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VAR2008-00004 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • TIGARD. June 16, 2008 Gertz Fine Homes 19200 SW 46 Ave. Tualatin, OR 97062 Attn: Ken Gertz Re: Permit No. VAR2008- 00003, 00004, 00005, 00006 & 00008 Dear Mr. Gertz: The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the following: Site Address: 9070 & 8990 SW Edgewood St. Project Name: Gertz Homes at Edgewood 2 Job No.: N/A Refund: ® Check #57792 in the amount of $578.50. ❑ Credit card "return" receipt in the amount of $ ❑ Trust account "deposit" receipt in the amount of $ Notes: Applicant has withdrawn (3) adjustments and (2) variances for this project due to public comments received by the City. Refund 50% of application fees. If you have any questions please contact me at 503.718.2430. Sincerely, "F2)4 "(f Dianna Howse Building Division Services Coordinator Enc. I: \Building\ Refunds\ Administration \LtrRefund- CancelPermitdoc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 Community Development TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov FROM: El Owner El Applicant El Contractor ® City Staff (check one) REFUND OR Name: Gertz Fine Homes INVOICE TO: (Business or Individual) Ken Gertz Mailing Address: 19200 SW 46t Ave. City /State /Zip: Tualatin, OR 97062 Phone No.: (503) 692 -3390 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ® CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach receipt, if available). El INVOICE FOR FEES DUE (attach case fee schedule and explain below). El REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: see below Site Address or Parcel #: 8990 and 9070 SW Edgewood St. Project Name: Subdivision Name: Gertz Homes at Edgewood 2 Lot #: EXPLANATION: The applicant has decided to withdraw three of the adjustments and two of the variances associated with this project due to public comments received by the City. Case numbers VAR2008- 00003/00004/00005 /00006/00008. Refund at 50% - total $510.75. Signature: n ' Date: 6/9/08 Cheryl wines Print Name: Refund Policy 1. The Director or Building Official may authorize the refund of. a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date By Rte to Bielr Admin: Date i, / s/O& By 1, ;r4 Refund Processed: Date e/97,.F By, ' Invoice Processed: Date By Permit Canceled: Date 4.,; a s , By • • • Parcel Tag Added: Date By Receipt # j/.972fek s Date Method Amount $ I:\ Building \Forms \RegPemvtAction.doc Rev 07/26/07 Er City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Gertz Fine Homes DATE: 6/9/08 19200 SW 46 Ave. Tualatin, OR 97062 REQUESTED BY: Dianna Howse Attn: Ken Gertz CAC TRANSACTION INFORMATION: Receipt #: 2008 -267, 825, 826, 660 Case #: VAR2008- 00003, 00004, 00005, 00006 & 00008 Date: Various Address /Parcel: 9070 & 8990 SW Edgewood St. Pay Method: Check Project Name: Gertz Homes at Edgewood 2 EXPLANATION: Applicant has withdrawn (3) adjustments and (2) variances for this project due to public comments received by the City. Refund 50% of application fees. • REFUND INFORMATION: - . . • . Fee Description From Receipt: . , Revenue. Account No • : Refund .Example: [BUILD] Permit Fee " . • . , • .. " ' Egainlile: 245- 0000 - 432000 :. • ' • . $ Amount [LANDUS] 50% Joint App Fee 100 - 0000 - 438000 $504.00 [LRPF] LR Planning Surcharge 100- 0000 - 438050 74.50 TOTAL REFUND: $578.50 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager / ,!j / 6 " c /• 0 2 If under $22,500 Department Manager �/ If under $50,000 City Manager If over $50,000 Local Contract Review Board '• i • .; . ...I' FOR TIDEMARK SYSTEM_ ADMINISTRATION USE ONL i - Case Refund Processed: I Date: I 6p/op I By: I I: \Building \Refunds \RefundRequest.doc 05/23/07 Fr CITY OF TIGARD 6/9/2008 13125 SW flan Blvd. 12:14:07PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200800000000000267 Date: 01/28/2008 Line Items: Case No Trail Code Description Revenue Account No Amount Paid VAR2007 -00045 [LANDUS] 50% Joint App Fee 100- 0000 - 438000 1 18.00 VAR2007 -00045 [LRPF] LR Planning Surcharge 100- 0000 - 438050 17.50 VAR2008 -00003 [LANDUS] 50% Joint App Fee 100- 0000 - 438000 118.00 18.00 VAR2008 -00003 [LRPFJ LR Planning Surcharge 100- 0000 - 438050 17.50 VAR2008 -00004 [LAN DUS] 50% Joint App Fee 100- 0000 - 438000 118.00 VAR2008 -00004 [LRPFJ LR Planning Surcharge 100- 0000 - 438050 17.50 VAR2008 -00005 [LANDUS] 50% Joint App Fee 100- 0000 - 438000 268.00 VAR2008 -00005 [LRPF] LR Planning Surcharge 100- 0000 - 438050 39.50 VAR2008 -00006 [LRPF] LR Planning Surcharge 100-0000-438050 39.50 VAR2008 -00006 [LANDUS] 50% Joint App Fee 1 00 -0000- 438000 268 Line Item Total: $1,021.50 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check D W STRICKLER ST 2443 In Person 1,021.50 Payment Total: $1,021.50 cl:eecipI.rpi Page 1 of 1 ` Y ' CITY OF TIGARD 2/28/2008 il 13125 S�1' Hall Blvd. 2 : 26 : 49 PM Tigard, OR 97223 503.639.4171 .TIGARD; Receipt #: 27200800000000000660 Date: 02/28/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid v VAR2008 -00008 [LANDUS] 50% Joint App Fee 100- 0000 - 438000 268.00 VAR2008 -00008 [LRPF] LR Planning Surcharge 100- 0000 - 438050 39.50 Line Item Total: $307.50 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard DOUGLAS W STRICKLER ST 61826C In Person 307.50 Payment Total: $307.50 AS 2) c' KG 4i S :i rie/C/cLc =X. ‘J* 7 : /)F/A L 617 . V/ Page I of ci:occi,,l.r„ CITY OF TIGARD 6/9/2008 7 13125 SW Han Blvd. 12:14:21 PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200800000000000825 Date: 03/13/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid VAR2008 -00005 [LANDUS] 50% Joint App Fee 100- 0000 - 438000 118.00 VAR2008 -00005 [LRPFJ LR Planning Surcharge 100 -0000- 438050 17.50 Line Item Total: $135.50 Payments: Method Paver User ID Acct. /Check No. Approval No. How Received Amount Paid Check D W STRICKLER DLH 2443 In Person 135.50 Payment Total: $135.50 eacceipi.rpi Page I of I CITY OF TIGARD 6 /9/2008 13125 SW Hall Blvd. 12:14:28PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200800000000000826 Date: 03/13/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid VAR2008 -00005 [LANDUS] 50% Joint App Fee 100- 0000 - 438000 118.00 VAR2008 -00005 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 17.50 Line Item Total: $135.50 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check GERTZ CONSTRUCTION CO. DLH 2849 In Person 135.50 Payment Total: $135.50 cReceipi.rpi Page I of I Dianna Howse From: Rene Nelson [rgn @Ianpacific.com] Sent: Friday, June 06, 2008 2:12 PM To: Dianna Howse; Cheryl Caines Cc: 'Ken Gertz' Subject: Re: Gertz Refunds Attachments: city reimb request.pdf; d strickler pymt letter.pdf • Cheryl / Dianna - I have attached the following letter and exhibit, hope this works. This is of course on of those instances where the payment from the client was cashed and directly handed to the employee. The request for reimbursement of fees was not done on a formal invoice. So, I didn't have LanPacific check numbers. I have a letter from Doug acknowledging he was reimbursed and Ken gave us the check number he used to reimbursed LanPacific. Let me know if this is sufficient. Thank you. Rene Nelson Project Designer LanPacific Inc 5125 SW Macadam Ave #140 Portland OR 97239 v 503.238.2097 f 503.238.2447 From: "Dianna Howse" <Dianna @tigard - or.gov> Sent: Friday, May 23, 2008 7:37 AM To: "'Rene Nelson ' <rgn @lanpacific.com >; "Cheryl Caines" <chery l c @tigard -or. gov> Cc: "'Ken Gertz ' <Ken @Gertzco.com> Subject: RE: Gertz Refunds > Dear Rene, > It would be preferable if you have an invoice or job cost statement > that shows actual payments (check number) where the individuals have > been paid for this project. > Thank you. > Dianna Howse > Building Division Services Coordinator City of Tigard 503.718.2430 > Original Message > From: Rene Nelson [mailto:rgn @lanpacific.com] > Sent: Thursday, May 22, 2008 5:03 PM > To: Cheryl Caines > Cc: 'Ken Gertz; Dianna Howse > Subject: RE: Gertz Refunds 1 > > Cheryl - > > I will have a letter drafted up and sent over in the morning. > > Thank you. > > sent from mobile device > > Rene Nelson > Project Designer > Lanpacific Inc. > 5125 SW Macadam Ave, Suite 140 > Portland OR 97239 > v. 503- 238 -2097 > f. 503- 238 -2447 > www.lanpacific.com > > > Original Message > From: "Cheryl Caines" <cherylc @tigard - or.gov> > To: "'Rene Nelson ' <rgn @lanpacific.com> > Cc: "'Ken Gertz ' <Ken @Gertzco.com >; "Dianna Howse" > < Dianna@tigard- or.gov> > Sent: 5/22/2008 4:56 PM > Subject: Gertz Refunds > > Rene, > > I started to process the paperwork for the adjustment/variance refunds. > The receipts show that Doug paid the application fees. Based on > conversations with the person who processes our refunds (Dianna > Howse), we need documentation that Doug has been re- imbursed for the > fees in order to send funds to LanPacific. The same may be true if > you would like us to send them on to Ken directly, or a letter may > suffice requesting that funds be sent directly to Ken in lieu of reimbursing LanPacific. > > Cheryl Caines > Associate Planner > City of Tigard > (503) 718 -2437 > > 2 LANPACIFIC Cry.] Engineering :ondscape Architecture .and UsePlanning June 6, 2008 Cheryl Caines, Associate Planner City of Tigard 13125 SW Hall Blvd. Tigard OR 97223 RE: Gertz Homes at Edgewood No. 2 - Refunds Subdivision 2007 -00013 Dear Ms. Caines: LanPacific is requesting that refunds due for withdrawal of adjustment/variances on Gertz Homes at Edgewood No. 2's application for Land Use be made payable directly to Gertz Fine Homes. The fees in question were paid by Doug Strickler, Senior Planner employed by LanPacific a the time of application in the amount of $1,021.50 and $307.50. These fees were reimbursed to Doug Strickler by LanPacific as stated in the attached letter from Mr. Strickler. LanPacific was reimbursed for these fees from Gertz Fine Homes. Gertz paid LanPacific with Check #2873 dated March 3, 2008. Please don't hesitate to call if you have any questions or comments. Sincerely, LanPacific, Inc. 27, Rene Nelson Project Designer LanPacific Inc. 5125 SW Macadam Ave., Suite 140 Portland OR 97239 v. 503.238.2097 f. 503.238.2447 e. rgn @lanpacific.com J: \GFH06- 002 \WORD \CrVY REIMS REQUEST.DOC By this statement, I wish to acknowledge that I was fully reimbursed by LanPacific for the land use application fees that I paid to the City of Tigard on behalf of Ken Gertz. If there are any questions regarding this matter, please feel free to contact me at 503.777.0979 or by e-mail at clw_airicklQrakairejil corn. 1 c� ` v et c=k Douglas Strickler 6129 SE 42nd Ave. Portland, OR 97206 LANPACIFIC Civil Engineering Landscape Architecture Land UsePlanning June 6, 2008 Cheryl Gaines, Associate Planner City of Tigard 13125 SW Hall Blvd. Tigard OR 97223 RE: Gertz Homes at Edgewood No. 2 - Refunds Subdivision 2007 -00013 Dear Ms. Gaines: LanPacific is requesting that refunds due for withdrawal of adjustment/variances on Gertz Homes at Edgewood No. 2's application for Land Use be made payable directly to Gertz Fine Homes. The fees in question were