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HOP2012-00038 c 0 1 p, 1-- y : . " "A ; TIGARD City of Tigard October 18, 2012 1 Mike Kamerer 12170 SW Kelly Ln. Tigard, OR 97223 Re: Permit No. HOP2012 -00038 Dear Mr. Kamerer: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 12170 SW Kelly Ln. Project Name: Mike's Custom Fencing Job No.: N/A Refund Method: ❑ Check # in the amount of $ . ❑ 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): Per applicant's request. See attached copy of Request Permit Action form submitted by city staff and copy of Merchant Chargeback Advice form where city " agrees" with cardholder's claim for refund of 100 %. 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 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: Mike Kamerer DATE: 10/2/2012 12170 SW helly Ln Tigard, OR 97223 REQUESTED BY: Dianna Howse Hap TRANSACTION INFORMATION: . Receipt #: 188303 Case #: HOP2012 -00038 Date: 9/10/2012 Address /Parcel: 12170 SW helly Ln Pay Method: CreditCard Project Name: Mike's Custom Fencing EXPLANATION: Per applicant's request. Refund 100% of application fee per Tom McGuire. REFUND = `TFee >DescriptionPFrom Etample: Buildm Peimit_Fee,,, _' E ample 4310=.1 „ , ,_,- ,._ $'Amount Home Occupation Permit - Type II 100- 0000 -43116 $546.00 Home Occupation Permit - Type II - LRP 100- 0000 -43117 81.00 TOTAL REFUND: $627.00 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 FORsTI ,REMARK_SY_STEM_ADMIIVISTRATION USE LY � ;;; . � . ANgg�;�`r,��na Case Refund Processed: Date: /0/414,2____ By :�?�N I: \Building \Refunds \Rcfundltegucst.dnc s 09/01/21111) 0C/ City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT l i ■ • Request Permit Action 1 i , , ,\ r 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: CITY OF TIGARD Building Division Services Supervisor 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor 'Cit Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) M, 4 4- Mailing Address: / 0. / 70 w 4 t 'i City /State /Zip: ( / Mj/ (9/ (?'7Z Phone No.: 41111rip —/ DC q PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): CANCEL /VOID PERMIT APPLICATION. ►i 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 #: 1' P , o{ O /� . �S ' �Q6 Site Address or Parcel #: fa i '70 S W kM" 4-1 47 /t t l7O Project Name: _ i / � ' / !, ,• / ,J , 1 mgrs. cusn't f F6-746A/6- Subdivision Name: /�h I/ Aj4 Lot #: -3 1 EXPLANATION: (9V 1/ 7tep 7 6 cie 414/ / lfr /00 a0 ,��i z ' " �� � �Ij / / -/Z Signature: ��, vl���i�A`�l�ti . te: Print Name: - 7)1// r wQ y,t;/,S / Policy 1 The 4/ 1. The Director or Building Official may authorize the refund of: �P/4)--- a) any fee which was erroneously paid or collected. - C, 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. V LS 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. �QD 0 j e not more than 80% • .uil. • . - 't fee for issued . e 9' .: or to an • ins .ection - . 1.3 �1�rC 2. Refun. s w I .e returned to the orip . al Payer in the same method in which payment was received. Please allow 2 -4 weeks for processing refunds. , . 1 ti � FOR OFFICE USE ONLY 0_ � ^ Rte to Sys Admin: Date By Rte to Admin: Date4, ! / By Air"' v ,e r Refund Processed: Date / 1 / By ,. • Invoice Processed: Date By f C Permit Canceled: Date `D/GZ By !'!•- ' Parcel Tag Added: Date By Receipt # Date Method Amount $ I: \Building \Forms \RegPermitAction.doc Rev 05/25/2012 September 15, 2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Attention: Hap Watkins I am withdrawing my home occupation two permit application due to the cost. I will load all tools myself and take to the job site or meet my employee outside of my neighborhood to load tools into their vehicle. Mike Kamerer 12170 SW Kelly Lane Tigard, OR 97223 • • ■ 1 : 1 0111 City of Tigard Land Use Permit Application PRE -APP. HELD BY: TIGARD File # I I Other Case # I Date I I By I I Receipt # I I Fee I I Date Complete I TYPE OF PERMIT YOU ARE APPLYING FOR ❑ Adjustment /Variance (II) ❑ Historic Overlay (II or III) ❑ Site Development Review (II) ❑ Comprehensive