SGN2008-00209 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 •
I1
TIGARD
December 9, 2008
The Christmas Tree Company
P.O. Box 305
Tualatin, OR 97062
Re: Permit No. TUP2008- 00010, SGN2008 -00208 & SGN2008 -00209
Dear Sir /Ms.:
The City of Tigard has canceled the above referenced pern it(s) and enclose a refund for the
following:
Site Address: 9770 SW Scholls Ferry Rd.
Project Name: Bartels Christmas Tree Lot
Job No.: N/A
Refund: ® Check #60723 in the amount of $360.00.
❑ Credit card "return" receipt in the amount of $
❑ Trust account "deposit" receipt in the amount of $
Notes: Refund of Temporary Use Permit and two Sign Permits.
If you have any questions please contact me at 503.718.2430.
Sincerely,
'd , 9 471-17-e—
Dianna Howse
Building Division Services Supervisor
Enc.
I: \Bull ding\ 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
41 Check Refund Request
City of Tigard
This form is used for refund requests of permit application fees paid by check transactions only.
Receipts, documentation and applicant's request for refund, if applicable, must be attached to
this form. Approved request 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 and refund of case fees.
VENDOR NO.: DATE: November 14, 2008
PAYABLE TO: The Christmas Tree Company REQUESTED BY: Shirley Treat
PO Box 305
Tualatin, OR 97062
TRANSACTION Receipt #: 20083802 Case #: TUP2008 00010/
INFORMATION: SGN2008 -00208 & 209
Receipt Date: 11/5/2008 Site Address: 9770 SW Scholls Ferry Rd
Check #: 2100 Project Name: Bartels Christmas Tree Lot
EXPLANATION: Refund of Temporary Use Permit and 2 Sign Permits created in error
EXPENDITURES:
Fee Description From Receipt Revenue Account No. $ Amount
Example: [BUILD] Permit Fee Example: 245- 0000 - 432000
[LANDUS] Temp Use Dir Decisn 100 - 0000 - 438000 $262.00
[LRPF] LR Planning Surcharge 100 - 0000 - 438050 39.00
[SIGN]Temp Sign Permit 100- 0000 - 437000 17.00
[LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
[SIGN] Sign Permit 100 - 0000 - 437000 35.00
[LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
TOTAL REFUND: $360.00
APPROVALS:
OF UNDER $50) Section Manager/Professional Staf
OF UNDER $2500) Division Manager aI _ W. on 1
OF UNDER $7500) Department Manager /
OF UNDER $25000) City Manager
(IF OVER $25000) Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
• ✓ Case Refund Processed: Date: I /A 4, /o,P I By: I „e —
i:\ Building \Refunds\RefundCheckRequest.doc 03/05
17 11 CITY OF TIGARD 11/14/2008
�, 13125 SW Hall Blvd. 2:53:02PM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000003802
Date: 11/05/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
TUP2008 -00010 [LANDUS] Temp Use Dir Decisn 100 - 0000 - 438000 262.00
TUP2008 -00010 [LRPF] LR Planning Surcharge 100- 0000 - 438050 39.00
SGN2008 -00208 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2008 -00208 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2008 -00209 [SIGN] Sign Permit 100- 0000 - 437000 35.00
SGN2008 -00209 [LRPF] LR Planning Surcharge 100 -0000- 438050 5.00
Line Item Total: $360.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
•
Check THE CHRISTMAS TREE ST 2100 In Person 360.00
COMPANY LLC
Payment Total: $360.00
elteceipI.rpL Page I o1 I
117.1
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: The Christmas Tree Company
INVOICE TO: (Business or Individual)
Mailing Address: PO Box 305
\/010 City/State /Zip: Tualatin, OR 97062
/ / / t 0 Phone No.: 503 - 625 -6886
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
® 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 #: TUP2008 -00010
Site Address or Parcel #: 9770 SW Scholls Ferry Rd
Project Name: Bartels Christmas Tree Lot
Subdivision Name: Lot #:
EXPLANATION: Refund of Temporary Use Permit and 2 Sign Permits created in error
Signature: likicitif GALS Date: 11/14/08
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 -2 weeks for processing refunds.
FOR OFFICE USE ONLY
Rte to Sys Admin: Date By Rte to 4151r Admin: Date 42/9 O / By ?i r
Refund Processed: Date ///24/0/'- By Invoice Processed: Date By
Permit Canceled: Date c//2G- Q, By Parcel Tag Added: Date By
Receipt #61 f 3 eC2 Date //is/ e Metho. Amount $
I: \Building \Forms \RegPermitAction.d6c ikev 07/26/07