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Correspondence CITY OF TIGARD ° Building Division TIGARD 13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 INVOICE TO: Stone Bridge Homes NW, LLC Customer ID: 173318 16869 SW 65th Ave., #505 Invoice No.: INV2008-00006 Lake Oswego, OR 97035 _ Invoice Date: 5/16/08 Date Due: Upon Receipt Case No. Site Address Subdivision-Lot#or Project Name Amount Due MST2007-00089 14612 SW 133rd Ave. Wilson Ridge II,Lot 17 $9 Si FA* ii q/7/0? o 4171/ or s AS C� TO /LE '/o vE e cc)s 72._&---v.Er.J e s&--r--etr-e--en-ez • • &Es , � 4�a rss6t c.� $ P I H 9,617 Of /1S Taoo 9 - DDi65 , ,..T. `-/ 53 7 Invoice Total: . 1 ® Please see attached fee schedule for description of fees due. Iq/ VI ' // `��ll 9 (Detach and return this portion with payment.) ∎i Case No.: MST2007-00089 Customer ID: 173318 Site Address: 14612 SW 133`d Ave. Invoice No.: INV2008-00006 Project: Wilson Ridge II, Lot 17 Invoice Date: 5/16/08 Date Due: Upon Receipt Invoice Total: $960.51 Amount Paid: $ Office Note: Route copy of receipt to Dianna Howse to remove parcel tag when fees are paid. Please mail payment to: City of Tigard, Building Division 13125 SW Hall Blvd. Tigard, OR 97223 Attn: Dianna Howse I:\Building\Accounting\Invoice.doc 04/06 I CITY OF TIGARD RECEIPT II 11111 � 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 175317 - 09/24/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2007-00089 [CDCPLN]CDC Pln Rev 100-0000-433060 $45.00 MST2007-00089 [LRPF] LR Planning Surcharge 100-0000-438050 $6.00 MST2007-00089 [BUPPLN] Pln Rv Balance 245-0000-433000 $774.21 MST2007-00089 [BUPPLN] Pln Rv Extra Set 245-0000-433000 $62.50 MST2007-00089 [EROSN]Erosn Pin Rv COT 245-0000-433010 $36.40 Total: $924.11 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 30484 DADAMSKI 09/24/2009 $924.11 Payor: Stone Bridge Homes NW LLC Total Payments: $924.11 Balance Due: $0.00 Page 1 of 1 Mil CITY OF TIGARD FEE AND PAYMENT HISTORY . I, 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD MST2OO7-00089 - 14612 SW 133RD AVE Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due [BUPPLN] Pln Rv Deposit 245-0000-433000 $250.00 $250.00 $250.00 5/15/07 Check 2720070000 $0.00 0000002134 [CDCPLN]CDC Pln Rev 100-0000-433060 $45.00 $45.00 $45.On [LRPF] LR Planning Surcharge 100-0000-438050 $6.00 $6.00 $6. [BUPPLN] Pln Rv Balance 245-0000-433000 $774.21 $774.21 $774.21 [BUPPLN] Pln Rv Extra Set 245-0000-433000 $62.50 $62.50 $62.50 [EROSN]Erosn Pln Rv COT 245-0000-433010 $36.40 $36.40 $36.40 Totals for Fees $1,174.11 $1,174.11 $250.00 $924.11 Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount 27200700000000002134 Check 10033 STONE BRIDGE 05/15/2007 $250.00 HOMES NW LLC Total Payments: $250.00 Balance Due: $924.11 _____D Fee Item Fee Date Record By Action Comment ' [ERPRMT] Erosion Control 112 8/7/2009 LSELLERS V permit expired [BUILD] Bldg Permit 1575.7 8/7/2009 LSELLERS V permit expired ✓ [ERPLN] Erosn Pln Rv CWS 36.4 8/7/2009 LSELLERS V permit expired ✓ [TAX] Build 8%State Surchrg 126.06 8/7/2009 LSELLERS V permit expired 'r [TAX] ELC 8%State Surcharge 27.64 8/7/2009 LSELLERS V permit expired ✓ [TAX] MEC 8%State Surcharge 8.9 8/7/2009 LSELLERS V permit expired ✓ [TIF-R] TIF Resident 2800 8/7/2009 LSELLERS V permit expired ✓ [PLUMB] PLM Prmt 3Bth 399 8/7/2009 LSELLERS V permit expired [TAX] PLM 8%State Surcharge 31.92 8/7/2009 LSELLERS V permit expired ✓ [TIF-MT] TIF Mass Tr 220 8/7/2009 LSELLERS