SUB2014-00003 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Request Permit t Action
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: CITY OF TIGARD
Building Division Services Supervisor
13125 SW Hall Blvd.,Tigard,OR 97223 j j
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov k//3//y ��•
FROM: D Owner a Applicant ❑ Contractor ❑ City Staff
(check one)
REFUND OR Name:
INVOICE TO: (Business or Individual) v• 7 (,7% /„C,
Mailing Address: /2-6•00 5 - 7 2 /9 44
City/State/Zip: (( 16LR, i i< 97z- 3
Phone No.: 50 3- 6 3 9• Z4 3 /
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
CANCEL/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).
❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit#: S 0(3.24W-C D0o 3
Site Address or Parcel#: /5O71:;) efrAz. 170,40 & 77.2
Project Name: C.t,i4a3t w G57 ry r5
Subdivision Name: 3Iw Es-r- -res Lot#:
EXPLANATION: Ccrn Cc� a ( - r i,doeyito seX [.Lc l e 74 5 U e two
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Signature: Date: 9'2.`i'-1 y
Print Name: r...-Cvt X7,..„04,,„4,..4,-
Refund Policy /
1. The Community Development 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b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.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. All refunds will be returned to the original payer in the form of a check. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Rte to Sys Admin: Date By Rte to Admire: Date /O /33//% B "1
Refund Processed: Date/0//6// By ..4r Invoice Processed: Date By
Permit Canceled: Date AV/3 B . . Parcel Tag Added: Date By
Receipt# Date Method Amount$
I:\Building\Forms\RegPemvtAction_062614.doc
•,
. M
TIGARD
July 15, 2014 City of Tigard
JT Roth Construction
c/o Tim Roth
12600 SW 72"d Ave. #200
Portland, Or 97223
RE: Completeness Review- Corbin Estates Minor Land Partition, Case File Nos.
MLP2014-00003/VAR2014-00008
Dear Mr. Roth:
Following your decision to apply first for a minor land partition and second for a subdivision
on the subject property,the City received your application June 23, 2014, for a 2-lot partition
and a front yard development adjustment from 20 feet to 18 feet (10%) for the existing
home. Staff has completed a preliminary review of the submittal materials and has
determined that additional information is required before the application can be deemed
complete. Please revise your application to address the following issues and information.
1. Sequential Review: You have amended your narrative and plan set to apply for the minor
land partition prior to the subdivision application. The city will apply the prior fees paid for
the NII.P and VAR to this application and process a refund of fees paid for the subdivisi (SJtozc
and ; ,or adjustment*(please allow two weeks for processing).
N192 zo 14 -vocc)
2. Urban Forestry Plan: An urban forestry plan is required for minor land partitions. Please
revise your narrative accordingly.Potentially,the partition could result in the development of
an additional dwelling on the second lot,which would require that each parcel meet the 15%
canopy cover requirement and the whole site meets the 40% canopy cover requirement. In
the case the subdivision does not occur, a condition would ensure the standards arc applied
to the partition. If a subdivision approval is obtained within the validity period of the minor
land partition, then a contingent condition for the MLP could allow the urban forestry
standards to be met under the subdivision instead. Please submit copies of the arborist
report, tree removal and protection, and canopy plans as place holders that your narrative
can refer to.
3. Impact Study: An impact study is required because minor land partitions are Type II
reviews. Even though one additional lot (which could be built on even though not your
intent) may result in minor impacts, the study remains a requirement.
4. Public Facility Plan Checklist: Please address the street, water, and sanitary and storm
drainage standards identified in the enclosed Public Facilities Completeness Checklist and
revise your application accordingly. Any questions regarding these issues should be directed
to Greg Berry, Development Review Engineer (503-718-2468).
5. Envelopes: Please supply two sets of pre-addressed (no return address), stamped (not
metered), #10 size envelopes (non-peeling). Addresses of property owners located within
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
500 feet must have been obtained from the City of Tigard within the previous three months
from the date of application completeness. (Contact Joe Patton at 503-718-2714)
6. Application Copies: Please Submit 7 copies of your revised and new materials (including
all elements of the submittal,collated and bound). Plan sets may be printed at 11" x 17" size
as long as you include 3 copies of large set plans.Also, submit 7 additional copies of your
reduced plan sets only,plus one copy at 8 1/2" x 11" for our records, and a compact disc
including all elements of your proposal.
Once this additional information is submitted, staff will review the additional materials to
determine if the application is complete. If you have any questions regarding this letter or
your application, please don't hesitate to contact me at 503-718-2434.
Sincerely,
GA1 7 e4-1.„....,_
Gary Pagenstecher
Associate Planner
Ends: Public Facilities Checklist
2
II . q
TIGARD
City of Tigard
October 13, 2014
J T Roth Construction Inc.
12600 SW 72nd Ave. - -- - - -
Tigard, OR 97223
Re: Permit No. SUB2014-00003
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 15070 SW 81"Ave
Project Name: Corbin Estates
Job No.: N/A
Refund Method: ® Check#215191 in the amount of$6,760.00.
❑ Credit card "return" receipt in the amount of$ .
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): Subdivision application replaced with minor land partition application
MLP2014-00003. Refund 100% of subdivision application fees.
Note: Two refunds are combined on one check for a total of$7,458.00
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
rp! 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 Requrest 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: J T Roth Construction Inc. DATE: 10/2/2014
12600 SW 72nd Ave
Tigard, OR 97223 REQUESTED BY: Dianna Howse
GP
TRANSACTION INFORMATION:
Receipt#: 195572 Case#: SUB2014-00003
Date: 4/14/2014 Address/Parcel: 15070 SW 81st Ave.
Pay Method: Check Project Name: Corbin Estates
EXPLANATION: Subdivision application replaced with minor land partition application blLP2014-00003.
Refund 100%of application fees per Gary Pagenstecher.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Land Use Application 100-0000-43116 $6,010.00
Long Range Planning Surcharge 100-0000-43117 750.00
TOTAL REFUND: $6,760.00
APPROVALS: SIGNATURES/DATE:
If under$5,000 Professional Staff
If under$12,500 Division Manager —"" ��G,��
If under$25,500 Department Manager V/
If under$50,000 City Manager
If over$50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ON Y
Case Refund Processed: I Date: J /0�/3 /y I By: I
I:\Buil ding\Refunds\RefundRequest.doc x 09/01/3)10