Correspondence " CITY OF TIGARD
Building Division
TIGARD 13125 SW Hall BIvd.,Tigard,OR 97223 503-639-4171
INVOICE
TO: Stone Bridge Homes NW,LLC Customer ID: 173318
16869 SW 65th Ave., #505 Invoice No.: INV2008-00005
Lake Oswego, OR 97035 Invoice Date: 5/16/08
Date Due: Upon Receipt
Case No. Site Address Subdivision- Lot#or Project Name Amount Due
MST2007-00090 13292 SW Nicole Ln. Wilson Ridge II,Lot 29 $995.54
PAID
' d
Invoice Total: $995.54
® Please see attached fee schedule for description of fees due.
(Detach and return this portion with payment.)
Case No.: MST2007-00090 Customer ID: 173318
Site Address: 13292 SW Nicole Ln. Invoice No.: INV2008-00005
Project: Wilson Ridge II,Lot 29 Invoice Date: 5/16/08
Date Due: Upon Receipt
Invoice Total: $995.54
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
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1111 CITY OF TIGARD RECEIPT
v
$ . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIVA.R.D
Receipt Number: 176046 - 11/18/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
MST2007-00090 [CDCPLN]CDC Pln Rev 100-0000-433060 $45.00
MST2007-00090 [LRPF] LR Planning Surcharge 100-0000-438050 $6.00
MST2007-00090 [BUPPLN]Pln Rv Balance 245-0000-433000 $809.24
MST2007-00090 [BUPPLN]Pln Rv Extra Set 245-0000-433000 $62.50
MST2007-00090 [ERPLN]Erosn Pln Rv CWS 100-0000-207308 $36.40
MST2007-00090 [EROSN]Erosn Pln Rv COT 245-0000-433010 $36.40
Total: $995.54
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 30667 DADAMSKI 11/18/2009 $995.54
Payor: Stone Bridge Homes NW LLC
Total Payments: $995.54
Balance Due: $0.00
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City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
14
T I GARD
May 16, 2008
Stone Bridge Homes NW, LLC
16869 SW 65th Ave., #505
Lake Oswego, OR 97035
Re: Expired Permits
We have expired and include an invoice for all plan reviews fees due for the following permits:
---> MST2007-00090, 13292 SW Nicole Ln., Wilson Ridge II, Lot 29, $995.54 d`' 8,y 9'
MST2007-00089, 14612 SW l33`d Ave., Wilson Ridge II, Lot 17, $960.51 Pd' 1//,9109
MST2007-00104, 13245 SW Nicole Ln., Wilson Ridge II, Lot 21, $973.02 d�
Please resubmit payment along with the bottom portion of the invoice in the enclosed envelope
at your earliest convenience. If you prefer to pay by credit card, please complete the enclosed
form and return it along with the bottom portion of the invoice. A receipt will be mailed to you.
Please note that a parcel tag has been placed on these lots indicating that fees are due and must
be paid before any other permit can be issued on these lots.
If you have any questions please call me at 503.718.2430.
Sincerely,
.el. .,YV-14.e 7 f--e____.
Dianna Howse
Building Division Services Coordinator
Encs.
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard-or.gov • TTY Relay: 503.684.2772
R
CITY OF TIGARD FEE AND PAYMENT HISTORY
i S 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
MST2007-00090 - 13292 SW NICOLE LN
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
[BUPPLN]PIn Rv Deposit 245-0000-433000 $250.00 $250.00 $250.00 5/16/07 Check 2720070000 $0.00
0000002159
[CDCPLN]CDC PIn Rev 100-0000-433060 $45.00 $45.00 $45
[LRPF]LR Planning Surcharge 100-0000-438050 $6.00 $6.00 $6.
