VAR2006-00089 •
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 •
ill -
TIGARD;
February 6, 2008
ONLINEED, Inc.
7405 SW Beveland Rd.
Tigard, OR 97223
Re: Permit No. VAR2006 -00089
Dear Sir /Ms.:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 7405 SW Beveland Rd.
Project Name: S M Office Conversion
Job No.: N/A
Refund: ® Check #55560 in the amount of $121.20.
❑ Credit card "return" receipt in the amount of $ .
• ❑ Trust account "deposit" receipt in the amount of $ .
Notes: Variance not required as trees could not be saved in order to use as existing street
trees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
4 /94(.71-C--,
Dianna Howse
Building Division Services Coordinator
Enc.
•
I: \Building\ Refunds\ Administration \LtrRefund- CancelPermicdoc 01/16/07
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772
I If
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 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: ONLINEED, Inc. DATE: 1/15/08
7405 SW Beveland Rd.
Tigard, OR 97223 REQUESTED BY: Dianna Howse
CAC
TRANSACTION INFORMATION:
Receipt #: 2006 -5874 Case #: VAR2006 -00089
Date: 12/18/06 Address /Parcel: 7405 SW Beveland Rd.
Pay Method: Check Project Name: S M Office Conversion
EXPLANATION: Variance was not required. Trees could not be saved in order to use as existing street
trees per Cheryl Caines.
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. p.. � ] .... � .....::,.:. , �: .:. , ., ::�; ..... Exatiijile b.0(l0 ,4�200,0�... , ' , .
ILANDUS] Special Adjustment 100- 0000 - 438000 $105.60
[L RPF] LR Planning Surcharge 100 - 0000 - 438050 15.60
TOTAL REFUND: $121.20
APPROVALS:
If under $500 Professional Staff
If under $7,500 Division Manager ✓ e i
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR TIDEIVIAitIOYSTTEII%I° MIMS'T'
V Case Refund Processed: Date: MMISM2111.1. B
I: \Building \Refunds \RcfundRcqucst.doc 05/23/07
IN CITY OF TIGARD 12
•
0 • � • 1 3125 SW Hall Blvd. 2:54:31PM
Tigard, OR 97223 503.639.4171
TIGARD
•
Receipt #: 27200600000000005874
Date: 12/18/2006
Line Items:
•
Case No Tran Code Description Revenue Account No Amount Paid
SDR2006 -00012 [ LANDUS] SDR Under $1,000,000 100- 0000 - 438000 3,759.00
SDR2006 -00012 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 555.00
--�> VAR2006 -00089 [LRPF] LR Planning Surcharge 100- 0000 - 438050 19.50
VAR2006 -00089 [LANDUS] Special Adjust 100 - 0000 - 438000 132.00
Line Item Total: $4,465.50
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check . ONLINEED, INC. ST 12067 In Person 4,465.50
Payment Total: $4,465.50
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cReceipt.ipt Page 1 of 1
° Community Development
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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: ONLINEED, Inc.
INVOICE TO: (Business or Individual)
Mailing Address: 7405 SW Beveland Rd.
City/State /Zip: Tigard, OR 97223
Phone No.: 503 - 636 -4580 Harlow Spaan
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 #: VAR20C1400089
Site Address or Parcel #: 7405 SW Beveland Rd.
Project Name: S M Office Conversion
•
Subdivision Name: Lot #:
EXPLANATION: Variance was not needed. Trees could not be saved in order to
use as existing street trees. /`c' - -t iVz tS o (1 OF C: .9 /7c •'.J
/1 0,
Signature: etue-'<-- Date: 1/2/08
Cheryl Gaines
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 poor 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.
TOR,01:19ICL U.SL.ONL1�_ _ — _ fiEAiNo
Rte to Sys Admin: Date By • Rte to Admin: Date 9° By /i T �
Refund Processed: Date � / /U e By ! • Invoice Processed: Date • By /S 6 0
Permit Canceled: Date .05/O4- By Parcel Tag Added: Date By /0 S, t O
Receipt # .. Jy Date / /p4, Method 64. c Amount $ Ask / a O
1: \Building \ Forms \RegPermitAction.doc Ikev /26/07