Plan Amendment (IV) ' Home Occupation (II) ❑ Subdivision (II or III) ❑ Conditional Use (III) ❑ Land Partition (II) ❑ Zone Change (III) ❑ Development Code Amendment (IV) ❑ Planned Development (III) ❑ Zone Change Annexation (IV) ❑ Downtown Design Review (II, III) ❑ Sensitive Lands Review (H or III) NOTE: FOR REQUIRED SUBMITTAL ELEMENTS, PLEASE REFER TO YOUR PRE - APPLICATION CONFERENCE NOTES LOCATION WHERE PROPOSED ACTIVITY WILL OCCUR (Address if available) /2/70 1.14 Xe. 11y 4A.4 e.. TAX MAPS do TAX LOT NOS. 2 6/6 3 C4'08 700 TOTAL SITE SIZE ZONING CLASSIFICATION ctcr� R-1 5 APPLICANT* I'* /G-e /earviice/ MAILING ADDRESS /CITY /STATE /ZIP ,Z/ 7t' lj1I . ke /// Las PHONE NO. FAX NO. 5 -f67 0597 PRIMARY CONTACT PERSON PHONE NO. .14.17A.12 5 41 E-MAIL r " mat /ur eus ew, 4,7e //I ,ecom. AM PROPERTY OWNER /DEED HOLDER (Attach list if more tAan one) C (Gl /S � MAILING ADIS / CITY "i A T TE /ZIP PHONE NO. FAX NO. *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 owners must sign this application in the space provided on the back of this form or submit a written authorization with this application. PROPOgAL SUMMARY (Please be specific) / / a/14 app Mt) `er Gx Aorkw r?efu Cc %04 fjP�/L1� Co4elktG -li n9 rz i e,iJ/a) cons /a ,'J, ,n A,.) oho r�u/Iey.ee »i /l r / zrk i dtivPa,Ja or e:a - S k`vlilloyee hod/ bP /" %oaf Try iti .n £ ar dro ; .', oFf �rl /S % y l>'�; � P � � / Pl' City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 - 718 -2421 I www.tivard- or.nov I Pave 1 nf2 THE APPLICANT SHALL CERTIFY THAT: • If the application is granted, the applicant shall exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. ♦ All 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, map 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(s). SIGNATURES OF EACH OWNER OF THE SUBJECT PROPERTY ARE REQUIRED. 9/i v/ Own s SigtYature Date Owner's Signature Date Owner's Signature Date Owner's Signature Date Owner's Signature Date Applicant /Agent /Representative's Signature Date Applicant /Agent /Representative's Signature Date City of Ti-ard I 11125 SW Hall Blvd. Tioarrl OR 07771 I 5f11_71 R_7171 I ..,.Ins, r;,,.,«,a_,..- I n,,,..a '7 ..t glib ,• ID i Vl 61-DA C 'i LL h O nkc 6,64- ! ► �n'1n 1 T C.o uc4-1 h re.S id .i4 'a1 Go n 5 r tate_4► an one eriv l e yGe wtj earl in driveel or ert &_ frin4ariIy 45111 be- prc.ic A. by or droprin of -took n�6541 oFf o S A' f KMVer • A .tJoV- caw a is r� . f i , ■ ;_ t 1 1 T) r ' , 3. • ti N • a IV" 7i I' ,' r JI I1 1 All ..... . ifi * ' . . 12170 y TWO ' ,, r c li q. • • ) . %..-. ,� .►.. . i ,. Feet . a 0 31 �' PRE 2-0 - 00 Pre— applicoc}-ion co4ereAce, -fvr NOP . �,- r7 ij 'N : . " ( i � ., ii U TIGARD City of Tigard October 18, 2012 Mike Kamerer 12170 SW Kelly Ln. Tigard, OR 97223 Re: Permit No. PRE2012 -00026 Dear Mr. Kamerer: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 12170 SW Kelly Ln. Project Name: Mike's Custom Fencing Job No.: N/A Refund Method: ❑ Check # in the amount of $ . ® Credit card "return" receipt in the amount of $501.60. Note: Please allow 2 -5 days for this refund transaction to be credited to your account by the company that issued your card. n Trust account "deposit" receipt in the amount of $ . Comment(s): Per applicant's request. Refund 80% of application fee. See attached receipt, copy of Request Permit Action form submitted by city staff and copy of Merchant Chargeback Advice form where city "disagrees" with cardholder's claim for refund of 100 %. If you have any questions please contact me at 503.718.2430. Sincerely, r .cfg - 214. 76) .... 1 ._ e _ 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 October 18, 2012 TIGARD City of Tigard Dispute Resolution Department 7300 Chapman Highway Knoxville, TN 37920 -6612 Re: Case No. 1015052752 Permit No. PRE2012 -00026 In accordance with Card Association Regulations, the City of Tigard: Disagrees with the cardholder's claim per the attached Merchant Chargeback Advice and provides the following rebuttal: 1. Cardholder was informed of the refund process on 9/11/2012 by planning staff, Hap Watkins, and cardholder submitted written request to cancel permit and request refund on 9/15/2012 (see attached letter from cardholder). 