Correspondence (5) I - .
TIGARD
City of Tigard
July 17, 2014
Centres Construction Inc.
Attn: Steve
8250 SW Hunziker Rd
Tigard, OR 97223
Re: Permit No. BUP2013-00225
Dear Applicant:
The City of Tigard has processed a refund for overpayment of permit fees on the above
referenced permit for the following:
Site Address: 7148 SW Gonzaga St.
Project Name: The Adrienne
Job No.: N/A
Refund: ® Check#214352 in the amount of$1,858.91.
❑ Credit card "return" receipt in the amount of$ .
❑ Trust account"deposit"receipt in the amount of$ .
Notes: Change in scope of work by converting (1) residential unit to office space on the 2"`'
floor resulted in an adjustment and overpayment of permit fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
X -'■i/ - -
Dianna Howse
Building Division Services Coordinator
Enc.
I:\Building\Refund, h re3t13ti a tpTy r4iiNfgon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
CITY OF TIGARD - Community Development
5/28/2014
Prepared by: Dianna Howse, Building Division Services Supervisor-503-718-2430
Project: The Adrienne-7148 SW Gonzaga St
Revision: Add rooftop garden and convert(1) residential unit on 2nd floor to commercial office area for total of(7) residential units.
Increase commercial-business square footage by 1,025 from 2,865 to 3,890 square feet.
Decrease residential-multi-family square footage by 1,025 from 8,970 to 7,945 square feet.
Changes affect permit and SDC fees for building, electrical, plumbing and sewer permits as outlined below.
BUP2013-00225 Original Fees Adjusted/Additional Fees Due/Refund
Assessed Fee Description Quantity Each Fees Paid Quantity Each New Fee
9/9/2013 Permit Fee-COM - New 1 7,095.42 $ 7,095.42 1 7,095.42 $ 7,095.42 $ -
9/9/2013 State Surcharge 1 12% $ 851.45 1 12% $ 851.45 $ -
9/9/2013 Plan Review-Structural 1 65% $ 4,612.02 1 65% $ 4,612.02 $ -
9/9/2013 Plan Review- Fire Life Safety 1 40% $ 2,838.17 1 40% $ 2,838.17 $ -
11/5/2013 TDT-Transportation Dev Tax 1 53,757.00 $ 53,757.00 1 55,175.00 $ 55,175.00 $ 1,418.00
11/5/2013 Parks Commercial/Industrial 1 3,068.85 $ 3,068.85 1 4,312.98 $ 4,312.98 $ 1,244.13
11/5/2013 Parks Multi-Family Unit 8 4,793.04 $ 38,344.32 7 4,793.04 $ 33,551.28 $ (4,793.04)
11/5/2013 DC Provision Review-COM - PIn 1 139.00 $ 139.00 1 139.00 $ 139.00 $ -
11/5/2013 DC Provision Review-COM - BId 1 139.00 $ 139.00 1 139.00 $ 139.00 $ -
11/5/2013 DC Provision Review-COM - LRP 1 41.00 $ 41.00 1 41.00 $ 41.00 $ -
11/5/2013 Metro Const Excise Tax-Com 1 1,800.00 $ 1,800.00 1 1,800.00 $ 1,800.00 $ -
11/5/2013 Info Proc/Arch -Sm (up to 11x17) 225 0.50 $ 112.50 233 0.50 $ 116.50 $ 4.00
11/5/2013 Info Proc/Arch - Lg (over 11x17) 48 2.00 $ 96.00 64 2.00 $ 128.00 $ 32.00
12/5/2013 School Const Excise Tax-Corn 2,865 sf 0.55 $ 1,575.75 3,890 sf 0.55 $ 2,139.50 $ 563.75
12/5/2013 School Const Excise Tax- Res 8,970 sf 1.11 $ 9,956.70 7,945 sf 1.11 $ 8,818.95 $ (1,137.75)
5/20/2014 Add'I Plan Review for Plan Revisions $ - 4 hrs 90.00 $ 360.00 $ 360.00
5/20/2014 Add'I Plan Review for Permit Revisions $ - 5 hrs 90.00 $ 450.00 $ 450.00
Total: $ 124,427.18 $ 122,568.27 $ (1,858.91)
lir City of Tigard
TIGARD Accela Refund Request
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must
be attached to this request form. Refund requests are due to Accela System Administrator by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts
Payable will route refund checks to Accela System Administrator for distribution to applicant.
PAYABLE TO: Centres Construction Inc. DATE: 7/10/2014
Attn: Steve
8250 SW Hunziker Rd REQUESTED BY: Dianna Howse
Tigard, OR 97223
TRANSACTION INFORMATION:
Receipt#: 193893/194304 Case#: BUP2013-00225
Date: 11/22/2013 - 12/16/2013 Address/Parcel: 7148 SW Gonzaga St.
Pay Method: Check Project Name: The Adrienne
EXPLANATION: Change in scope of work by converting(1) residential unit to office space on the 2nd
floor resulted in an adjustment and overpayment permit fees.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Cash Over 100-0000-48001 $1,858.91
TOTAL REFUND: $1,858.91
APPROVALS: SIGNA -RES DATE:
If under$5,000 Professional Staff ,�f/'� ; e
If under$12,500 Division Manager
If under$25,500 Department Manager
If under$50,000 City Manager
If over$50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ON Y
Case Refund Processed: Date: J/j 2 f/y By: /41/
I:\Building\Refunds\RefundRequest.doc x 09/01/2010