007
13870 SW 121" Ave.
Tigard, OR 97223 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt # : 2007 -1037 Case # : ELC2007 -00145
Date: 3/9/07 Address /Parcel: 13870 SW 121st Ave.
Pay Method: Credit Card Project Name: Schaffer
EXPLANATION: Only (1) 200 amp service required. Refund 100% of fee for additional service.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: [BUILD] Permit Fee Example: 245 0000 - 432000 $ Amount
[ELPRMT] ELC Permit 220- 0000 - 431510 $80.30
TOTAL REFUND: $80.30
APPROVALS:
If under $500 Professional Staff
If under $5,000 Division Manager ,y'' fc;
If under $22,500 Department Manager y
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
V Case Refund Processed: Date: I /.'4/t` ,' By ,1
I:\ Building \Refunds \RefundRequest.doc 09/15/06
Building Division
Request for Permit Action or Refund
City of Tigard
CITY OF TIGARD
Permit System Administrator �I) U 9 20 7
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 503.598.1960 ell Ur 'Jut a
'fZTT""‘
FROM: ® Owner ® Applicant ❑ Contractor FinIti"Cff
(check one)
Name: Andrew T Schaffer
(Business or Individual)
Mailing Address: 13870 SW 121 Ave
City /State /Zip: Tigard, OR 97223
Phone No.: 503.515.6259
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
❑ CANCEL PERMIT APPLICATION.
® REFUND PERMIT FEES.
❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: ELC2007 -00145
Site Address or Parcel #: F) S P Px,J '
Project Name:
Subdivision Name: Lot #:
EXPLANATION: My electrician thought a meter main was needed but not, so only 1
200 amp service was needed instead of 2.
A refund of $80.30 can be applied to the card used for the transaction. Thanks!
Signature:
/' Date: 27 MAR 07
Andrew Schaffer
Refund Policy
1. The Building Official may authorize the refund of
a) any fee which was erroneously paid or collected.
b) not more than 80 percent of the permit fee for issued permits prior to any inspection requests.
c) not more than 80 percent of plan review fee when an application is canceled before any plan review effort has been expended.
2. Refunds will be returned to the original Payer in the same method in which payment was received.
Rte to S s Admin: Date o 1 ( L i j 1 Rte to I Bldg Admin: Date
n
�n to
Refund Processed: Date /aft 7 By 4-- Invoice Processed: Date By
Permit Canceled: Date WI,. By Parcel Tag Added: Date By
Method Amount $
Recent # p - ; Date .3 Q O / / 7 ZSa90 /� 06 oS /a7Z
1:c Build ing \Forms\RegPermitAction- Bldg.doc Rev 10/17/05 5 i-7 S