2. City staff, Hap Watkins, submitted written request on 9/18/2012 to cancel permit and request refund to accounting staff within the 2 -4 week refund policy (see attached Request Permit Action). 3. Per city refund policy, cardholder was only entitled to a 80% refund of application fees (see attached Request Permit Action). 4. A credit card refund transaction in the amount of $501.60 was issued on 10/16/2012 (see attached refund receipt). The cardholder requested the city to refund his application fees on 9/15/2012. On 10/4/2012, just 18 days later, the city's account was debited $627.00 for this disputed transaction. The city's refund policy is 2 -4 weeks, or 14 -28 days to process a refund. Therefore, the cardholder's request to dispute the transaction was in violation of the city's written refund policy. In addition, the cardholder requested a refund of 100% of the application fee, which also was a violation of the city's refund policy to refund only 80% of application fees when an application is withdrawn. Per the above findings, the city requests that a credit in the amount of $501.60 be returned as soon as possible to our merchant account number 8003130658. Sincerel G? en-e Dianna L. Howse City of Tigard Building Division Services Supervisor 503- 718 -2430 Cc: Michael W Kamerer Encs. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard- or.gov • � I Ili ' City of Tigard TicARD Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: Mike Kamerer DATE: 10/2/2012 12170 SW Kelly Ln Tigard, OR 97223 REQUESTED BY: Dianna Howse Hap TRANSACTION INFORMATION: Receipt #: 188304 Case #: PRE2012 -00026 Date: 9/10/2012 Address /Parcel: 12170 SW Kelly Ln Pay Method: CreditCard Project Name: Mike's Custom Fencing EXPLANATION: Per applicant's request. Refund 80% of application fee. 0 1) >REFIJND INFORI%' ATIOIV: , : Fee:= Desc don From Receiptr `Revenue Account;N "o,. Refund (2 �Etiample: Building Permit Fee:.,;.`, x a . : ° ',,._ y ; - Esam le: 2300000, 43;101 , -, _ ; 3$_Amount . 11 Pre - Application Conference 100- 0000 -43116 00 04. g' Pre - Application Conference - LRP 100 - 0000 -43117 81.00 TOTAL REFUND: $6' . 0 5i" . APPROVALS: Air 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 '" "` "'` "' ` A1t FOR:TIDEMARK SYSTEM= ADNIINISTRATIQN,USE ONLY � Case Refund Processed: Date: I /D7f /j.- By: I:\ Building \RefundARefundRc9ucst.duc s 09 /111 /2' II) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 11111 a Request Permit Action I I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: CITY OF TIGARD Building Division Services Supervisor 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor X City Staff (check one) REFUND OR Name: 4'l 1 / ` Q INVOICE TO: (Business or Individual) K k e...r a r Mailing Address: / a 7 l7 G) / C -e`i tt / City/State /Zip: '1 5t/ 012 4 7 y a ‘ 2.3 Phone No.: ? 3 L/0 7 0 5 9 7 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ( CANCEL /VOID PERMIT APPLICATION. c 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 #: P 2 L 0/A-000 of Site Address or Parcel #: ` / 7C ' ) 1,- L-!.,1 �-4i 03G CO57() Project Name : /// Mixers & wrJtl •lCin Subdivision Name: v / 7 t 14/k Lot #: .3 L% EXPLANATION: p pei4 77) l'1062 -1 /.. R Ar, CFO % /"& ,9y° 4M-7 / &j5 Signature: 1 ' y Date: 9 '/2 /2- r , /' Print Name: ,4y`t C? / Ci4 ' rk ^/ 4 Refund Policy A.. et 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. 0 t c Q�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. /��l '_ 111"\ c) not more than 80% of the land use application fee for issued permits. Q' n l/ ,"" d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. 1 1 01 - - - - - - ... :.1° , of the buildin..ermit f e e f o r issued .emits .rio ... '. . - .. - C 2 Refunds will be returned to the origin. 