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ZAL2019-00003 71 " TIGARD City of Tigard January 28, 2020 Stafford, Owens, Piller,Murnane, Kelleher&Trombley, PLLC One Cumberland Ave Plattsburgh,NY 12901 Re: Permit No. ZAL2019-00003 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 16200 SW Pacific Hwy A Project Name: Stafford Owens ZAL Job No.: N/A Refund Method: ® Check#234483 in the amount of$664.80. ❑ Credit card "return"receipt in the amount of$ . 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 as client no longer interested in site. Refund 80% of application fees. If you have any questions please contact me at 503.718.2430. Sincerely, 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 1 y 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 forPermit 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: Stafford, Owens, Piller,Murnane, DATE: 1/17/2020 Kelleher&Trombley,PLLC One Cumberland Ave Plattsburgh, NY 12901 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 426924 Case#: ZAL2019-00003 Date: 11/12/2019 Address/Parcel: 16200 SW Pacific Hwy A Pay Method: Check Project Name: Stafford Owens ZAL EXPLANATION: Per applicant's request as client no longer interested in site. Refund 80%of application fees per Sam Copelan. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Zone Analysis Letter 100-0000-43116 $664.80 TOTAL REFUND: $664.80 APPROVALS: SIGN U / TE: If under$5,000 Professional Staff 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: 9/372/ By: 4) 4 l:\Budding\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT Ni • 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Stafford Owens ZAL Site Address: 16200 SW PACIFIC HWY A Receipt Number: 436208 - 09/03/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ZAL2019-00003 $-664.80 Total: $-664.80 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 234483 DHOWSE 09/03/2021 $-664.80 Payer: Stafford, Owens, Pillar, Murnane,et al Total Payments: $-664.80 Balance Due: $664.80 Page 1 of 1 INIICITY OF TIGARD RECEIPT la, 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIG;11;fl Project Name: Stafford Owens ZAL Site Address: 16200 SW PACIFIC HWY A 0i ltit Receipt Number: 426924 - 11/12/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ZAL2019-00003 Zone Analysis Letter(Detailed) 100-0000-43116 AQ cm $831.00 Total: $831.00 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 35374 SCOPELAN 11/12/2019 $831.00 Payor: Stafford,Owens, Piller, Murnane, Kelleher&Trombley, PLLC Total Payments: $831.00 Balance Due: $0.00 Page 1 of 1 RECEIVED NOV 202019 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGARD II a PLANNING/ENGINEERING . Request for Permit Action Ti G n in) 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or,l:ovv TO: CITY OF TIGARD 0 1 Building Division r 13125 SW Hall Blvd.,Tigard,OR 97223 //�/ Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner pi Applicant ❑ Contractor D City Staff Check(✓)one REFUND OR Name: t K. h� € 74.a/`7,6 Z by, .. C.INVOICE TO: (Business or Individual) 1"1 %ijh I'.\ 7t iJC Mailing Address: One 1V(l.1r1 11 L-e rl1a n 6 /Wei/VI-6 City/State/Zip: Pia fS-I:611` h� ►ve+v \orb I g-q 0 I Phone No.: ( ? ]K) 56,1" 4400 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ppCANCEL/VOID PERMIT APPLICATION. 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#: Z4-1,-a20/ ! 410002 Site Address or Parcel#: I 'Z OO $1/V Pao i /c, fh 9ki vraj,J , ti 90 Project Name: a 4 Subdivision Name: I`eo "'St M L Lot#: J EXPLANATION: C! jOH- is- flO IeriGI['V )l 2 f5'e(1 1 K1 Iie J Signature: -A /]�m C -&elf. Date: — ///?ll2 I Print Name: (e Yin 0 r 7 cl i IL_ Refund Polk% .•,•//// 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 fec 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. ,f-'.3/ ITV ' 6 Y. (D - 4,", o Route to Sys Admire: Date By Route to Records: Date J 3 By Refund Processed: Date/4 y/Ze By _�I�nvoice Processed: Date / �� B Permit Canceled: Date r//hp 24 B—�+�7r1 i arcel Tai;Added: Date I:\Building\Forms\RegPemvtAcdon_120 8.doc RECEIVED CITYPO Box 2947 STAFFORD OWENS NOV 12 2019 plattsburgh,NY1a9o1 P518.561.pyoo PILLER•MURNANE•KELLEHER&TROMBLEY.PLLC CITY OF TIGARD Igir Attorneys&Counselors at Law PLANNING/ENGINEERING F 518.561.4848 staffordowens.com eA-L .o 0oo05 William L.Owens Edward J.Trombley November 7, 2019 