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SDR2018-00003 VOIDED SDR2O18 - 00003 HUNZIKER / WALL STRET DEVELOPMENT 11 .. . TIGARD City of Tigard April 4, 2019 Martin Development PO Box 15523 Seattle,WA 98115 • Re: Permit No. SDR2018-00003 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: Various Project Name: Hunziker/Wall Street Development Job No.: N/A Refund Method: ® Check#231707 in the amount of$3,517.80. ❑ Credit card "return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit"receipt in the amount of$ Comment(s): Per applicant's request to withdraw application. Original refund was processed at 80% on 1/25/2019, and now management has approved a 100%refund of the remaining balance. If you have any questions please contact me at 503.718.2430. Sincerely, A Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov ne City of Tigard r G A R u 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: Martin Development DATE: 3/28/2019 PO Box 15523 Seattle,WA 98115 REQUESTED BY: Dianna Howse GP TRANSACTION INFORMATION: Receipt#: 420599 Case#: SDR2018-00003 Date: 12/4/2018 Address/Parcel: Various Pay Method: Check Project Name: Hunziker/Wall St Development EXPLANATION: Applicant requests to withdraw application. Refund processed at 80% on 1/25/19; however management has now approved 100%, so refund remaining balance. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Application Fee 100-0000-43116 $3,517.80 TOTAL REFUND: $3,517.80 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff ofr924/704_<____ If under$12,500 Division Manager If under$25,000 Department Manager If under$100,000 City Manager If over$50,000 Local Contract Review Board FOR ACCELA SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: 4/-0, By: G' I:\Building\Refunds\RefundRequest.doc x 09/01/2010 City Tigard Ti and • COMMUNITY DEVELOPMENT DEPARTMENT V 0 1 D II II • Request for Permit Action �� TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: 0 Owner ❑ Applicant ❑ Contractor e City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) %/f 1112 77AiWit/Z4/,30W/T Mailing Address: /136 gL /5-5--Z 3 City/State/Zip: 5E7F ►TLe 141 98//5— Phone No.: 2e 6 - ?, . 6 6 'O PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): td- CANCEL/VOID PERMIT APPLICATION. tS REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). Permit#: 3,0R 2 d/, QO)e--)0 2 ,570/e300 /1e)0 Site Address or Parcel#: 5 , Z/L /Z /v`U:a/fit 7I CAVAL L ., 5/O/c .'/ ee)/O d Project Name: t-4 t L 5 C- -T co /yiii32((�t72 Rel 2 5 f o(cw- ez Gc_') Subdivision Name: v1'/1 Lot#: EXPLANATION: 074/c-44,t);--- ,'& &--51- 7 i-d(ritA 2/ ,f-y'iL fCt(7' iV, 4),na- 6`�n r tp'teVeeQ A /ems'-r rte- rum Al--/g":"''.(/(1/767s 64.ecJ4''s7`, g c- F-"-'() i IJ)/)/7/r,70M. 2 c)7-; cy E- 7e 714 I Signature: ..,2.2-s,6%.-.--(./.:.? 'i e cr'e4..- C �' Date: / -2-E3'/9 Print Name: �; 4L (/�(� )3 . �,l. ?IJ lit% Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. Route to Sys Admin: Date /-2 6 /? Giy r Route to Records: Date B Refund Processed: Date 3/2i7'19 B Invoice Processed: Date 9 //?1 By Permit Canceled: Date V/ / B Parcel Tag Added: Date By I:\Building\Forms\ReqPermitAction_lt0518:do c JaaaIS rI'IVA1 c0000 - siozuas QMQIOA 1114 q TIGARD City of Tigard January 24,2019 Martin Development PO Box 15523 Seattle,WA 98115 Re: Permit No. SDR2018-00003 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: Wall Street Project Name: Wall Street Job No.: N/A Refund Method: ® Check#231042 in the amount of$14,071.20. ❑ Credit card"return" receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit"receipt in the amount of$ Comment(s): Per applicant's request to withdraw application and possibly resubmit for a smaller project. Refund 80% of application fees. If you have any questions please contact me at 503.718.2430. Sincerely, 41 Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENTv 0 ! 