HOP2010-00027 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
V
October 29, 2010 I_ -_ _ �
Sean M. Buckley
12824 SW Boones Ferry Rd.
Lake Oswego, OR 97035
Re: Permit No. HOP2010 -00027
Dear Sir /Ms.:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 10570 SW 71`t Ave.
Project Name: Buckley Motorsports
Job No.: N/A •
Refund: ❑ Check # in the amount of $
® Credit card "return" receipt in the amount of $40.00.
❑ Trust account "deposit" receipt in the amount of $
Notes: Permit created in error and cancelled as proposed use is not allowed; 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.
I: \Building\ Refunds\ Administration \L trRefund- CancclPermit.doc 01/16/07
Phone: 503.639.4171 • Fax: 503.684.7297 . • www.tigard - or.gov • TTY Relay: 503.684.2772
City of Tigard
TIGARD Accela Refund Request
This form is used for refund requests of land use, development engineering and building application
fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached
to this request. Refund requests are due to Accela System Administrator by Wednesday at
5:00 PM for processing by the following Wednesday. Accounts Payable will route refund
checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing.
PAYABLE TO: Sean M. Buckley DATE: 10/14/2010
12824 SW Boones Ferry Rd.
Lake Oswego, OR 97035 REQUESTED BY: Dianna Howse
Kristie Peerman
TRANSACTION INFORMATION:
Receipt #: 177566 Case #: HOP2010 -00027
Date: 4/15/2010 Address /Parcel: 10570 SW 71st Ave.
Pay Method: CreditCard Project Name: Buckley Motorsports
EXPLANATION: Created in error; not allowed use; refund 100% of application fees.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000 -43104 $ Amount
Home Occupation Permit - Type I 1003100 -43116 $35.00
Home Occupation Permit - Type I - LRP 1003100 -43117 5.00
TOTAL REFUND: $40.00
APPROVALS:
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: I Date: I ,e%V/[i I By: I #,f.
1:\ Building \ Refunds \RefundRequest.doc x 09/01/2010
CITY OF TIGARD RECEIPT
e t ... 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
.-)C r-°
;— f ,V/ • )
Receipt Number: 180185 - 10/29/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2010 - 00027 $ - 40.00
Total: $ 40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 062317 DHOWSE 10/29/2010 $40.00
Payor: Sean M Buckley
Total Payments: $40.00
Balance Due: $40.00
Page 1 of 1
• ` CITY OF TIGARD RECEIPT
a
I N
. , 13125 SW Hail Blvd., Tigard OR 97223
503.639.4171
TIi;ARD
Receipt Number: 177566 - 04/15/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2010 -00027 Home Occupation Permit - Type 1 1003100 -43116 $35.00
HOP2010 -00027 Home Occupation Permit - Type 1 - LRP 1003100 -43117 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 062317 DADAMSKI 04 /15/2010 $40.00
Payor: Sean M Buckley
Total Payments: $40.00
Balance Due: $0.00
•
Page 1 of 1
•
Community Development
TIGARD Request for Permit Action
TO: CITY OF TIGARD
Building Division Services Coordinator
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: Sean M. Buckley
INVOICE TO: (Business or Individual)
Mailing Address: 12824 SW Boones Ferry Rd
City/State /Zip: Lake Oswego, OR 97035
Phone No.: 503 - 484 -3791
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
® CANCEL PERMIT APPLICATION.
REFUND PERMIT FEES (attach receipt, if available).
INVOICE FOR FEES DUE (attach case fee schedule and explain below).
❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit # : HOP2010 -00027
Site Address or Parcel # : 10570 SW 71st Ave
Project Name: Buckley Motorsports
Subdivision Name: Lot # :
EXPLANATION: Created in error - not allowed use Signature: fz&) Date: 5 -21 -10
Kristie Peerman
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% of the land use application fee for issued permits.
d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended.
e) not more than 80% of the building permit fee for issued permits prior to any inspection requests.
2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 - weeks for processing refunds.
