Correspondence IN CITY OF TIGARD /977Ai /1192 C FEE AND PAYMENT HISTORY Y „
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13125 St^/Ha1181vd.,Tgard OR 97223 ''
503.639.4111 Lo
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BUP2013-00288 - 10900 SW 76TH PL 1,TIGARD, OR 97223 u,vi 7-S / l V 0
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Revenue Payment 01 o
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# c
5
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74
Permit Fee-Additions,Alterations, 230-0000-43104 $438.74 $438.74 $438. m
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Demolition
$52.65 co
12%Stale Surcharge-Building 100-0000-24001 $52.65 $52.65 up
00 43106 5285.18 $265.18 $285.18 11127113 Credit Card 194106 $0.00 m
Plan Review 230-00 a+
Plan Review-Fire Life Safety 230-0000-43108 $175.50 $175.50 5175.50 11/27/13 Credit Card 194106 $0.00
Info ProcesslArchiving-Sm$0.50(up to 230-0000-43135 $7.00 $7.00
$7.00 cr
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Totals for Foes $959.07 5959.07 5460.68 $498.39 N
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Receipt i Payment Method Check# PaVOT: Receipt Date Receipt Amount H A
Card AvnI Johnson-JR 11127t2013 $460.68 <
194106 Credit -i
Johnson Inc
Total Payments: $460 68 -{
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Balance Due: $498.39 70
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From:J.R. Johnson Inc 5032403424 12/19/2013 10:29 #176 p.001/003
RECEIVED
FAX TRANSMITTAL
DEC 1 9 2013
CONSTRUCTION BOx 11711915ON DIVISION
P CITY OF TIGARD
LICENSED BONDED INSURED BUILDING DIVISION
PORTLAND OR.97217
OR CCB # 102676/WA CCB #JRJOHI*050DB
PHONE(503)240-3388/FAx(503)240-3424 W
WW.JRJOHNSONINC.COM
J.R. JOHNSON, INC.
DATE: DECEMBER 19, 2013
TIME: 10:26 AM
TO: CITY OF TIGARD PERMITS
FAX: 503-598-1960
FROM: MARC LEUSCHNER
RE: TIGARD WOODS PERMITS FEE BALANCE
THIS IS PAGE 1 OF 3 PAGES
COMMENTS: PLEASE SEE THE ATTACHED CREDIT CARD AUTHORIZATION FOR
REMAINING PERMIT FEES TOTALING $7200.24 FOR TIGARD WOODS
PERMITS. PERMIT NUMBERS BUP2013-00288 THROUGH BUP2013-
00299_
ATTN: DIANA 8
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ice/ I
,ety
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J R_JOHNSON.INC.
p
CONSTRUCTION DIVISION
PO Box 17196
LICENSED BONDED INSURED
PORTLAND ��'10E�VE1
PORTLANLAN D OR.97217 �1111JJ.
ORCCB # 102676/WACCB #JRJOHI*05 B
PHONE(503)240-3388/FAx(503)240-3424
WWW.JRJOHNSONINC.COM NOV 2 7 2.013
J.R. JOHNSON, INC_
CITY OFTIGARD
JR Johnson BUILDING DIVISION
PO Box 17196
Portland, OR 97217
Debbie,
Please see the enclosed permit applications for Tigard Woods Condos with the payment
Authorization form. Please use the authorization form for all of the fees associated with these
permits. I do have many additional details for these permits, so if there are any other details
that you would like to see, feel free to contact me and I will have them sent right over.
Regards,
14t1MARC LEUSCHNER
PROJECT COORDINATOR
[TI 503.240.3388
[C1 503.913.1178
WWW.JRJOHNSONINC.COM
."-.EPA
cRtiF,ED
NAT-31325-1