'ayer in t e same method in which payment was received. Please allow 2 -4 weeks for processing refunds. PO - FOR OFFICE USE ONLY Rte to Sys Admin: Date 13 Rte to : � Admin: Date /i M jj�� Refund Processed: Date , Invoice Processed: Date By Permit Canceled: Date /p / . /_ By - 4 - _ Parcel Tag Added: Date By Receipt # Date Method Amount $ I: \ Building \ Forms \RegPennitAction.doc Rev 05/25/2012 September 15, 2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Attention: Hap Watkins I am withdrawing my home occupation two permit application due to the cost. I will load all tools myself and take to the job site or meet my employee outside of my neighborhood to load tools into their vehicle. Mike Kamerer 12170 SW Kelly Lane Tigard, OR 97223 . !Pi City of Tigard TIGARD Pre- Application Conference Request GENERAL INFORMATION FOR STAFF USE ONLY Applicant: Q tt ` r AI/ 1 �G�-� !` FirP r Case No.: , Address: /2 /7C 5 tJ. ke- /( // Phon(S63)4C7 -C�J 77 Receipt No.: �� / 3 Application Accepted By: City: P °� 7ZZ- Date: Contact Person: Phone: DATE OF PRE - APP.: Property Owner /Deed Holder(s): 54 e TIME OF PRE - APP.: m inlig,cii547444friet A W A_ l _ PRE -APP. HELD WITH: � l Rev. 7 /1/11 is \curpin \ masters \land use applications \Pre -App Request App.doc Address: Phone: City: Zip: Property Address /Location(s): genii e. REQUIRED SUBMITTAL ELEMENTS (Note: applications will not be accepted without the required submittal elements) Tax Map & Tax Lot #(s): / ) j ❑ ✓Pre- Application Conf. Request Form 6 COPIES EACH OF THE FOLLOWING: Zoning: r �/� ❑ 1/13rief Description of the Proposal and any Site Size: t / L/ (it site - specific questions /issues that you would like to have staff research prior to the meeting. PRE - APPLICATION CONFERENCE INFORMATION ❑ VSite Plan. The site plan must show the proposed lots and /or building layouts drawn All of the information identified on this form are required to be submitted by to scale. Also, show the location of the the applicant and received by the Planning Division a minimum of one (1) week subject property in relation to the nearest prior to officially scheduling a pre- application conference date /time to allow streets; and the locations of driveways on the staff ample time to prepare for the meeting. subject property and across the street. A pre - application conference can usually be scheduled within 1 -2 weeks of the ❑ Vicinity Map. Planning Division's receipt of the request for either Tuesday or Thursday ❑ Vile Proposed Uses. mornings. Pre - application conferences are one (1) hour long and are typically held between the hours of 9:00 -11:00 AM. ❑ Topographic Information. Include Contour p ines if Possible. PRE - APPLICATION CONFERENCES MUST BE SCHEDULED IN ❑ Filing Fee $627.00 PERSON AT THE COMMUNITY DEVELOPMENT COUNTER FROM 8:00- 4:00 /MONDAY- FRIDAY. IF MORE THAN 4 PEOPLE ARE EXPECTED TO ATTEND THE PRE - APPLICATION CONFERENCE IN YOUR GROUP, PLEASE INFORM THE CITY IN ADVANCE SO THAT ALTERNATE ROOM ARRANGEMENTS CAN BE MADE TO ACCOMMODATE THE GROUP. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 - 718 -2421 I www.tigard- or.gov Page 1 oft CITY OF TIGARD RECEIPT r � 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 188304 - 09/10/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PRE2012 -00026 Pre- Application Conference - LRP 100 - 0000 -43117 $81.00 PRE2012 -00026 Pre- Application Conference 100- 0000 -43116 $546.00 Total: $627.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 06288G HWATKINS 09/10/2012 $627.00 Payor: Mike.Kamerer Total Payments: $627.00 Balance Due: $0.00 • • • Page 1 of 1 ~ ' U // _7 ( /�� MIA p1. rtei rikc, .64,4g } � --- �-- -'C ---^~� r-c'-~~~-- ``^°^^.i �� Le;Lyx~�e. -___. " lie51 . par_~__ _~ __ . . '-- __m 6 5414 • 44 _~'___y-_ -__ .�� _ ___' _ _ ii LN - 9 . 4r. . , . . . i ATP , . • • .1. 1 . . it . '*- ' t 71 1. ..,-' AO 7 - ------ ... 11, q 41) . _ , . _ r -...." t , ..... .!, 4 i a • i .. L. I t ----,------- , i k. .. ._ _ . :, .... I 4 _. ,,..4, uIIIPIuu . i i f Taq , 1 (. 12170 b iin . .. .. .„..0 „. II . .., . , 1 1 ; • .1°4'44; 1 . i 1 _ _ ___ i . , .e.e.! . 0 31 a . ger - ' -%' ' ' ''' .'• '-ii''' oe '