Permit Support Document (60) .RECEIVED
JUL 16 201P
,.
City of Tigard • COMMUNITY DEVEI,OIivl�lertoIPtr`1aft \.! 0 I D
44 Request for Permit Ac ° ' a �' �'�
111
TIGARD 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner 12 Applicant ❑ Contractor ❑ City Staff
Check(V)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Ranieri Plumbing,LLC
Mailing Address: P.O.Box 503
City/State/Zip: Corbett,)R 97019
Phone No.: (503)719-6671
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
• 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#: PLM2017-00500
Site Address or Parcel#: 15195 SW 98th Ave,Tigard,OR 97224
Project Name:
Subdivision Name: Lot#:
EXPLANATION: Homeowner's also pulled a permit,this one needs to be voided.
Signature: Date: 07-12-2018
/
Print Name: / Peyton Rich
Refund Policy
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• Not more than 80°.of the application or plan review fee when an application is withdrawn or canceled before review effort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 inure than 800 o 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. (Gt 7 — eR9 •.� = - -2`"?‘ CJ'
V3 . .53 _ 39,�.,9-a _ '. 7 ,
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date y s/7 By {.."-
Refund Processed: Date ":22,7// B / Invoice Processed: Date By
Permit Canceled: Date ,�/ By; 7 'arcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_9231 doc
: • „
1111 .
TIGARD
City of Tigard
August 9, 2018
Ranieri Plumbing
PO Box 503
Corbett, OR 97019
Re: Permit No. PLM2017-00500
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 15195 SW 98th Ave.
Project Name: Nelson
Job No.: N/A
Refund Method: ® Check#229419 in the amount of$325.04.
❑ Credit card"return"receipt in the amount of$
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 is being completed under other permits
(PLM2017-00317 &PLM2018-00333). Refund 80%of permit 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
m City of Tigard
T I G A R D 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: Ranieri Plumbing DATE: 8/3/2018
PO Box 503
Corbett, OR 97019 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt#: 414267 Case#: PLM2017-00500
Date: 12/5/2017 Address/Parcel: 15195 SW 98th Ave.
Pay Method: CreditCard Project Name: Nelson
EXPLANATION: Per applicant's request as work is being completed under other permits (PLM2017-
00317 &PLM2018-00333). Refund 80% of permit fees.
, '� does ma $4:ifAtitfr,44.4qi4:
4.
• f. . e, a 6
Plumbing Permit 230-0000-43101 $290.22
12%state surcharge 100-0000-24001 34.82
TOTAL REFUND: $325.04
APPROVALS: SIGNA URES/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 Boardstir 1 � L
8 s�
�1�P4'`" s'?'�'''kx"�;"�V�3L"�����a����`��� 1'` L '�
Case Refund Processed: Date: y ; / % By:
I:\Building\Refunds\RefundRequest.doc x 09/01/2010
^ ^� `'\i" �~
Af(/ /7�� _ �+� -� �- �^�v���� � ~ . �
. -,_- ._-',_ ^ _-- , ~- � � �
Dianna Howse 77.7 1/�` � � ' '�
-- ` ' .
From: Dianna Howse
Sent: Wednesday,July 11, 2018 12:29 PM
To: 'xandra'
Cc: #Building Permit Technicians
Subject: 15195 SW 98th Ave Nelson
Attachments: ReqPernnitAction_0933I4.pdf; K4EC_PermitApp_042214.pdf
Hello Sandra,
Just to follow up on your visit today, we have issued a separate plumbing permit PLM2018-00333 for The Plumbers Inc
to install the basement bathroom fixtures.
The original plumbing permit that you obtained PLM2017-00317 is sufficient for Ranieri Plumbing to complete work on
the main level and 2nd floor only.
