Correspondence From:J.R. Johnson Inc 5032403424 12/19/2013 10:29 *176 P.001/003
RECEIVED
FAX TRANSMITTAL
CONSTRUCTION DIVISION CITY OF TIGARD
PO BOx 17196
LICENSED BONDED INSURED BUILDING DIVISION
PORTLAND OR.97217
OR CCB # 102676/WACCB #JRJOHI*050D0
PHONE(503)240-3388/FAX(503)240-3424
WWW.JRJOHNSONINC.COM DEC 1 9 2013
J.R. JOHNSON, INC.
DATE: DECEMBER 19, 2013
TIME: 10:26 AM
TO: CITY OF TIGARD PERMITS
FAX: 603-698-1960
FROM: MARC LEUSCHNER
RE: TIGARD WOODS PERMITS FEE BALANCE
THIS IS PAGE 1 OF 3 PAGES
COMMENTS: PLEASE SEE THE ATTACHED CREDIT CARD AUTHORIZATION FOR
REMAINING PERMIT FEES TOTALING $7200.24 FOR TIGARD WOODS
PERMITS. PERMIT NUMBERS BUP2013-00288 THROUGH BUP2013-
00299.
ATTN: DIANA
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J R.JOHNSON,INC.
CONSTRUCTION DIVISION
PO Box 17196
LICENSED BONDED INSURED ECE�VEI
PORTLAND OR 97217
OR CCB # 102676/WA CCB #JRJOHI*05 B
PHONE(503)240-3388/FAX(503)240-3424
WWW.JRJOHNSONINC.COM NOV 2 7 2.013
J_R_ JOHNSON, INC_ CITY OF T1GftiR9
JR Johnson BUILDING DIVISION
PO Box 17196
Portland, OR 97217
Debbie,
Please see the enclosed permit applications for Tigard Woods Condos with the payment
Authorization form. Please use the authorization form for all of the fees associated with these
permits. I do have many additional details for these permits, so if there are any other details
that you would like to see, feel free to contact me and I will have them sent right over.
Regards,
MARC LEUSCHNER
4."114\
PROJECT COORDINATOR
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[T] 503.240.3388
[Cl 503,913.1178
WWW.JRJOHNSONINC.COM
NAT-313261
III CITY OF TIGARD i9 TIN • /1/7/ C FEE AND PAYMENT HISTORY r
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13125 SIN Hall Blvd.,Tigard OR 97223 '-' 3
— 503.639.4171 'I'
03.639.4171 L
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BUP2013-00288 - 10900 SW 76TH PL 1,TIGARD, OR 97223 (IA//TS / - 7 r
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snue Payment r"I D
Fee Deacriotion Account Number Fee Amountinvoiced Ellis!. Date Paid Method Receipt# Rug al 0
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74
Permit Fee-Additions,ANerations, 230-0000-43104 $438.74 $438.74 $438. m
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Demolition
12%State Surcharge-Building 100-0000-24001 $52.65 352.65 $52.65 m
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230-0000 43106 $285.18 $285.18 $285.16 11127/73 Credit Card 194106 $0.00 co
Plan Review co
Plan Review-Fire Lite Safety 230-0000-43108 $175.50 $175.50 $175.50 11/27/13 Credit Card 194106 $0.00
Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $7.00 $7.00
$7.00 in
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Totals for Foes $959.07 $959.07 $460.88 $498.
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Avn7 Johnson-JR 11/27/2013 $460.58 —r
194106 Credit Card {
Johnson Inc
Total Payments: $460.68 H
Balance Due: $498.39 t
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