TUP2016-00018 I . r
TIGARD
City of Tigard
June 3, 2016
Westwood Homes,LLC
Attn: Matthew Fricke
12700 NW Cornell Rd.
Portland, OR 97229
Re: Permit No. TUP2016-00018
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 15133 SW 81st Ave.
Project Name: Hoggans Park,Lot 4
Job No.: N/A
Refund Method: ® Check#221230 in the amount of$351.00.
❑ Credit card "return"receipt in the amount of$
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): Applicant resubmitted for model home on another lot, see TUP2016-
00017. Refund 100% of application fee..
If you have any questions please contact me at 503.718.2430.
Sincerely,
rd2/4447f/ C--'
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
I% 1 mis 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 Request 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: Westwood Homes,LLC DATE: 5/26/2016
Attn: Matthew Fricke
12700 NW Cornell Rd REQUESTED BY: Dianna Howse
Portland, OR 97229 LS
TRANSACTION INFORMATION:
Receipt#: 403867 Case#: TUP2016-00018
Date: 5/12/2016 Address/Parcel: 15133 SW 81St Ave.
Pay Method: CreditCard Project Name: Hoggans Park,Lot 4
EXPLANATION: Applicant resubmitted for model home on another lot;see TUP2016-00017. Refund
100%of application fee.
REFUND INFORMATION: •
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Temp Use Permit 100-0000-43116 $351.00
TOTAL REFUND: $351.00
APPROVALS: SIGNATU D TE:
If under$5,000 Professional Staff <29
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 ONL
Case Refund Processed: Date: /,3`/(o By:
I:\Building\Refunds\RefundRequest.doc x 09/01/2010
City of'Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Request for Permit Action V 0 I
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.t�gar 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(1)one
REFUND OR Name: Matthew Fricke
INVOICE TO: (Business or Individual) Westwood Homes, T.T.0
Mailing Address: 12700 NW Cornell Rd.
City/State/Zip: Portland, OR 97229
Phone No.: (971) 678-5018
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
® 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 #: TUP2016-00018
Site Address or Parcel#: 15133 SW 81st Ave.
Tigard, OR 97224
Subdivision Name: Hoggans Park Lot#: 4
EXPLANATION: Per our code, only one model home permit is allowed per subdivision.
Applicant decided to apply for model home permit for Lot 3,instead of Lot 4. Please void
application and refund permit fee. /CV d/0 /", Ad, ( SEE- 7Z[/°ao/4,-000/7
Signature: zi Date: May 16, 2016
Print Name: Lina Smith
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.
3. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date - 3 4. B
Refund Processed: Date /g, By .4,42' nvoice Processed: Date By
Permit Canceled: Date 2 //4. By .l , Parcel Tag Added: Date By
m 09
I:\Building\Forms\RegPeutAction_ 2314.doc
VO I A RECEIVED
City of Tigard ,
��5 Zro � ' t
�� COMMUNITY DEVELOPMENT DEPARTMENT/ �, MAY 1 Z 2016
Temporary Use Type I Applic0GFTIGARD
TIGARD '6/ENGINEERING
8
PROPOSAL SUMMARY (Brief description)
//// / REQUIRED SUBMITTAL
Temporary use approval to allow: n°4/ N'or2't' ff/`Yl1 i'T-S ELEMENTS
[Owner's signature/
Property address/location(s): SUk 2 014/ - 0'0006 He, E'<1•L s
written authorization
� 9 �'{ + } 9 ��K z Two(2) copies of the site/plot
s-
/Si J �`� v�S L i plan indicating:
Tax map and tax lot #(s): 1. Location of the Temporary Use
2. Lot size
j U 3. Square footage and location of
Site size:jo i- I = itY61 61 5e /04 9 = 5 067_� existing buildings
i 4. Current uses of existing buildings
Start date: OG / /144 End date: / / 5. Number of existing parking spaces
6. Square footage of any space to be
Please check one: used as additional parking
❑ Season/special event 7. Driveway locations
El Unforeseen/emergency situation U
1 Site/plot plan(reduced to 8.5"x11'/2")
)i' Temporary sales office/model homes LJ Applicant's statement address criteria:
18.785.040(2 copies)
❑ Temporary use in commercial and industrial zone
Filing fee(unless exempt)
APPLICANT• FOR STAFF t;S1. °NI.l
Business name: a 114r34 S 11-C I' Case No.: .774(1.20k,,- Ca.Ye
Address: 12,7-00 .IVB-1 CGMeU ,a,"
ty/ �"1 p 01 Zip: 1 72 Z� Related Case No.(s):
Ci state: �C3,' A �(
Application Fee: 4S-/
Contact name: /14a-4 ��yy /
-� �Ge5 /ocd7�o, e SLS . G i Application accepted:
Ph#: ��/- 6�7' SGI�Email: ����7`�' 11
By: Z----- Date: c-/I"�// e
Application determined complete:
PROPERTY OWNER/DEED HOLDER(S)* (Attach list if more than one) By: Date:
Name: I�gstirA 015 t 'fT//(av:f
I:\CURVLN\Masters\Land Use Applications Rev.11/25/2016
Address:
City/state: Zip:
Contact name: Ph#
• When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession
with written authorization from the owner or an agent of the owner.The owner(s) must sign this application in the space
provided on the back of this form or submit a written authorization with this application.