The permit that Ranieri Plumbing obtained online PLM2017-00500 to perform work all 3 levels including the basement,
should be voided as soon as possible. This must be done by Ranieri Plumbing as they paid for the permit fees and are
entitled to 80% refund of all fees paid. It is also important that this permit be voided otherwise it will be expired and on
record as expired, which could impact sale of the home in the future. I have attached the request for permit action form
for you to forward to Ranieri Plumbing. They can email the completed form toTigardBui|dingPerrnits@tigard-or.0ov.
I also wanted to mention that Kevin was in regarding addition of a gas line for a range. Unfortunately the original gas
line permit MEC2018-00087 has already been inspected and closed, so he will need to take out a new mechanical permit
for extending the gas line to the range. I have attached the mechanical permit form to be completed and returned
Monday-Thursday,8:00 am to 4:00 pm. We are closed on Fridays.
Thank you and please let me know if you have any questions.
Dianna 1. Howse
Building Division Services Supervisor
City of Tigard Community Development
13125 SW Hall Blvd Tigard, OR 97223
503-718-2430 Direct I 503-718-2439 Permits
From: Dianna Howse
Sent: Wednesday, July 11, 2018 8:09 AM
Tm: 'sand»a'
Cc: #Building Permit Technicians
Subject: RE: MSl2O18-00145, 15195 SW 98, Nelson
Hello Sandra,
Yes, 11:00 am works for me and we will try to get your transaction processed quickly.
Thank you.
Dianna L. Howse
Building Division Services Supervisor
1
' .
1!4/�� �
1.9� /7 � ^'��� �-_ ��/1)
Dianna Howse
From: Dianna Howse
Sent: Tuesday, July 10, 2018 12:27 PM
To: 'sandra'
Cc: #Building Permit Technicians
Subject: RE: K4ST2018-O014S' 1519SSVV98' Ne|son
Importance: High
Hello Sandra,
I understand from Julie that you wish to change the contractor on one of the plumbing permits for only a portion of the
work. Please describe in detail what you are expecting for the outcome of the two active plumbing permits listed below:
• PLK82O17-O0317—Issued Q/3/Z0l7toowner and described as: (2) sinks, (1) tub, and (1) shower in second story
bathroom. 11/20/17: REPRINTED permit to show change of contractor, and relocating (1)clothes washer, (1)
sink, and (1) water closet for laundry room. Contractor of record was changed to Ranieri Plumbing on
11/20/2017. Plumbing rough-in inspection passed on 1/10/2018.
* PLK82O17'00SO0—Issued 12/S/ZOl7toRanieri Plumbing (nn|ine) and described asfollows: 2.5 bath, kitchen and
. }0 ` laundry remodel plus 3 h/b. No inspections performed.
�r
Thank you.
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
l3ll5SVVHall Blvd I Tigard, OR 97223
503-718-2430 Direct I 503-718-2439 Permits
From:sandra <garysanneIsoncomcast.net>
Sent: Monday,June 4, 2018 8:03 AM
To: Dianna Howse<Dianna@tigard-or.gov>
Subject: RE: MST3O18-U014S, 1S19S5VV98, Nelson
Also, about Habitable Space, I guess I may have not understood the definition. I did some research after we met with
you last week, and now know more about what his habitable versus nonhabitable.
The basement was used by the previous owner for woodworking, storage, and for laundry. The basement was
heated. There was an oil furnace with a place in the back of it to burn wood. It was part of the furnace. When we
took the furnace out, we replaced it with a ductless heat system. There were three heads bought, one for each level of
the house. We had not connected the one in the basement because we knew we would be remodeling that space. So,
the head sat in the basement but was not yet hooked up.
Anyways, I did read that even bathrooms are not considered habitable space. Interesting.
Sandra
From: Dianna Howse Fma/|to:Dianna(a .govl
Sent: Thursday, May 31, 2018 2:37 PM
1
To: \sandra'
Cc: #Building Permit Technicians
Subject: RE: MST2O18-00145, 15195 SVV98, Nelson
Hello Sandra,
I understand from Julie that you would like to speak to someone further about your permit fees for this project so I am
responding to your request.
