PFI2014-00011 a
City of Tigard
October 30, 2014
Venture Properties, Inc.
4230 Galewood St., Ste. 100
Lake Oswego, OR 97035
Re: Permit No. PF12014-00011
Dear applicant:
The City of Tigard has processed a refund for the deposit of fees on the above referenced
permit for the following:
Site address: 12035 SW Beef Bend Rd
Project Name: South View Heights
Job No.: N/A
Refund: ® Check#215444 in the amount of$39,580.00.
❑ Credit card"return" receipt in the amount of$
❑ Trust account "deposit" receipt in the amount of$
Notes: Refund customers deposit for site work completed.
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
City of 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 for PermitAction 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: Venture Properties Inc. DATE: 10/23/2014
4230 Galewood St., Ste. 100
Lake Oswego, OR 97035 REQUESTED BY: Dianna Howse
AD
TRANSACTION INFORMATION:
Receipt#: 196971 Case#: PFI2014-00011
Date: 7/24/2014 Address/Parcel: 12035 SW Beef Bend Rd
Pay Method: Check Project Name: South View Heights
EXPLANATION: Refund 100% of customer deposits for site work only.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Customer deposit 100-0000-22000 $17,080.00
TOTAL REFUND: 1 $17,080.00
APPROVALS: SIGNATURES/DATE:
If under$5,000 Professional Staff
If under$12,500 Division Manager
_ t ,,-
If under$25,500 Department Manager
If under$50,000 City Manager
If over$50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: I Date: I 1,4 ,3ej B
I:\Building\Refunds\RefundRequest.doc x 09/01/2010
. " City of 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 for PermitAction 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: Venture Properties Inc. DATE: 10/23/2014
4230 Galewood St., Ste. 100
Lake Oswego, OR 97035 REQUESTED BY: Dianna Howse
AD
TRANSACTION INFORMATION:
Receipt#: 196971 Case#: PFI2014-00011
Date: 7/24/2014 Address/Parcel: 12035 SW Beef Bend Rd
Pay)Method: Check Project Name: South View Heights
EXPLANATION: Refund 100% of customer deposits for site work only.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Customer deposit 100-0000-22000 $22,500.00
TOTAL REFUND: $22,500.00
APPROVALS: SIGNATURES/DATE:
If under$5,000 Professional Staff
If under$12,500 Division Manager
If under$25,500 Department Manager
If under$50,000 City Manager
If over$50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: /0 / By:
I:\Building\Refunds\RefundRequest.doc x 09/01/2010
z
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
0— ra Request for Permit Action
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: ❑ Owner ❑ Applicant ❑ Contractor City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business-Individual) Venture Properties, Inc.
Mailing Address: 4230 Galewood St. Suite 100
City/State/Zip: Lake Oswego, Oregon 97035
Phone No.: 503-387-7600
PLEASE TAKE ACTION FOR THE ITEMS) CHECKED (✓):
/VOID PERMIT APPLICATION.
RE FU PERMIT FEES (attach copy of original receipt and provide explanation below).
OICE FOR FEES DUE (attach case fee schedule and provide explanation below).
❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit#: PF12014-00011
Site Address or Parcel#: 12035 SW Beef Bend Rd. Tigard, Oregon 97223
Project Name: South View Heights
Subdivision Name: South View Heights Lot#:
EXPLANATION: $22,500.00 and$17,080.00 of the total amount of$116,076.00 were fees
paid to allow grading only of the site. However just prior to starting the site
work the two CWS permits came in which enabled fi l construction no
longer making grading only necessary.
Receipt# 196971 Account# 19D.00@0,-22000 in the amount of$22,500.00 and$17,080.00 for a
total refund amount of$39 0.00.
Signature: Date: October 13,2014
Print Name: d Dickman
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.
FOR OFFICE USE ON
Route to Sys Admin: I Date lig I Route to Records: Date /11 / B
Refund Processed: Date B Invoice Processed: Date B
Permit Canceled: Date B Parcel Tag ridded: Date B
I:\Building\Forms\RegPermitAction_09 14.doc