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
APPLICANTS
To consider an application complete,you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS
as described on the front of this application in the"Required Submittal Elements"box.
(Detailed Submittal Requirement Information sheets can be obtained,upon request,for all types of Land Use Applications.)
THE APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions that may be attached to or imposed upon the subject property.
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true; and
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such
statements are false.
• The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
SIGNATURES of each owner 4 the subject property required.
7460 (///i 747;
Ap licant's signaffe Print name Date
Lde-C \ � v— S v
Owner's signature Print name � Da e
Owner's signature Print name Date
Owner's signature Print name Date
TEMPORARY USE—TYPE I APPLICATION (TUP)
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
2. Model house.
a.The model house shall be located within the boundaries of the subdivision or tract of land where the
real property to be sold is situated; and
b. The property to be used for a model house shall be a permanently designed dwelling structure.
Our proposed model home sites are located within the boundaries of the subdivision or tract
where the real property is to be sold and the property is designed to be a permanent dwelling
structure.
RECEIVED
MAY 122016
CITY OF TIGARD
PLANNING/ENGINEERING
u • �p'� • I
N S9°39'00" W _ — S0.12' ,
4 4111MA
--"r -V/PiIi i
'' • j)?-:)tJ / ri i
-3*-?-- --T —
1 411PP.4,
I a ENTRY hi,„ Adc, ,
IW o / / �� j 4' 19,�� Q
e �L__ , ,LOT 4 .. a • U)I
N rn 5,062 SF/ /GARAGE { j ° -1 t—
/I p
ZI'-il' •-. c0 I
% ` °j. SiouS 05'46', 5' r Ib'-b'
JPPtR FLOOR- 461,3 177$0.FT ° .2r_�Y•I. +�
MAIN FLOOR- 190.FT -/
/TOTAL- =et962.FT/ •• •°I LU
60690.FT -
.r4 CI
— _ S 89°39'00' E @ I
SETBACKS:
FRONT = 15 FT
GARAGE = 20 FT
SIDE = 5 FT
REAR = 15 FT
* SETBACKS ARE TO BACK OF RECEIVED
SIDEWALK OR R/W, WHICHEVER
IS CLOSER. MAY 12 2016
* SETBACKS AND HEIGHT LIMITS CITY OFTIGARD
ARE THE RESPONSIBILITY OF PLANNING/ENGINEERING
THE OWNER/BUILDER.
SepIari
(1)
SCALE : 1 "=20°
FLAN NAME: HOGGENS PARK
2884 Westwood Homes LLC
DRAWN: EKE 12118 NW Blackhawk Drive
5 LOT 4 Portland OR 97229
FLOM 12i10/1
SCALE:
1 phone 503-352-536 fax 503-352-5914
-- -�I�2�
u p 1
I N 89°39'00' U1 80.12'
•
_ _ _ ,
. 4,..... \
e .„
....,......- 41IP 41r472A11:1 44 1
1 ,
° 7 COVD 1 . al
ENTRYi . 1
I z
1.z O k4 --r da'-- w I
Iz,, / /7 : Q IT� I H '
o ,LOT 4 ! w I u) I
LA?-6 75,0&2 SF/ /GARAGE w J .;-.0-
z
• • .. g! ., : . . . , 0 i
. ,• 0,
• , .
1, 2P-,r �- .._ . ,__. , cn i
7/ 31 /
172190,FT/ °
TOTAL- 280490.FT, LU
a'
S 89°39'00' E 4 1
II
SETBACKS:
FRONT = 15 FT
GARAGE = 20 FT
SIDE = 5 FT
REAR = 15 FT
* SETBACKS ARE TO BACK OF
SIDEWALK OR R/W, WHICHEVER RECEIVED
IS CLOSER.
* SETBACKS AND HEIGHT LIMITS MAY 12 2016
ARE THE RESPONSIBILITY OF
THE OWNER/BUILDER. CITY OF TIGARD
PLANNING/ENGINEERING
0 SiepIai
SCALE : 1"=20'
PLAN NAME: BOCCE N 5 PA R K
2884 Nestwood - om es LLC
DRAWN: BKE 12118 NW Blackhowk Drive
PLOT: 12/10/15 LOT 4 Portland OR 97229
SCALE:
111 _201_011 phone 503-352-536 fax 503-352-5914