At submittal, you indicated that the space was already"habitable", however the plans examiner has determined that
this was not previously habitable space based on research of a previous permit that was issued to add egress windows
and confirmation from inspection staff regarding the basement condition observed on previous inspection visits.
During plan review,the plans examiner has the authority to determine the correct project valuation, and will make
adjustments to the amount submitted by the applicant, if necessary. For this project,the plans examiner calculated the
fees as if the space were a new addition in error, and I have corrected the fees. Also, the school construction excise tax
was assessed, which should not have been as the work is not new construction, so I have removed this fee from the
permit.
The remaining balance due is $348.57 and I have attached a copy of the invoice. You can pay this in person when you
pickupthepermitMonday'Thursday, D:OUamto4:0Opm. We are closed on Fridays.
I also wanted to mention that you now have two active plumbing permits both listing Ranieri Plumbing as the
contractor. The original permit that you obtained PLM2017-00317 as owner performing the work was issued on
8/3/2017. The scope of work originally included the second story bathroom, and on 11/20/7017 the permit was
reprinted to add the relocation of the clothes washer, sink and water closet for laundry room and add Ranieri Plumbing
LLC as the plumbing contractor. When we spoke on 5/21/2018 during the building permit submittal,you indicated that
the plumbing work was out to bid and that no contractor had been selected for the basement bathroom, however I
found that Ranieri Plumbing had already taken out a permit PLM2017-00500 for this work on 12/5/2017 through our
online permit services. Their permit also includes the laundry room relocation, so there is duplicate coverage for this
work. I have attached a copy of both permits. Please contact your plumbing contractor to correct their permit by
submitting a request for permit action (see attached)to remove the (3) plumbing fixtures for the laundry room and
correct the permit records.
Thank you and please let me know if you have any questions.
Dianna 1. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
S03'71D'J430Direct | 5O3-718'2439Permits
From:Julie Drinkwater
Sent:Thursday, May 31, 2018 10:35 AM
To: 'sandra'<Aarvsannebon@conocast.net>
Cc:#Building Permit Technicians<TigardBuildingPermitsPtigard-or.gov>
Subject: RE: K4ST2O1O'8814S, 1S19S5VV9D, Nelson
Hello Sandra
I apologize. Here is the attachment of the invoice.
2
^ °
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard | Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503'718'2804
From: sandra [mai|to:0arvsanne|sonVDcomcaut.net]
Sent:Thursday, May 31, 2018 10:33 AM
To:Julie Drinkwater<JulieDtigard-or.gov>
Subject: RE: MST2O1D'0}14S, 1519S5VV9D, Nelson
Hi Julie,
I'm not seeing the invoice for the permit.
Gary Nelson
From: Julie Drinkwater u|ieD(d)tigard-or.qoN
Sent: Thursday, May 31, 2018 10:29 AM
Tm: 'garysanne|son@oomoaat.net'
Co: #Building Permit Technicians
Subject: RE: MST2018-00145, 15195 SW 98, Nelson
Good morning Sandra
Per your request during our telephone conversation this morning, I have included the invoice for the permit for the
basement conversion as an attachment for your review.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard I Building Department
lSl2jSWHall Blvd
Tigard, OR 97223
503'718'2804
DISCLAIMER' E-mails sent or received by City ofTigond employees are subject to public record laws. If msquesbed, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records LawE-mails are retained
by the City of"t igard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
3
Dianna Howse
From: Dianna Howse
Sent: Tuesday,July 10, 2018 2:53 PM
To: 'sondro'
Cc: #Building Permit Technicians
Subject: RE: MST2O18-00145, 1519SSVV98' Nelson
Hello Sandra,
I have copied the email string from June 8th regarding instructions for the plumbing permits (see below). We asked that
you submit a request for permit action form to correct the plumbing fixtures. I cannot find where we received this
request form.
This project has become quite complex to track due to the multiple permits and multiple change requests.
I will be happy to meet with you at the counter tomorrow(Wednesday) to move forward with changes to the plumbing
permits, otherwise I am out of the office until next Monday.
Thank you.