Susanna S.Piller VIA FIRST CLASS MAIL Thomas M.Murnane City of Tigard Jacqueline M.Kelleher Department of Community Development Jessica L.Miller 13125 SW Hall Boulevard Justin R.Meyer Tigard, OR 97223 Brendan P.Owens Meghan E.Zedick RE: Request for ZAL for Property located at 16200 SW Pacific Highway, Tigard, OR 97224 Maxwell C.Radley Dear Sir or Madam: This letter is to request an advisory opinion that there are no outstanding violations with respect to the above-referenced property, that the property is zoned in a manner that will allow the use of the property as a blood plasma donation center as a use by right, and that no approval or permit is required to use the property for such use. Please provide the advisory opinion letter to the undersigned via e-mail to mzedick@staffordowens.com and by regular mail. A check in the amount of$831.00 is enclosed herewith. Thank you for your cooperation in regard to this matter. If you have any further comments regarding this property that would be applicable to my client's use of such property as a blood plasma donation center, please advise in writing. Very truly yours, STAFFORD, OWENS, PILLER, MURNANE, KELLEHER& TROMBLEY, PLLC ,i/1/1CMI t*Pje,ea-ei Meghan E. Zedick, Esq. MEZ/kapa Ronald B.Stafford Enclosure (1935-2oo5) Samuel Copelan From: Meghan E.Zedick <mzedick@staffordowens.com> Sent: Thursday, November 21, 2019 7:13 AM To: Samuel Copelan Subject: RE:ZAL2019-00003 Additional Information Attachments: Request to Cancel ZAL Request_11-21-19.pdf Follow Up Flag: Follow up Flag Status: Completed Warning! This message was sent from outside your organization and we are Allow sender Block sender unable to verify the sender. Good morning: My client has decided not to pursue this site. Attached, please find request to cancel ZAL request. Please advise if you need anything further. Regards, Meghan From:Samuel Copelan<samuelc@tigard-or.gov> Sent:Tuesday, November 19, 2019 3:57 PM To: Meghan E.Zedick<mzedick@staffordowens.com> Subject: RE:ZAL2019-00003 Additional Information Good afternoon Meghan, Thank you again for your answers. Please let me know when you have the suite number so that I can determine if a Change of Use will be required. Sincerely, Sam Copelan Assistant Planner City of Tigard; Community Development 13125 SW Hall Boulevard Phone: (503)-718-2450 Email: Samuelca,tigard-or.gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 1 From: Meghan E.Zedick<mzedick@staffordowens.com> Sent:Tuesday, November 19, 2019 11:54 AM To:Samuel Copelan<samuelc@tigard-or.gov> Subject: RE:ZAL2019-00003 Additional Information Good afternoon Sam: I am checking on suite number and will get back to you. My client operates a blood plasma donation center-it collects blood plasma that is used in life-saving medications. Each donor receives a full examination annually by a licensed medical professional along with medical oversight and review upon each donation. Prior to each donation, certain medical screening tests are performed.A trained phlebotomist puts a sterile needle in a vein in the donor's arm to draw blood.The donor relaxes on a donation bed while the blood cycles through special, sterile equipment that separates plasma from the other parts of the blood. The first visit can take up to two hours because it includes a health screening and tests.After that, each visit takes about an hour.The donor is compensated for their time.An RN or LPN will be onsite during all hours of operation. Please let me know if you have any further questions. Thanks. Meghan From:Samuel Copelan<samuelc@tigard-or.gov> Sent: Monday, November 18,2019 8:32 PM To: Meghan E. Zedick<mzedick@staffordowens.com> Subject:ZAL2019-00003 Additional Information Good evening Meghan, Staff is working on your Zoning Analysis Letter, and we would like the following information: • Suite number for 16200 SW Pacific Highway o This is important to see if the use will increase the minimum parking requirement,which could require land use • Detailed description of business o This will help us determine a use category Please let me know if you have any questions. Sincerely, Sam Copelan Assistant Planner City of Tigard;Community Development 13125 SW Hall Boulevard Phone: (503)-718-2450 Email: Samuelc(atigard-or.gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail 2