[BUPPLN] PIn Rv Balance 245-0000-433000 $809.24 $809.24 $809.24
[BUPPLN] Pln Rv Extra Set 245-0000-433000 $62.50 $62.50 $62.50
[ERPLN]Erosn PIn Rv CWS 100-0000-207308 $36.40 $36.40 $36.40
[EROSN] Erosn PIn Rv COT 245-0000-433010 $36.40 $36.40 $36.40 _
Totals for Fees $1,245.54 $1,245.54 $250.00 $995.54
Receipt# Payment Method Check# Pavor: Receipt Date Receipt Amount
27200700000000002159 Check 10034 STONE BRIDGE 05/16/2007 $250.00
HOMES NW LLC
Total Payments: $250.00
IN N CITY OF TIGARD 5/16/2008 ,.
Fees Associated With 2:24:13PM .
a 13125 SW Hall Blvd.
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TIGARD Tigard,OR 97223 503.639.4171 Case #: MST2007-00090
Fee Start End Revenue Created
Type Date Date Dept Description Account Number By Date Amount Due
BPLC 1/1/1990 12/31/2020 [BUPPLN] Pin Rv Deposit 245-0000-433000 BLD 5/16/2007 250.00 0.00
CDCP 1/1/1990 12/31/2020 [CDCPLN] CDC Pln Rev 100-0000-433060 BSB 6/1/2007 45.00 45.00
LRP1 12/28/2004 12/31/2020 [LRPF] LR Planning Surcharge 100-0000-438050 BSB 6/1/2007 6.00 6.00
BPLD 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Balance 245-0000-433000 BSB 6/1/2007 809.24 809.24
PLCK 1/1/1990 12/31/2020 [BUPPLN] Pln Rv Extra Set 245-0000-433000 BSB 6/1/2007 62.50 6 .50
BPRT 1/1/1990 12/31/2020 [BUILD] Bldg Permit 245-0000-432000 BSB 6/1/2007 1,629.60 1,629.60
B5PC 1/1/1990 12/31/2020 [TAX] Build 8%State Surchrg 100-0000-207020 BSB 6/1/2007 130.37 130.3
MCET 7/1/2006 12/31/2020 [METCET] Metro Const Excise Tx 245-0000-229202 BSB 6/1/2007 393.14 393.1 -'
MPRT 1/1/1990 12/31/2020 [MECH] MEC Permit 245-0000-431010 BSB 6/1/2007 100.60 100.60
M5PC 1/1/1990 12/31/2020 [TAX] MEC 8%State Surcharge 100-0000-207020 BSB 6/1/2007 8.05 8.05 '
PL3B 1/1/1990 12/31/2020 [PLUMB] PLM Prmt 3Bth 245-0000-431000 BSB 6/1/2007 399.00 399.00 '
PSPC 1/1/1990 12/31/2020 [TAX] PLM 8%State Surcharge 100-0000-207020 BSB 6/1/2007 31.92 31.92
ELCF 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220-0000-431510 BSB 6/1/2007 345.55 345.55
ELC5 1/1/1990 12/31/2020 [TAX] ELC 8%State Surcharge 100-0000-207020 BSB 6/1/2007 27.64 27.64
PRK6 7/1/2005 12/31/2020 [PKSDC] SF Park SDC 270-0000-450000 BSB 6/1/2007 4,812.00 4,812.00
TIFR 7/1/2002 12/31/2020 [TIF-R] TIF Resident 210-0000-448001 BSB 6/1/2007 2,800.00 2,800.00 ,,
TIFM 7/1/2002 12/31/2020 [TIF-MT] TIF Mass Tr 210-0000-448005 BSB 6/1/2007 220.00 220.00 --
EROS 1/1/1990 12/31/2020 [ERPRMT] Erosion Control 100-0000-207307 BSB 6/1/2007 112.00 112.00
ERPU 1/1/1990 12/31/2020 [ERPLN] Erosn Pln Rv CWS 100-0000-207308 BSB 6/1/2007 36.40 I LOD.
ERPC 1/1/1990 12/31/2020 [EROSN] Erosn Pin Rv COT 245-0000-433010 BSB 6/1/2007 36.40 36.40
Total Due: $12,005.41
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