FOR OFFICE USE ONLY
Rte to Sys Admin: Date By Rte to Admin: Date/,,, j ; /re B
Refund Processed: Date %C / /4,� /? By j(/ _ ..Invoice Processed: Date // By
Permit Canceled: Date /' » / By , Parcel Tag Added: Date By
Receipt # / 7 - 7 . Dated" /5/f Method Amount $ 4', - e-z1
I:\ Building \Forms \RegPermitAction. oc Re ' 07 /26/07
•
�tz HOME OCCUPATION PERMIT
CITY OF TIGARD
0 COMMUNITY DEVELOPMENT ` Permit #: HOP2010 00027
; ,n 711 I I Date Issued: 04/15/2010
T f Gr\ R L:), 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 r
r,•r Parcel: 1S136AD02501
t 1
Jurisdiction: Tigard
�
Applicant Name: Buckley Motorsports
Business Address: 10570 SW 71ST AVE
Nature of Business: Home occupation internet based brokerage sales.
Business Name: Buckley Motorsports Generate Extrn Noise: No
Sq Ft - Detached: Days /Hours of Operation:
Sq Ft - Residence: Bus. Vehicles Garaged @ Res:
Sq Ft - Business: Outside Storage: none
SIC Code: Exterior Sign ?: No
Paid Non Res Empl: No
Cust/Client @ Res: No
Pick/Deliv @ Res: No
Acknowledgement:
I understand this Home Occupation Permit is approved for the above described business at the specified location only,
and does not require renewal. Further, I understand that the City of Tigard Business Tax must be renewed annually in
order t� maintain permit authorization.
I acknowledge that this Home Occupation Permit approval may be revoked if the conditions and standards of approval
have not been complied with and /or this home occupation is otherwise being conducted in a manner contrary to the
Tigard Community Development Code (18.742). Permit revocation due to a violation of requirement(s) of this Home
Occupation Permit cannot be renewed for a minimum period of one year. (18.742.010).
r
Approved By Permittee Signature
HOME OCCUPATION
TYPE I APPLICATION
City of Tigard Perrrat Center 13125 SW Hall Blul, Ti OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Property Address /Location: ll 0 C 70 i S J I S A- v-(�
1 FOR STAFF USE ONLY
Tax Map & Tax Lot # : 1 3 4, 400 2So 1 Zone: e- , _5
,
Property Owner /Deed Holder(s)*: ( JJ 0'� j; (, d L €. I' (a (- Caee /Pernut No.: h) Pc20 1 0 -000.17
Address: i 5 t) 20 71 A)) Phone: c.b.`. - d'4 y - c r Filing Fee Rec'd.:$ 0 0
City: n Zip: (d. ;--; Receipt No.:
Application Approved By C • C
Applicant*: \S e (4 (\ g kA C K k (
Date Approved:
Address: '� 53-0 Slti� +
a-C i AA . Phone: ,c1?3 yg t1- 3 '7 I � 5 a i d no's S P r S rY.)f10 •-e y e.k
Business Phone: Comp Plan/Zone Designation: 4- - frkaf n o
Dm V �ppro ✓a (
`
City: • — 1 c1 CA Zip: C1.7 - :z. j hoc rc d
Business Name: Business Licenses Paid? [A Yes ❑ No
Nature of Business: TaA). C 6+0r _Sea Business License Receipt No.
Rev. 7/ 1/09
is \cutpin \masters \land use applications \home occupation permit -Type 1
app.doc
* 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.
REQUIRED SUBMITTAL ELEMENTS
THE APPLICANT SHALL CERTIFY THAT:
✓ The above request does not violate any deed restrictions that may be Application Elements Submitted:
attached to or imposed upon the subject property.
✓ If the application is granted, the applicant will exercise the rights granted in ❑ Application Form
accordance with the terms and subject to all the conditions and limitations of
the approval. ❑ Owner's Signature /Written Authorization
✓ All of the above statements and the statements in the plot plan, attachments, Proof of Business License Certificate
and exhibits transmitted herewith, are true; and the applicants so acknowledge [] Filing Fee: $40.00
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.
