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Permit (70) ENT' 1°City of Tigard • COMMUNITY DEVELOPMENT DEPARTM0 (.;/.2 1 ' . 1111 . Request for Permit Action T 1(i A R O 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718- a La, _-.Di..ov TO: CITY OF TIGARD MAY 14 2018 Building Division CITY OF..rIGARO 13125 SW Hall Blvd.,Tigard, OR 97223 13LIILDING DIVISION Phone: 503-7 -2439 Fax: 503-598-1960 TigardBuildingPerrnits@tigard-or.gov FROM: wner ❑ Applicant ❑ Contractor ❑ City Staff Check(/)one REFUND OR Name: ;(L/l / f, i�� '^r (Iv ir- _50- / / / INVOICE TO: (Business or Individual) Mailing Address: q 6 0 5 c v Q/ -'i MEL— L-1---- ' 1g-',r �� I H- City/State/Zip: ,, /'�U"; Phone No.: 7 1 , O'1 N. : , t © 0 7 w. ,, PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ 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#: yAf zasilwAr ri7► 5'JI?CJS !i CJo( • Site Address or Parcel#: 9 l � 5 VV , 7 -> M � Project Name: 5 ?� Subdivision Name: Lot#: EXPLAN ON: / l — f Signature: ,' '�% -pri -� Date: `-'J jam" Print Name: J Refund Policy GLLS7+/99E/2. A(1: iJo.' �e,,viJcC-7 / 2.. :4 lCk.i'N4--"✓ 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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 5/pH By 97 Route to Records: Date 3 `1 f 2 /`. By Refund Processed: Date / y/`r" By ••' Invoice Processed: Date By Permit Canceled: Date 421/11.-- By +,P , arcel Tag Added: Date By I:\Building\Forms\RegPermitAction_ 2314.tloc N TIGARD City of Tigard June 28, 2018 Kurt Johnson 9640 SW Darmel Ct. Tigard, OR 97224 Re: Permit No. SWR2017-00296 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 9640 SW Darmel Ct Project Name: Johnson Job No.: N/A Refund Method: ® Check#228933 in the amount of$5,535.00. ❑ Credit card "return"receipt in the amount of$ 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): Per applicant's request as he could not find a contractor to dig under the street to connect to sanitary sewer. Refund 100% of sewer connection 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 1,1 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: Kurt Johnson DATE: 6/22/2018 9640 SW Darmel Ct Tigard, OR 97224 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 412968 Case#: SWR2017-00296 Date: 9/25/2017 Address/Parcel: 9640 SW Darmel Ct. Pay Method: CreditCard Project Name: Johnson EXPLANATION: Per applicant's request to cancel permit because he could not find a contractor to dig under street to connect to sanitary sewer. Refund 100%of permit fees. $ fKi r F as Y Sewer Connection Fee 500-0000-25500 $5,500.00 Sewer Ins.ection Fee 230-0000-43118 35.00 TOTAL REFUND: $5,535.00 APPROVALS: SIG S/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 Case Refund Processed: I Date: 3/7"7/ By: .. .W I:\Building\Refunds\RefundRequest.doc x 09/01/2010 Dianna Howse From: Al Dickman Sent: Monday, May 21, 2018 1:11 PM To: Dianna Howse Cc: John Goodrich; Khoi Le Subject: FW: 9640 SW Darmel Ct- Kurt Johnson Dianna, Looking at the current tvi video I see that the lateral is capped at the main. And since the street doesn't have any cuts then the home HAS NOT been connected to the main. Therefore it is OK to process the refund. From: Rob Block Sent: Monday, May 21, 2018 11:08 AM To:Al Dickman<AL@tigard-or.gov> Subject: RE: 9640 SW Darmel Ct- Kurt Johnson Okies, let me know if/when a dye test may or may not be required. From:Al Dickman Sent: Monday, May 21, 2018 10:51 AM To: Rob Block<Rob@tigard-or.gov> Subject: FW: 9640 SW Darmel Ct- Kurt Johnson Importance: High Rob, Disregard! Looking at the current tvi video I see that the lateral is capped at the main. Al. From:Al Dickman Sent: Monday, May 21, 2018 8:30 AM To: Rob Block<Rob@tigard-or.gov> Cc: Khoi Le<khoi@tigard-or.gov>; Kim McMillan <KIM@tigard-or.gov>;John Goodrich<iohng@tigard-or.gov> Subject: FW: 9640 SW Darmel Ct- Kurt Johnson Rob, Please confirm that the tvi crew will be performing an inspection of the main SS11C094 specifically determining if the lateral is in use or not. Thanks Al. 1 From: Khoi Le Sent: Monday, May 21, 2018 7:12 AM To:Al Dickman<AL@tigard-or.gov> Cc: Kim McMillan<KIM@tigard-or.gov> Subject: FW: 9640 SW Darmel Ct- Kurt Johnson Al, Can we discuss about this? Khoi From:John Goodrich Sent: Monday, May 21, 2018 6:26 AM To: Lori Faha <LoriF@tigard-or.gov>; Khoi Le<khoi@tigard-or.gov>; Kim McMillan<KIM@tigard-or.gov> Cc: Rob Block<Rob@tigard-or.gov> Subject: FW: 9640 SW Darmel Ct- Kurt Johnson Good morning Lori, You may wish to look at this conversation below. I can understand not issuing a PFI regarding ROW work due to the existing lateral to the property, but wouldn't the property owner still need to pay for the plumbing permit and sewer connection fees? I am not sure why the property owner is requesting a refund. If he is connecting to sewer, I would think that SDCs apply. Anyway, I suspect that you are unaware of the conversation, so please consider this an FYI. Thanks, John John Goodrich Public Works Utility Manager Public Works Department x2609 From: Dianna Howse Sent: Friday, May 18, 2018 3:11 PM To:Sam Morrison<SAMM@tigard-or.gov>;#ROW Contacts<#ROWContacts@tigard-or.gov> Cc: Branden Taggart<brandent@tigard-or.gov>;Julie Drinkwater<JulieD@tigard-or.gov>; Rob Block<Rob@tigard- or.gov> Subject: RE: 9640 SW Darmel Ct- Kurt Johnson Thank you! Dianna L. Howse Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From:Sam Morrison Sent: Friday, May 18, 2018 2:52 PM To: Dianna Howse<Dianna@tigard-or.gov>; #ROW Contacts<#ROWContacts@tigard-or.gov> Cc: Branden Taggart<brandent@tigard-or.gov>;Julie Drinkwater<JulieD@tigard-or.gov>; Rob Block<Rob@tigard- or.gov> Subject: RE:9640 SW Darmel Ct- Kurt Johnson Hi Dianna. 