SLR2018-00002 VOIDED
SLR2O18 - 00002
KNAUSS
ESTATES
14
TIGARD
City of Tigard
September 17, 2018
Davd Evans and Associates Inc.
2100 SW River Pkwy
Portland, OR 97201
Re: Permit No. SLR2018-00002
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 15790 SW 76th Ave
Project Name: Knauss Estates
Job No.: N/A
Refund Method: ® Check#229739 in the amount of$3,242.00.
❑ Credit card "return"receipt in the amount of$
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): Sensitive lands review not required. Refund 100% of application fees.
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
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: David Evans and Associates Inc. DATE: 9/10/2018
2100 SW River Pkwy
Portland, OR 97201 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt#: 415814 Case#: SLR2018-00002
Date: 2/26/2018 Address/Parcel: 15790 SW 76th Ave
Pay Method: Check Project Name: Knauss Estates
EXPLANATION: Sensitive lands review not required per Agnes Lindor,planner. Refund 100%of
application fees.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Application Type II 100-0000-43116 $3,242.00
TOTAL REFUND: $3,242.00
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: Y02ft By:
I:\Building\Refunds\RefundRequest.doc x 09/01/2010
City of Ti and • COMMUNITY DEVELOPMENT DEPARTMENT ,; is '
g
N for Permit Action �'�e "
III fer
Request
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov
F1
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 or Individual) Dm ld ins Oln 4 A-eziorics. I hG.
Mailing Address: DO svI FRwe,r Tia nzwAq
City/State/Zip: POt7-14 nd t Q l W
Phone No.: S05.2,2,2, .(.?CP[p
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (V):
CANCEL/VOID PERMIT APPLICATION.
07,5 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 #: SL-R2-0 le -00002_
Site Address or Parcel #: 151 90 S\i i 1(.4,--ke fr-) AM,
Subdivision Name: 1Z-KJAW- PcTES Lot #:
EXPLANATION: S no+ cf-d. Q efiA trict l(Do% ,r-e2
IE� C 'GLCC:i 47 2, // 2 £73 I,ci/.6 E72— Set ODOO/
Signature: Date: 30tb
Print Name: fn=s L L eior
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 �-�r� Route to Records: Date 9/ /2//7 B
Refund Processed: Date 9/,/j' By ��16c71 Invoice Processed: Date By
Permit Canceled: Date /0 Ari By 1- Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_�23'14.doc
V .CFE
DAVID EVANS
AND ASSOCIATES INC.
August 30, 2018
Agness Lindor, Associate Planner
City of Tigard, Community Development Department
13125 SW Hall Boulevard
Tigard, Oregon 97223
SUBJECT: Withdraw'of Sensitive Lands Review(SLR 2018-00002)
Dear Agnes,
The purpose of this letter is to inform you of our intent to withdraw our application for a Sensitive Lands
Review associated with the Knauss Estates Subdivision. It is our understanding that a Sensitive Lands
Review will not be necessary since the entirety of the sensitive lands(including the wetlands, vegetated
corridor, etc.)will be placed in a separate tract.
Sincerely,
DAVID. VAN D ASSOCIATES, INC.
Kevin A person
Senior Planner/Landscape Architect
Copies: File
Attachments/Endosures:
Project Number: DEVL00000014
File Path: P:\D\DEVL00000014\030000M\0330Agency\2018-08-30 Tigard Withdraw)SLR.docx
2100 Southwest River Parkway Portland Oregon 97201 Telephone: 503.223.6663 Facsimile: 503.223.2701