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97I23
503-718-2430 Direct I 503-718-2439 Permits
From: sandra <garysannelson@comcast.net>
Sent:Tuesday,July 10, 2018 2:12 PM
To: Dianna Howse <Dianna@tigard-or.gov>
Subject: FW: MST3O1Q'0Ol45, 1S19S5VV9D, Nelson
Corrected --
From: sandra [mailto:garysannelson@comcast.net]
Sent: Tuesday, July 10, 2018 2:04 PM
To: 'Dianna Howse
Subject: RE: M5T2O18'00145, 15195 SW 98, Nelson
Hello Dianna
We had submitted a form to rescind the permit that we took out PLM2017-00317 as you had suggested. Do you have
that form?
Ranieri intheir permit' PLM3O17'OOSOU that they took out online (unbeknownst to us) included a basement
bathroom. We had asked Rainieri to bid this bathroom separately as we were uncertain when we would go ahead with
it.
We have chosen a different plumber for this basement bathroom, Plumbers Inc.
1
M
V
Dianna Howse
From: Dianna Howse
Sent: Friday,June 8, 2018 12:35 PM
To: 'sandra'
Cc: #Building Permit Technicians
Subject: RE: MST2018-00145, 15195 SW 98, Nelson
Attachments: Req PermitAction_092314.pdf
Hello Sandra,
My apologies for not getting back to you sooner, however we were trying to determine the best solution for your
multiple permits and duplicate permits at this address.
Regarding the plumbing permits submitted by Raineri,this was done through our online permit system and city staff
does not track or monitor what permits the licensed professionals take out online. It is the responsibility of the property
owner to communicate with their contractor as the contractor does not contact us prior to obtaining these permits
online. We have no way of knowing that duplicate permits are obtained until after the fact when we may be researching
permits due to another submittal,which is what happened in this case.
Below is a list of all permits and the current status:
,2Oltt. r' 1_5O95 08T14 AVE (10644
drllx oir tip s
Kona° sa t,• gatt Av eftseiffi CO7, pas*Ag ungiatm
guanoHo 15055 Witt AVE !i o'
Emationn is UPS 98144 AVE Ctime ilia/014 Agatem to 1505 sw 9
ka Oa � 15Osi5 gin3 t'd EkAEKbans I EMMIS EttrOad EU,damn�J
sum.* 15195 96Th AVE issut 05021,01g a 056 srbitSEMEtt
+x r: :I MEE Eiitittt AVE I 6542/1201& Woe+ad
it a:r 45VAI, %int Ntri, !s Immoa' x 5
p 45OS5 AVE Matt NVIOttiktn3 m,a 1OO'f i2i.a';.9 4144114
a ._
mm740213 I SOS 'Wit AVE r. #, 444Op.
PLM2017-00317 obtained by owner for(2)sinks, (1)tub, and (1) shower in second story bathroom. 11/20/17:
REPRINTED permit to show change of contractor, and relocating (1) clothes washer, (1) sink, and (1)water closet for
laundry room:
• Inspection for plumbing rough-in passed on 1/10/2018.
• There were no comments on the inspection so it is not known what actual work was inspected-upstairs or
laundry room/bath.
PLM2017-00500 obtained by Ranieri Plumbing for 2.5 bath, kitchen and laundry remodel plus 3 h/b:
• No inspections performed.
The inspection supervisor has determined that no plumbing permits can be voided and/or combined into one single
permit,therefore your option to correct duplicate work is:
• Submit a request to remove duplicate plumbing fixture work from PLM2018-00317 (see attached form).
• Please describe specific plumbing fixtures that should be removed and a refund for 80%of permit fees will be
refunded.
• Email form to TigardBuildingPermits aPtigard-or.gov.
• Please allow 3-4 weeks for refund check to be mailed.
Thank you and please let me know if you have any further questions.
1
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: sandra<garysannelson@comcast.net>
Sent: Monday,June 4, 2018 7:49 AM
To: Dianna Howse <Dianna@tigard-or.gov>.