1
- s
1. Home occupations may be undertaken only by the principal occupant(s) of Standards:
a residential property;
According to Tigard Development Code Chapter
2. There shall be no more than three deliveries per week to the resident by 18.742.050, a Home Occupation Permit - Type I shall
suppliers; exhibit no evidence that a business is being conducted
from the premises. Horne Occupation Permits -
3. There shall be no offensive noise, vibration, smoke, dust, odors, heat or Type I shall not permit:
glare noticeable at or beyond the property line resulting from the operation.
Home occupations shall observe the provisions of TDC Chapter 18.725 A Outside volunteers or employees to be engaged
(Environment Performance Standards); in the business activity other than the persons
principally residing on the premises;
4. The home occupation shall be operated entirely within the dwelling unit and B. Exterior signage which identifies the property
a conforming accessory structure. The total area which may be used in the as a business location;
accessory building for either material product storage and /or the business C Clients or customers to visit the premises for
activity shall not exceed 528 square feet. Otherwise, the home occupation any reason; and
and associated storage of material and products shall not occupy more than D. Exterior storage of materials.
25 percent of the combined residence and accessory structure gross floor
area. The indoor storage of materials or products shall not exceed the I hereby certify that I have read and understand the
limitations imposed by the provision of the building, fire, health and above conditions and standards for the operation of a
housing codes; home occupation. I acknowledge that this home
occupation approval may be revoked if the above
5. A home occupation shall not make necessary a change in the Uniform conditions and standards have not been complied
Building Code use classification of a dwelling unit. Any accessory building with and/or the home occupation is otherwise being
that is used must meet Uniform Building Code requirements. s conducted in a manner contrary to the Tigard
6. More than one business activity constituting two or more home Revocation ue to a violation of the home occcu ao)
occupations shall be allowed on one property only if the combined floor requirement(s) cannot be renewed for a minimum
space of the business activities does not exceed 25 percent of the combined period of one year (18.742.080).
gross floor area of the residence and accessory structure. Each home •
occupation shall apply for a separate home occupation permit, if required
per this chapter, and each shall also have separate Business License
Certificates;
7. There shall be no storage and/or distribution of toxic or flammable Applicant's Si : na • •
material, and spray painting or spray finishing operations that involve toxic
or flammable material which in the judgement of the Fire Marshall pose a
dangerous risk to the residence, its occupants, and/or surrounding ( .
properties. Those individuals which are engaged in home occupation shall
make available to the Fire Marshall for review that Material Safety Data Date: u - 4 - 3-6 / 0
Sheets which pertain to all potentially toxic and/or flammable materials
associate with the use;
8. No home occupation shall require any on or off -street parking other than Owner's Signature:
that normally required for a residence;
9. The following uses are not allowed as home occupations: (44/( /I'/h...
a.) Auto- body repair and painting;
Date: /, r 1Ptis
b.) On -going mechanical repair conducted outside of an entirely enclosed
building;
c.) Junk and salvage operations; and
d.) Storage and/or sale of fireworks. Owner's Signature:
10. There shall be no exterior storage of vehicles of any kind used for the
business except that one commercially licensed vehicle of not more than
three- quarters ton GVW may be parked outside of a structure or screened
area.
Date:
2
4 '0 : 6 :k CITY OF TIGARD RECEIPT
i r r , 13125 SW Hall Blvd., Tigard OR 97223
� �� i 503.639.4171
TIGARL
t Mua�3n?�
Receipt Number: 177566 - 04/15/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2010 -00027 Home Occupation Permit - Type 1 1003100 -43116 $35.00
HOP2010 -00027 Home Occupation Permit - Type 1 - LRP 1003100 -43117 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 062317 DADAMSKI 04/15/2010 $40.00
Payor: Sean M Buckley
Total Payments: $40.00
Balance Due: $0.00
Page 1 of 1