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
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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
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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