2 Rob Block is going to be your best bet. I did not see him in the ROW Contacts so I cc him on your E-Mail From: Dianna Howse Sent: Friday, May 18, 2018 2:43 PM To:#ROW Contacts<#ROWContacts@tigard-or.gov> Cc: Branden Taggart<brandent@tigard-or.gov>; Dianna Howse<Dianna@tigard-or.gov>;Julie Drinkwater <JulieD@tigard-or.gov> Subject:9640 SW Darmel Ct- Kurt Johnson Hello Engineering Techs, I received a request from Kurt Johnson at 9640 SW Darmel Ct to refund the plumbing permit($81.20)and sewer connection fees($5,535) he paid to connect his existing house to public sewer. His septic has been failing for some time according to code enforcement records and he dug a large trench in the public right-of-way to install sanitary sewer line. Engineering staff visited the site and informed him that he needed to cover the trench and obtain proper permits. He obtained the plumbing and sewer permits in September, 2017, as owner performing the work, however he did not obtain a PFI permit. In talking with Al Dickman today, he confirmed that there is a lateral about 2' into his private property, so a PFI permit is not required. I am reluctant to refund the sewer connection fees until we can determine if he completed his line work and is actually hooked up. If he is, and I cancel these permits, then utility billing will not begin charging for the sanitary sewer. Can someone from PW scope this line to see if they actually connected to public sewer? Please contact me to let me know the outcome so that I can proceed with the refund request. For history purposes, here is a list of permits at this site since 1989 (as far back as Accela records go): Case# Case Status Opened Description PLM2017-00385 Issued 9/25/2017 100 FT sanitary sewer.Connecting existing house to sewer. SWR2017-00296 Closed 9/25/2017 Connecting existing house to sewer. NCC2015-00136 Closed-Duplicate 9/14/2015 Hall and Sattler BCC2015-00035 Closed 9/10/2015 Corner of SW Darmel Ct and SW 96th Ave BCC2015-00036 Closed-Duplicate 9/10/2015 SW Darmel Ct and SW 96th Ave DCC2015-00069 Closed 9/10/2015 NS SW Darmel Ct and SW 96th Ave NCC2015-00135 Pending Compliance 9/10/2015 SW Darmel and SW 96th Ave HOU2004-09001 Closed 9/27/2004 Housing Code Violations,Electrical,Plumbing, Heating,Dangerous Structure/Vacate Order. CE02004-85706 Closed 6/17/2004 Noxious vegetation. Grass/weeds 10"+/seeding behind property. HOU2003-00005 Closed 12/11/2003 No electric power to occupied house. ELC2003-00546 Closed 8/29/2003 Reconnect only. HOU2003-00004 Closed 8/7/2003 Unsanitary conditions: water turned off 7/31 for non payment,electric service turned off 7/1. Mother&child living on premises plus unrelated male. HOU2002-00001 Closed 6/12/2002 Septic tank is leaking-smell when it rains. CE02001-00659 Closed 11/1/2001 Trash,debris,rubbish CE02001-00663 Closed 11/1/2001 Inoperable vehicle,junk,raw garbage,ongoing mechanical work/repair,etc. CE02001-00479 Closed 8/23/2001 Trash,debris,rubbish CE02001-00480 Closed 8/23/2001 Inoperable vehicle HOU2001-00011 Closed 8/21/2001 Improper electrical power to garden shed, someone may be living in shed. 3 Thank you. Dianna L. Howse Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct I 503-718-2439 Permits _------ DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule ' 4 CITY OF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT Permit#: SWR2017-00296 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2017 TIGARD g Parcel: 2S111CA13500 Jurisdiction: Tigard Site address: 9640 SW DARMEL CT Project: Johnson Subdivision: DARMEL NO.2 Lot: 37 Project Description: Connecting existing house to sewer. Contractor: Owner: JOHNSON, KURT D 9640 SW DARMEL CT TIGARD, OR 97224 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 09/25/2017 $5,500.00 Sewer Inspection-Residential 09/25/2017 $35.00 Type of Use: SF Class of Work: ALT Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $5,535.00 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopteb .y the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ob - cot of th le or jrect questions to OUNC by calling 503.232.1987 or 1.800.332.2344. , Issued By: �y� • rmittee Signature: / ., Call 503.639.•175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the proje Approved plans are required on the job site at the time of each inspection.