Subject: RE: MST2018-00145, 15195 SW 98, Nelson
Hi Dianna
Thanks for finding the errors that were created in our recent permit process for the basement remodel. It is very good
to know that we do not owe the remaining amount of over$2000, but instead an amount far less than that.
Thanks also for looking at our plumbing permits. I would have liked to have known that Raineri had submitted for a
permit in December, and that they included the basement bathroom. They were aware of the permit that we had taken
out initially for the plumbing, that I had added Raineri's name to. I did get the understanding that they generally take
out their own, but that they would work under the permit that was taken out originally. If I had understood at that time
that the city will allow a permit to be rescinded, I would have done that with the one we took out originally. I think it
was confusing for Raineri.
Regarding these plumbing permits, I think you said they cannot be rescinded since there has already been an
inspection? My question, Dianna, is which permit did the city respond to when doing the rough-in inspection?
Thanks again for helping us out.
Sandra
From: Dianna Howse [mailto:DiannaCatigard-or.gov]
Sent: Thursday, May 31, 2018 2:37 PM
To: 'sandra'
Cc: #Building Permit Technicians
Subject: RE: MST2018-00145, 15195 SW 98, Nelson
Hello Sandra,
I understand from Julie that you would like to speak to someone further about your permit fees for this project so I am
responding to your request.
At submittal,you indicated that the space was already"habitable", however the plans examiner has determined that
this was not previously habitable space based on research of a previous permit that was issued to add egress windows
and confirmation from inspection staff regarding the basement condition observed on previous inspection visits.
During plan review,the plans examiner has the authority to determine the correct project valuation, and will make
adjustments to the amount submitted by the applicant, if necessary. For this project,the plans examiner calculated the
fees as if the space were a new addition in error, and I have corrected the fees. Also, the school construction excise tax
2
was assessed,which should not have been as the work is not new construction, so I have removed this fee from the
permit.
The remaining balance due is$348.57 and I have attached a copy of the invoice. You can pay this in person when you
pick up the permit Monday-Thursday, 8:00 am to 4:00 pm. We are closed on Fridays.
I also wanted to mention that you now have two active plumbing permits both listing Ranieri Plumbing as the
contractor. The original permit that you obtained PLM2017-00317 as owner performing the work was issued on
8/3/2017. The scope of work originally included the second story bathroom, and on 11/20/2017 the permit was
reprinted to add the relocation of the clothes washer, sink and water closet for laundry room and add Ranieri Plumbing
LLC as the plumbing contractor. When we spoke on 5/21/2018 during the building permit submittal,you indicated that
the plumbing work was out to bid and that no contractor had been selected for the basement bathroom, however I
found that Ranieri Plumbing had already taken out a permit PLM2017-00500 for this work on 12/5/2017 through our
online permit services. Their permit also includes the laundry room relocation,so there is duplicate coverage for this
work. I have attached a copy of both permits. Please contact your plumbing contractor to correct their permit by
submitting a request for permit action (see attached)to remove the (3) plumbing fixtures for the laundry room and
correct the permit records.
Thank you and please let me know if you have any questions.
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:Julie Drinkwater
Sent:Thursday, May 31, 2018 10:35 AM
To: 'sandra'<garysannelson@comcast.net>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: MST2018-00145, 15195 SW 98, Nelson
Hello Sandra
I apologize. Here is the attachment of the invoice.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard,OR 97223
503-718-2804
From: sandra [mailto:garysannelson@comcast.net]
Sent:Thursday, May 31, 2018 10:33 AM
To:Julie Drinkwater<JulieD@tigard-or.gov>
Subject: RE: MST2018-00145, 15195 SW 98, Nelson
3
' .
Hi Julie,
I'm not seeing the invoice for the permit.