V permit expired [PKSDC] SF Park SDC 4812 8/7/2009 LSELLERS V permit expired ✓ [METCET] Metro Const Excise Tx 376.69 8/7/2009 LSELLERS V permit expired ✓ [MECH] MEC Permit 111.3 8/7/2009 LSELLERS V permit expired +/ [TIF-R] TIF Resident 2800 6/1/2007 AA CONY ✓ [TIF-MT] TIF Mass Tr 220 6/1/2007 AA CONV I �! [ERPRMT] Erosion Control 112 6/1/2007 AA CONV I [ERPLN] Erosn Pln Rv CWS 36.4 6/1/2007 AA CONV I [EROSN] Erosn Pln Rv COT P4(1°'6t--1= 36.4 6/1/2007 AA CONV I ✓ [PKSDC] SF Park SDC 4812 6/1/2007 AA CONV I V [TAX] ELC 8%State Surcharge 27.64 6/1/2007 AA CONV I [ELPRMT] ELC Permit 345.55 6/1/2007 AA CONV I ✓ [TAX] PLM 8% State Surcharge 31.92 6/1/2007 AA CONV I ✓ [PLUMB] PLM Prmt 3Bth 399 6/1/2007 AA CONV I tie [METCET] Metro Const Excise Tx 376.69 6/1/2007 AA CONV I [TAX] Build 8%State Surchrg 126.06 6/1/2007 AA CONV I 1/ [BUILD] Bldg Permit 1575.7 6/1/2007 AA CONV I [BUPPLN] Pln Rv Extra Set 62.5 6/1/2007 AA CONV I [BUPPLN] Pln Rv Balance 774.21 6/1/2007 AA CONV I [LRPF] LR Planning Surcharge 6 6/1/2007 AA CONV I [CDCPLN] CDC Pln Rev 45 6/1/2007 AA CONV I V [MECH] MEC Permit 111.3 6/1/2007 AA CONV I V [TAX] MEC 8% State Surcharge 8.9 6/1/2007 AA CONV I [BUPPLN] Pln Rv Deposit pen, 250 5/15/2007 AA CONV I gi 160 , 5 yo gay , I/ CITY OF TIGARD 5/16/2008 • Fees Associated With 2:28:35PM 13125 SW Hall Blvd. TIGARD Tigard,OR 97223 503.639.4171 Case#: MST2007-00089 Fee Start End m.-. . Revenue Created Type Date Date Dept Description a _" iAccount Number By Date Amount (flue BPLC 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Deposit 245-0000-433000 BLD 5/15/2007 250.00 0.00 CDCP 1/1/1990 12/31/2020 [CDCPLN]CDC Pln Rev 100-0000-433060 MAV 6/1/2007 45.00 45.00 LRP1 12/28/2004 12/31/2020 [LRPF] LR Planning Surcharge 100-0000-438050 MAV 6/1/2007 6.00 6.II BPLD 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Balance 245-0000-433000 MAV 6/1/2007 774.21 774.21 PLCK 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Extra Set 245-0000-433000 MAV 6/1/2007 62.50 6 .50 BPRT 1/1/1990 12/31/2020 [BUILD] Bldg Permit 245-0000-432000 MAV 6/1/2007 1,575.70 1, . 0 B5PC 1/1/1990 12/31/2020 [TAX] Build 8%State Surchrg 100-0000-207020 MAV 6/1/2007 126.06 126.06 MCET 7/1/2006 12/31/2020 [METCET] Metro Const Excise Tx 245-0000-229202 MAV 6/1/2007 376.69 376.6' PL3B 1/1/1990 12/31/2020 [PLUMB] PLM Prmt 3Bth 245-0000-431000 MAV 6/1/2007 399.00 399.00 P5PC 1/1/1990 12/31/2020 [TAX] PLM 8%State Surcharge 100-0000-207020 MAV 6/1/2007 31.92 31.92 ELCF 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220-0000-431510 MAV 6/1/2007 345.55 345.55 ELC5 1/1/1990 12/31/2020 [TAX] ELC 8%State Surcharge 100-0000-207020 MAV 6/1/2007 27.64 27.64 PRK6 7/1/2005 12/31/2020 [PKSDC] SF Park SDC 270-0000-450000 MAV 6/1/2007 4,812.00 4,812.00 TIFR 7/1/2002 12/31/2020 [TIF-R] TIF Resident 210-0000-448001 MAV 6/1/2007 2,800.00 2,800.00 TIFM 7/1/2002 12/31/2020 [TIF-MT]TIF Mass Tr 210-0000-448005 MAV 6/1/2007 220.00 220.00 EROS 1/1/1990 12/31/2020 [ERPRMT] Erosion Control 100-0000-207307 MAV 6/1/2007 112.00 112.00 ERPU 1/1/1990 12/31/2020 [ERPLN] Erosn Pln Rv CWS 100-0000-207308 MAV 6/1/2007 36.40 36 • I ERPC 1/1/1990 12/31/2020 [EROSN] Erosn Pln Rv COT 245-0000-433010 MAV 6/1/2007 36.40 36.• MPRT 1/1/1990 12/31/2020 [MECH] MEC Permit 245-0000-431010 MAV 6/1/2007 111.30 111.30 M5PC 1/1/1990 12/31/2020 [TAX] MEC 8%State Surcharge 100-0000-207020 MAV 6/1/2007 8.90 8.90 Total Due: $11,907.27 f 449 SAVo 9 Page 1 of I CaseFees..rpt