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Permit :III TIGARD City of Tigard February 11, 2021 Mark Denies &Ali Taher 9320 SW 74th Ave Tigard, OR 97223 Re: Permit No. MEC2020-0042 ELC2020-00340 jc PLM2020-00260 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 9320 SW 74th Ave Project Name: Denies &Taher Job No.: Refund Method: ® Check#238223 in the amount of$278.77. ❑ Credit card "return"receipt in the amount of$ 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 work was not performed. Refund 80%of all permit fees paid. If you have any questions please contact me at 503.718.2430. Sincerely, • ---1(/-g"Val.r.P•-a-fet-4--) , Dianna Ornelas 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 c�n R a Accela Refund Request TIThis 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: Mark Denies &Ali Taher DATE: 2/8/2021 9320 SW 74th Ave Tigard, OR 97223 REQUESTED BY: Dianna Ornelas TRANSACTION INFORMATION: Receipt#: 430055,430056,430057 Case#: MEC2020-00420,ELC2020- 00340,PLM2020-00260 Date: 7/6/2020 Address/Parcel: 9320 SW 74th Ave Pay Method: CreditCard Project Name: Denies EXPLANATION: Per applicant/owner's request as job was cancelled. Refund 80%of permit fees. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Mechanical Permit 230-0000-43102 $72.00 Electrical Permit 220-0000-43103 56.82 Plumbing Permit 230-0000-43101 120.08 12%State Surcharge 100-0000-24001 29.87 TOTAL REFUND: $278.77 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff �7,,, If under$12,500 Division Manager D. L. Orv1. If under$25,000 Department Manager If under$100,000 City Manager If over$50,000 Local Contract Review Board FOR ACCELA SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: .7/it/Ai By: I:\Building\Refunds\RefundRequest.doc x 09/01/2010 foq g CITY OF TIGARD RECEIPT 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD< Project Name: DENIES Site Address: 9320 SW 74TH AVE Receipt Number: 436269 - 09/04/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ELC2020-00340 $-63.64 Total: $-63.64 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 238223 DHOWSE 09/04/2021 $-63.64 Payor: Mark Denies&Ali Taher Total Payments: $-63.64 Balance Due: $63.64 Page 1 of 1 CITY OF TIGARD RECEIPT 13125 SW Hat Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: DENIES Site Address: 9320 SW 74TH AVE G 6` /Air _ Receipt Number: 430056 - 07/06/2020 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ELC2020-00340 Branch Circuits wo/Purchase Service or 220-0000-43103 $71.02 Feeder ELC2020-00340 12% State Surcharge-Electrical 100-0000-24001 $8.52 Total: $79.54 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 6544528 PUBLICUSERO 07/06/2020 $79.54 Payor: Total Payments: $79.54 Balance Due: $0.00 Page 1 of 1 VO KOd Dianna Ornelas From: #Building Permit Technicians Sent: Tuesday, October 20, 2020 10:14 AM To: 'ali.taher2' Subject: RE: Refund - 9320 SW 74th Ave Attachments: Reg PermitAction_120518.pdf Hello, We apologize for the delay in responding. Julie Drinkwater has been out of the office since late July. Please complete the attached form and email to TigardBuildingPermits(Wtigard-or.gov to request a refund. Please include all permit record numbers on the application that you wish to void. Please allow 4-6 weeks for processing a refund check that will be mailed. Thank you for your patience during this time. PL/1 .5 c-4-z u'V/ - Dianna L. Ornelas BuildingDivision Services Supervisor y30057 /0E7 7// 230--.GMD-�3/O/ _ /Sp, City of Tigard I Community Development 7/��u, /L'% Cl/' /a V�--2y / 13125 SW Hall Blvd I Tigard, OR 97223 DSO, /Z 30=Da 503-718-2430 Direct 1503-718-2439 Permits /eF'0 / — 3 !P c) i6oF.// /3 y.5' 9 .3 3 ,G a -220 "0000 - V3/02 tLc 7/, o� — s6 , �� - /%, 20 From: ali.taher2 <ali.taher2@yahoo.com> Y30oSb 7A/20 4—`S� — ,p,2 th /' 70 Sent: Wednesday, October 7, 2020 5:06 PM �j S �j° ( 3, 6 Y A-, 90 To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Refund .230 —0000 —1/.3/a2. /1 ?o , a ) — 7,2, o-zJ Caution!This message was sent from outside your organization ����� /a' d F' y�� "z' /� Hello there This Mark Denies and Ali Taher -72)779-4_ — 7eF' 77 I sent an email Back in July 2020 to Julie Drinkwater and many phone calls to refund the money of permit number PLM2020-00260 due to the wrong Of issuance of the permit . I didn't request any Solar units for my project while I got charged for a price of 2 units. I could not complete the project. So please refund me the money of the permit number PLM2020-00260 and all related permits of that project MEC2020-00420 and ELC2020-00340. Thanks /°4// Zv Zo —G0Z6 0 .' (j S�Alle C/)MV, () ichi-rn fro r� Sent from Samsung Galaxy smartphone. �Z c Zo 2-0 - 0 193 110 : ( 9 f rz rcff e,/2i: i CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2020-00340 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/07/2020 