paid by Doug Strickler, Senior Planner employed by LanPacific a the time of application in the amount of $1,021.50 and $307.50. These fees were reimbursed to Doug Strickler by LanPacific as stated in the attached letter from Mr. Strickler. LanPacific was reimbursed for these fees from Gertz Fine Homes. Gertz paid LanPacific with Check #2873 dated March 3, 2008. Please don't hesitate to call if you have any questions or comments. Sincerely, LanPacific, Inc. Rene Nelson Project Designer LanPacific Inc. 5125 SW Macadam Ave., Suite 140 Portland OR 97239 v. 503.238.2097 f. 503.238.2447 e. rgn @lanpacific.com J: \GFH06 -002 \WORD \CITY REIMB REQUEST.DOC By this statement, I wish to acknowledge that I was fully reimbursed by LanPacific for the land use application fees that I paid to the City of Tigard on behalf of Ken Gertz. If there are any questions regarding this matter, please feel free to contact me at 503.777.0979 or by e-mail at dwstrickler a(gmail.com. Douglas Strickler 6129 SE 42nd Ave. Portland, OR 97206 • Cheryl Caines From: Rene Nelson [rgn @lanpacific.com] Sent: Friday, June 06, 2008 2:12 PM To: Dianna Howse; Cheryl Caines Cc: 'Ken Gertz' Subject: Re: Gertz Refunds Attachments: city reimb request.pdf; d strickler pymt Ietter.pdf Cheryl / Dianna - I have attached the following letter and exhibit, hope this works. This is of course on of those instances where the payment from the client was cashed and directly handed to the employee. The request for reimbursement of fees was not done on a formal invoice. So, I didn't have LanPacific check numbers. I have a letter from Doug acknowledging he was reimbursed and Ken gave us the check number he used to reimbursed LanPacific. Let me know if this is sufficient. Thank you. Rene Nelson Project Designer LanPacific Inc 5125 SW Macadam Ave #140 Portland OR 97239 > 503.238.2097 f 503.238.2447 From: "Dianna Howse" <Dianna @ tigard - or.gov> Sent: Friday, May 23, 2008 7:37 AM To: "'Rene Nelson'" <rgn @lanpacific.com>; "Cheryl Caines" <cherylc@tigard- or.gov> Cc: "'Ken Gertz'" <Ken @Gertzco.com> Subject: RE: Gertz Refunds > Dear Rene, > It would be preferable if you have an invoice or job cost statement > that shows actual payments (check number) where the individuals have > been paid for this project. > Thank you. > Dianna Howse > Building Division Services Coordinator City of Tigard 503.718.2430 > Original Message > From: Rene Nelson [mailto:rgn @lanpacific.com] > Sent: Thursday, May 22, 2008 5:03 PM > To: Cheryl Caines > Cc: 'Ken Gertz'; Dianna Howse > Subject: RE: Gertz Refunds 1 > Cheryl - > > I will have a letter drafted up and sent over in the morning. > > Thank you. > > sent from mobile device > > Rene Nelson > Project Designer > Lanpacific Inc. > 5125 SW Macadam Ave, Suite 140 > Portland OR 97239 > v. 503 - 238 -2097 > f. 503- 238 -2447 > www.lanpacific.com > > > Original Message > From: "Cheryl Caines" <cherylc@tigard- or.gov> > To: "'Rene Nelson'" <rgn @lanpacific.com> > Cc: "'Ken Gertz'" <Ken @Gertzco.com>; "Dianna Howse" > < Dianna@tigard- or.gov> > Sent: 5/22/2008 4:56 PM > Subject: Gertz Refunds > > Rene, > > I started to process the paperwork for the adjustment /variance refunds. > The receipts show that Doug paid the application fees. Based on > conversations with the person who processes our refunds (Dianna > Howse), we need documentation that Doug has been re- imbursed for the > fees in order to send funds to LanPacific. The same may be true if > you would like us to send them on to Ken directly, or a letter may > suffice requesting that funds be sent directly to Ken in lieu of reimbursing LanPacific. > > Cheryl Caines > Associate Planner > City of Tigard > (503) 718 -2437 > > 2