0 111 Request for Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • \v ww.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ® Owner ❑ Applicant ❑ Contractor 121 City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) ipje.TM) 04"/Ej D41"•.v7 Mailing Address: Pry 139 155 2 3 City/State/Zip: 5'6t/GE WiA 99//5" Phone No.: 206 .. 3 T PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): 2 CANCEL/VOID PERMIT APPLICATION. Z REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). Permit#: 5D/Z20/.6 a ) 03 Site Address or Parcel#: 5E e,0wE2 A) //1r`2 ? �1 tUL 5/D/ c 4ec,.�S ial c 4/©1 00 Project Name: (,t./6�-LL S7 H[>J2i21('6/21 .Z s!Ul �G��� Subdivision Name: R- Lot#: EXPLANATION: /9li',t/c{+x�`-r �2�r1Lt 1` "Tc' 73 ).c'i(- /Wif<Afriicaeli fl' Po5S/!3h ..E5rA3/‘7" Fat 3rM/r/6- p7r26 d ed . r• .,/ res-c) C i9„0r- 17 58T, j 19 a I.to Signature: ( e+4.41-6r4 ebd. L Date: /— 1 7._/7 Print Name: 6e thrg A5 X51 41/Ek Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. t - �� D 7 A, .2 .- et;' FOR OFFICE LSE ONLY Route to Sys Admin: Date /"/ f 7 B GOA' Route to Records: Date//,,2_</f By .4,."-41" Refund Processed: Date,// 1/9 By 1/'% Invoice Processed: Date / By Permit Canceled: Date/ hp/9 By Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_2051�.doc Gary Pagenstecher From: Mac Martin <martindevelopment@outlook.com> Sent: Thursday, January 17, 2019 1:08 PM To: Gary Pagenstecher; Tom McGuire Cc: jack martin; Stu Peterson; Kenny Asher Subject: Formally withdraw application (SDR2018-00003) Gary, We would like to formally withdraw our land use application (SDR2018-00003). Please let me know if you need any additional information to facilitate the refund. Thank you, Mac Martin 206.399.6676 www.MartinDevelopmentNW.com 1 City of Tigard T I G A It D 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: Martin Development DATE: 1/18/2019 PO Box 15523 Seattle, WA 98115 REQUESTED BY: Dianna Howse GP TRANSACTION INFORMATION: Receipt#: 420599 Case #: SDR2018-00003 Date: 12/4/2018 Address/Parcel: Wall Street Pay Method: Check Project Name: Wall Street EXPLANATION: Per applicant's request to withdraw application (to possibly resubmit for a smaller project). Refund 80% of application fees per Gary Pagenstecher. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Application Fee 100-0000-43116 $14,071.20 TOTAL REFUND: $14,071.20 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager ,00111r C If under$25,000 Department Manager If under$100,000 City Manager If over$50,000 Local Contract Review Board FOR ACCELA SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: //,Z..571, y' By: = ' I:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT ® 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 T[GARD Project Name: Wall Street Site Address: Receipt Number: 420599 - 12/04/2018 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SDR2018-00003 Application Fee 100-0000-43116 $17,589.00 Total: $17,589.00 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 2075 LSMITH 12/04/2018 $17,589.00 Payor: MAC MARTIN Total Payments: $17,589.00 Balance Due: $0.00 Page 1 of 1 CITY OF TIGARD RECEIPT r 11 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Wall Street Site Address: ; Receipt Number: 421248 - 01/25/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SDR2018-00003 $-14,071.20 Total: $-14,071.20 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 231042 DHOWSE 01/25/2019 $-14,071.20 Payor: Martin Development Total Payments: $-14,071.20 Balance Due: $14,071.20 Page 1 of 1