T f G;1[i D 9 Parcel: 1 S125DB05100 Jurisdiction: Tigard Site address: 9320 SW 74TH AVE Project: DENIES Subdivision: SHADY DELL NO.2 Lot: 25 Project Description: Adding(30 branch circuits. Contractor: OWNER Owner: TAHER,ALI&FLORES, CORAL FUENT MARK DENIES DENIES, MARK ROBERT& 9320 SW 74TH AVENUE DONOVAN, JEAN MARIE TIGARD, OR 97223 9320 SW 74TH AVE TIGARD, OR 97223 PHONE: 503-258-7442 PHONE: 503-258-7442 FAX: FEES Quantity Description Date Amount Specifics: 3 cr1 Branch Circuits wo/Purchase 07/06/2020 $71.02 Service or Feeder 1 ea 12%State Surcharge- 07/06/2020 $8.52 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 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: Orego law requir you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 52-0 -0090.�:u may obta' a copy oft les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 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 project. Approved plans are required on the job site at the time of each inspection. e Electrical Permit Applicat C�'I V E D l t i a I. I t i( 1: 1 �1 (,�I '1 City of Tigard Received /�I I , ,gyp - 1- IN.- 13125 SW Hall Blvd.,Tigard,OR 972,JU N 1 2 ,1 g ' Phone: 503.718.2439 'ZO Dan Review ReadB : '� _ �4. a r T I t;A I:I\ Email: TigmdBuildingPermits@Tiggrd-or.gov Ready DatelBy: lmis: fii!See Page 2 for Inspection Line: 503.639.4175 ...Internet: www.tigard-or.gi V y Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW 0 New construction ddition/alteration/replacement Please check all that apply(submit2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. - and 2-family dwelling 0 Commercial/industrial 0 Accessory building less toground,or exceeds 14,000 El Commercial-use agricultural U Multi-family ❑Master builder 0 Other: as for all other installations. buildings. ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: Job site address: 10011P or more. ❑„A^.,E„ 1-r 1 s , City/State/ZIP: 9132 5/ ) (I, i-A �j ❑Six or more residential units. occupancy. V / �� /7��U id ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: 0 Hazardous locations. ❑Supply voltage for more than �f ❑Service or feeder 600 amps or more. 600 volts nominal. Cross strcet/directions to job site: (ter C C..o��l (% g c' 1, FEE SCHEDULE Description I Qty. I Each I Total I ' �.,r�) u New residential single-or multi-family dwelling unit. Subdivision:5/'j�( 'c/1( t . r1 Lot#: r} C Includes attached garage. Tax map/parcel#:r P �f'�1/ z f— �*--� 1,000 sq.ft.or less 168.54 4 G. ', I : -' 2 Ea.add'I 500 sq.It.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential / /e /t 75.00 2 i) IAD 2a 0 V0'4 ee 0/7 (with abovesq.ft.) Limited energy,multi-family A 2- I VOL 7 e I Y i U/TS residential(with above sq.ft.) 75.00 2 �❑ PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: ^/f/I Den O,n j �� 200 amps or less 100.70 2 Address:`t Vq'.��� 5LII')l/ q rl j /Q_ 201 amps to 400 amps 133.56 2 V 401 amps to 600 amps 200.34 2 City/State/ZIP: --r I /t r i q - z2 601 amps to 1,000 amps 301.04 2 Phone:(5 z ) 2_ "1'-Z/ f q0... Over 1,000 amps or volts 552.26 2 Ematl. �•• 1 C T Temporary services or feeders installation,alteration,and/or w ctg Oor ld asi- - n el relocation Owner installation:This ins on is being made on property that i own which is not 200 amps or less 59.36 1 intended for sale,leas rent,or exchange,' according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature:_ G'r l ). - / %..{•,,�/c S Date: L76//6f 2d 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension,per panel El APPLICANT El CONTACT PERSON A.Fee for branch circuits with Business name: above service or feeder fee, Contact name: each branch circuit 7.42 2 B.Fee for branch circuits without Address: service or feeder fee,first 56.18 f 2 branch circuit I City/State/ZIP: Each add'I branch circuit 7.42 .2_ 2 Miscellaneous(service or feeder not included) Phone: ( ) Each manufactured or modular dwelling,service and/or feeder Email: 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: / / A Sign or outline lighting 67.84 2 r Signal circuit(s)or limited-energy Address: panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( ) Investigation(I hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90,00/hr CCB Lie.: Electrical Lie.: Suprv.Lic.: specifically listed(h hr min) ELECTRICAL PERMIT FEES Suprv.Electrisignature,required: 1�,� `, r4, ,I ', �1[-� Subtotal: 14. �- ii Print name: A E'� D p 0' es Date: ❑Plan Review Required(25%of permit fee): l State surcharge(12%of permit fee): i .3 Authorized signature: 1\1 ' k 1l),e,I/7 jr..?__ TOTAL PERMIT FEE: ! �.e, �� � v/ n� This permit application albs If a permit is not complete. feed within I80 Print name: )) l Datr /1 c.[S J days after It has been accepted as • Number of inspections allowed per permit. 15.Dvilding\Permits\ELC PermitApp ELR ERE.dvv Rev Is26/2017 M0-4615T(1 I!05/COM/WED