Correspondence • CITY OF TIGARD
= Building Division
TI G A R D 13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171
INVOICE
TO: Wilshire Homes LLC Customer ID: 15720
10110 SW Nunbus 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
MST2006-00057 14710 SW 149th Ten French Prairie Vineyards,Lot 7 $303.60
MST2006-00059 14730 SW 149th Terr French Prairie Vineyards,Lot 8 $808.19
�T2006-00093 14896 SW Pennie Ln French Prairie Vineyards,Lot 11 $878.26
S I h D
ievir
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
Ann: Dianna Howse
I:\Building\Accounting\Invoice.doc 04/06
4/30/2007
CITY OF TIGARD Fees Associated With 10:12:32AM
•
1 13125 SW Hall Blvd.
I WARD
Tigard,OR 97223 503.639.4171 Case #: MST2006-00093 40 7' //
Fee Start End Revenue Created
Type Date Date Dept Description Account Number By Date Amount Due
BPL3 1/1/1990 12/31/2020 [UBUPLN]Pln Rv Deposit 255-0000-433000 DER 4/26/2006 250.00 0.00
CDRU 1/1/1990 12/31/2020 [UCDC]CDC Review URB 255-0000-433060 BSB 5/22/2006 43.00 43.00
LRP2 12/28/2004 12/31/2020 [ULRPF]LR Planning Surcharge 255-0000-438050 BSB 5/22/2006 6.00 6.00
BP2D 1/1/1990 12/31/2020 [UBUPLN]Pln Rv Balance 255-0000-433000 BSB 5/22/2006 829.26 829.26
Total Due: $878.26
Page I of I CaseFees..rpt
1CITY OF TIGARD J1 lT`'V 1
`' : n 13125 SW Hall Blvd. 2:33:15PM
Tigard,OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000002115
Date: 05/14/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
MST2006-00057 [UCDC] CDC Review URB 255-0000-433060 43.00
MST2006-00057 [ULRPF] LR Planning Surcharge 255-0000-438050 6.00
MST2006-00057 [UBUPLN]Pln Rv Balance 255-0000-433000 254.60
Line Item Total: $303.60
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
Check WILSHIRE HOMES LLC DLH 2146 By Mail 303.60
Payment Total: $303.60
cReceipt.rpt Page 1 of 1
S
Building Division .1
Request for Permit Action
TIGARD
TO: CITY OF TIGARD
Permit System Administrator
13125 SW Hall Blvd_,Tigard,OR 97223
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov
FROM: [EOwnei ErApplicant Contractor D City Staff
(check one)
REFUND OR Name:
• KOIr TO (Business ur A)/1314 IAA/ 4-4,114,46
Mailing Address: ni,c) A.)11.44k01)& _A-66.A.-- 64-c- -1
0,(74 City/State/Zip: &it— 41 7Z-7-3
Phone No.: 5C325 (p 2. Ca ere.)
• PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
Er CANCEL PERMIT APPLICATION.
11.1 ERMIT FEES(attach receipt,if available).
411,2N-01 Ca al a R FEES DUE(attach case fee schedule and explain below).
• 4 OVE CONTRACTOR FROM PERMIT(do not cancel permit).
Permit#: /1.crcZOO /200 9,5
Site Address or Parcel#: j(4 rage See_J 14)-4.nom.4.4_. t4 .
Project Name: E"LAA..c.1,- V IAA-1CA~
Subdivision Name: Lot#: At
EXPLANATION:
/.1covs4.4.- Pi)L4.1 GinAvucke--
Signature: lijiff‘jogitY Date: .5 AA,
Print Name:
Refund Policy
1. The Director or Building Official may authorize the refund of
a) any fee which was erroneously paid or collected
b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended
c) not more than 80%oldie land usc application fee for issued perrnits.
c) not more than 80%of the building plan review fee when an application is canceled before any plan review effort has been expended.
d) not more than 80%of the building permit fee for issued pewits prior to any inspection requests-
Refunds will be returned w the original Payer in the same method in which payment was received. Please allow 1-2 weeks for processing refunds.
FOR OFFICE USE ONLY
Rte to Admit': Date Arian B. 1111 Rte to B Admin: Date Avail B
Refund Processed: Date ribZ111 B . Invoice Processed: Date -742M1 B' AligidrAll
Permit Canceled: Date 46VA• I B ilfgal Parcel T Added: Date a B
13=1:111111111111 Date Method Amount$