Correspondence (478) 00 po340 :
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 Y,
01
•
T I.GARD
October 24, 2008
Dartmouth Square LLC
7165 SW Fir Loop, Ste. 100
Tigard, OR 97223
Re: Permit No. BUP2006 -00299
Dear Sir /Ms.:
The City of Tigard has processed a refund for fees on the above referenced permit(s) for the
following:
Site Address: 11945 SW 70 Ave.
Project Name: Dartmouth Square
Job No.: N/a
Refund: ® Check #59937 in the amount of $149,844.26.
❑ Credit card "return" receipt in the amount of $
❑ Trust account "deposit" receipt in the amount of $
Notes: Refund traffic impact fees as applicant has constructed Dartmouth St.
improvements. Check was sent under separate cover by the Finance Department on
10/20/08.
If you have any questions please contact me at 503.718.2430.
Sincerely,
•
'CC 411
Dianna Howse
Building Division Services Supervisor
Enc.
I:\ Building\ Refunds \Adminis tration \LtrRefund- RefundOnly.doc 01/16/07
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772
CITY OF TIGARD, OREGON 59937
Vendor: Dartmouth Square LLC Check Date: 10/20/2008
Vendor No:Per00530 Vendor Acct No: Check Amount: $149,844.26
Invoice Number Date Description Invoice Amount
Refund- Permit 10/15/2008 BUP2006- 00299/Dartmouth Sq/Tif -O 134,916.26
Refund- Permit a 10/15/2008 BUP2006- 00299/Dartmouth Sq/Tif-O 14,928.00
•
WLCK85T1IC WESTERN BUSINESS FORMS & SUPPLIES 360657.3203 PRINTED W U.S.A.
1
71 Q
City of Tigard
T 1 G A R D Tidemark Refund Request
This form is used for refund requests of land use, engineering and building application fees.
Receipts, documentation and the Request for Permit Action 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: Dartmouth Square LLC DATE: October 13, 2008
• 7165 SW Fir Loop, Ste. 100
Tigard, OR 97223 REQUESTED BY: Dianna Howse
Maris Buxton
•
It.Do S
TRANSACTION INFORMATION:
Receipt #: 2008 -2335 Case #: BUP2006 -00299
Date: 6/30/08 Address /Parcel: 11945 SW 70th Ave.
Pay Method: Check Project Name: Dartmouth Square
EXPLANATION: Refund traffic impact fees as applicant has constructed Dartmouth street improvements
per Kim McMillan.
REFUND INFORMATION: _.
Fee Description From Receipt • Revenue Account No . Refund
.Example: [BUILD] •:Permit Fee , Example: 245 - 0000 - 432000 $ Amount ,;
[TIF -O] TIF -Office 210- 0000 - 448003 $134,916.26
[TIF -MT] TIF -Mass Trns 210 - 0000 - 448005 14,928.00
TOTAL REFUND: $149,844.26
APPROVALS:
If under $500 Professional Staff
If under $7,500 Division Manager .
If under $22,500 Department Manager , - ,
If under $50,000 City Manager ��.0 ,A,„.: w.
If over $50,000 Local Contract Review Board
/ - FOR TIDEMARK SYSTEM ADMINISTRATION USE O Y '
Case Refund Processed: I Date: 1 ily/ Ocr 1 By:
I: \Building \Refunds \RefundRequest.doc 05/23/07
,..lei,.? CITY OF "t'ICARD 10/13/2008
I : i. 13125 SW Ball Blvd. 8: 10: 38A
� Tigard, OR 97223 503.1,39.41 71
Ca r Al
Receipt #: 27200800000000002335 -
Date: 06/30/2008
Line Items:
Case No Trail Code Description Revenue Account No Amount Paid
BUP2006 -00299 [T1F -0] TIP - Office 210- 0000 - 448003 134,916.26
BUP2006 -00299 [TIF -NIT] TIP -Mass Trns 210 - 0000 - 448005 14,928.00
Line Item Total: 8149,841.26
Payments:
:Method Paver User 1D Acct. /Check No. Approval No. Flow Received Amount Paid
Check DARTMOUTH SQUARE LLC DEB 1081 In Person 149,844.26
Payment Total: 5149,844.26
}
a
Community D evelopment
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:
INVOICE TO: (Business or Individual) DA!? T M o f c.T / S 9u A R E A LL C
Mailing Address: / / (0 5 Sk) r/ R Loo P Sic IT E 10
City /State /Zip: Ti . G,q ,e u, O e 9 7; 3
Phone No.: SO 3- a a 3- 4 3
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 #: BU P aooto -00 9 `'j LSDR ao06- /000/7
Site Address or Parcel #:
Project Name: J A R T m o u. T I# S C u/9 RE'
Subdivision Name: Lot #:
EXPLANATION: h C Fu MD I R i FF 1 C m P c.' r FLEE
PER Kir1 fnc mi LL 07.). /9"/ T Go •>✓ r 7/c_74
/LT�70 77/ /, i s- ,
Signature: 1/4-71 l 3 e.e,r _ Date: / d 6 - 0 $
Print Name: Y1 A R is B ( kXTO ti
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
Rte to Sys Admin: Date By Rte to ] Admire: Date 70 29 'r By '...
Refund Processed: Date /d /9 o r B 4 Invoice Processed: Date B
Permit Canceled: Date 4/ i� B Parcel Tag Added: Date By
Receipt # dp Date 756 /per Method Amount $
I: \ Building \Forms \RegPermitAction.d6c Re< 07/26/07