Correspondence • •
• CITY OF TIGARD
Building Division
TIGARD 13125 SW Hall B1vd.,Tigard,OR 97223 503-639-4171
INVOICE
TO: Wilshire Homes LLC Customer ID: 15720
10110 SW Nimbus Ave.,Ste. B-1 Invoice No.: INV2007-00006
Tigard, OR 97223 Invoice Date: 5/1/07
Attn: Aaron Fuller Date Due: Upon Receipt
Case No. Site Address Subdivision-Lot# or Project Name Amount Due
CT2006-07) 14710 SW 149th Ten French Prairie Vineyards,Lot 7 $303.60
MST2006-00059 14730 SW 149th Terr French Prairie Vineyards,Lot 8 $808.19
MST2006-00093 14896 SW Pennie Ln French Prairie Vineyards,Lot 11 $878.26
4!
Invoice Total: $1,990.05
® Please see attached fee schedule for description of fees due.
(Detach and return this portion with payment.)
Case No.: Various Customer ID: 15720
Site Address: Various Invoice No.: INV2007-00006
Project: French Prairie Vineyards Invoice Date: 5/1/07
Date Due: Upon Receipt
Invoice Total: $1,990.05
Amount Paid: $
Office Note: Cases are in URB area.
Please mail payment to:
City of Tigard,Building Division
13125 SW Hall Blvd.
Tigard, OR 97223
Attn: Dianna Howse
I:\Building\Accounting\Invoice.doc 04/06
4/30/2007
111 x CITY OF TIGARD Fees Associated With 10:10:02AM
ea 13125 SW Hall Blvd. #: MST2006-00057 T
TIGARD Tigard,OR 97223 503.639.4171 Case G o 7
Fee Start End s °' ' Revenue Created
Dept Description By Date Amount Due
Type Date Date P p Account Number )'
BPL3 1/1/1990 12/31/2020 [UBUPLN] Phi Rv Deposit 255-0000-433000 BB 2/22/2006 250.00 0.00
CDRU 1/1/1990 12/31/2020 [UCDC] CDC Review URB 255-0000-433060 MAV 4/10/2006 43.00 43.00
LRP2 12/28/2004 12/31/2020 [ULRPF] LR Planning Surcharge 255-0000-438050 MAV 4/10/2006 6.00 6.00
BP2D 1/1/1990 12/31/2020 [UBUPLN] Pln Rv Balance 255-0000-433000 MAV 4/10/2006 254.60 254.60
Total Due: $303.60
•
Page I of 1 CaseFees..rpt
CITY OF TIGARD `T""v i ,
114 0 w 13125 SW Hall Blvd. 2:34:07PM
Tigard,OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000002117
Date: 05/14/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
MST2006-00093 [UCDC]CDC Review URB 255-0000-433060 43.00
MST2006-00093 [ULRPF]LR Planning Surcharge 255-0000-438050 6.00
MST2006-00093 [UBUPLN]Pln Rv Balance 255-0000-433000 829.26
Line Item Total: $878.26
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
Check WILSHIRE HOMES LLC DLH 2146 By Mail 878.26
Payment Total: $878.26
a
4
cReceipt.rpt Page 1 of 1
IP S
It q
Building Division .._ ,;_ r' : 1
ry)Request for Permit Action '!--`=:r_ ', '', .,—r
TIGARD
TO: CITY OF TIGARD : " ,::;;!:,E -
Permit System Administrator
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov
FROM: [ -Owner ["Applicant Contractor ❑ City Staff
(check one)
REFUND OR Name:
INVOICE TO: (Business or Individual) WI 451,1t y"v ac *j i-4_
V0 1 0 Mailing Address: f O Ito 5u.) AJ t,,,A S 5 - Is-
444 7 City/State/Zip: t t.tee 3
,fir Phone No.: 5C33 t QZ.4 - /C.
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
CANCEL PERMIT APPLICATION.
rf C L gE_ ERMiT FEES (attach receipt,if available).
►Ei"`Y
INVOICE INVOICEpiDR FEES DUE(attach case fee schedule and explain below).
■ In•OV'E CONTRACTOR FROM PERMIT(do not cancel permit).
Permit#: /47(t) 6ii) 1#711 7-4-wd.. — /1577,2OC 6 -COOS-
L-
Site Address or Parcel#:
Project Name: Pip w L-. V-,t.•4v.LA - Vi.„AX,f .,,.45.
Subdivision Name: Lot#: • 7
EXPLANATION: /45144 Pic 4" C.nAotn.c4,4•-
Signature: Date: 6/6/0 -7_
Print Name: �t rerv2 �t��
Refund Policy rzfirf.
1. The Director or Building Official may authorize refund o
a) any fcc which was erroneously paid or collected is withdrawn or canceled before any review effort has been expended.
b) not more than 80%of the land use�fee far issued ptaztnts
c) not more than 80%of the land use application canceled before any plash review effort has been esperxled
c) not more than 80%of the budding plan review fee when an application
d) not more than 80%of the building permit fee for issued permits prior to any inspection requests_ fa: occss+thg mfihnds.
2 Refunds will be returned to the original Payer
in the some method in which payment was received. Please allow 1-2 pr
FOR OFFICE USE ONLY
Rte to Sys Admire: Date . 4'j By
Rte to BldgAdmin: Date may/ G i By 7.
Invoice Processed: Date „..5-//‘, 2 BT/.I,
Refund Processed: Date "f ',1 By Parcel T Added: Date /i</ ' By
By // /
Permit Canceled: Date,//�G� � Y � Amount$
Receipt# Date Method