Gary Nelson
From: Julie Dhnkwater [nlaihoJu|ieD0�tigard-or.00v]
Sent: ThursdayMay 31, 2018 10:29 AM
Tm: igaryaannebon@oonncaat.neti
Cc: #Building Permit Technicians
Subject: RE: MSl2018'00145, 15195 SW 98, Nelson
Good morning Sandra
Per your request during our telephone conversation this morning, I have included the invoice for the permit for the
basement conversion as an attachment for your review.
Thank you
JulieDrink-water
Permit Technician Assistant
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503'718'2804
-
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
ipiCITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2017-00317
T f GA ft D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2017
Parcel: 25111 CA00400
Jurisdiction: Tigard
Site address: 15195 SW 98TH AVE
Project: Nelson Subdivision: ALDERBROOK FARM Lot: 10
Project Description: (2)sinks,(1)tub,and(1)shower in second story bathroom. 11/20/17:REPRINTED permit to show change of
contractor,and relocating(1)clothes washer,(1)sink,and(1)water closet for laundry room.
Contractor: RANIERI PLUMBING LLC Owner: NELSON, GARY&SANDRA
2229 NE BURNSIDE ST STE 132 NELSON, KEVIN ERIC
GRESHAM, OR 97030 15671 SW SUMMERFIELD LN
TIGARD, OR 97224
PHONE: 503-894-0107 PHONE: 503 639-9539
FAX:
FEES
Quantity Description Date Amount
45 Misc Administration Fee 11/20/2017 $45.00
Specifics: 1 ea Clothes Washer 11/20/2017 $25.02
3 ea Sink 11/20/2017 $75.06
Type of Use: SF 2 ea Tub/Shower/Shower Pan 08/03/2017 $25.02
Class of Work: ALT 1 ea Water Closet 11/20/2017 $25.02
Type of Const: 1 12%State Surcharge- 11/20/2017 $18.01
Occupancy Grp: Plumbing
Stories:
Total $213.13
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 adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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
CITY OF TIGARD PLUMBING PERMIT
i COMMUNITY DEVELOPMENT Permit#: PLM2017-00500
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/05/2017
TIGARD
l ' .Fa"L 9 Parcel: 2S 111 CA00400
Jurisdiction: Tigard
Site address: 15195 SW 98TH AVE
Project: kevin Subdivision: ALDERBROOK FARM Lot: 10
Project Description: 2.5 bath,kitchen and laundry remodel plus 3 h/b
Contractor: RANIERI PLUMBING LLC Owner: NELSON, GARY&SANDRA
2229 NE BURNSIDE ST STE 132 NELSON, KEVIN ERIC
GRESHAM, OR 97030 15671 SW SUMMERFIELD LN
TIGARD, OR 97224
PHONE: 503-894-0107 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Clothes Washer 12/05/2017 $25.02
Specifics: 1 ea Dishwasher 12/05/2017 $25.02
3 ea Hose Bib 12/05/2017 $75.06
Type of Use: SF 1 ea Sink 12/05/2017 $25.02
Class of Work: ALT 3 ea Lavatories 12/05/2017 $75.06
Type of Const: 2 ea Tub/Shower/Shower Pan 12/05/2017 $25.02
Occupancy Grp: 3 ea Water Closet 12/05/2017 $75.06
Stories: 1 ea Water Heater 12/05/2017 $37.52
1 12%State Surcharge- 12/05/2017 $43.53
Plumbing
Total $406.31
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 adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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.
CITY OF TIGARD FEE AND PAYMENT HISTORY
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
„3 y l ^I167e-C PLM2017-00500 - 15195 SW 98TH AVE, TIGARD, OR 97224
kevin
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
12%State Surcharge-Plumbing 100-0000-24001 $43.53 $43.53 $43.53 12/5/2017 Credit Card 414267 $0.00
Clothes Washer 230-0000-43101 $25.02 $25.02 $25.02 12/5/2017 Credit Card 414267 $0.00
Dishwasher 230-0000-43101 $25.02 $25.02 $25.02 12/5/2017 Credit Card 414267 $0.00
Hose Bib 230-0000-43101 $75.06 $75.06 $75.06 12/5/2017 Credit Card 414267 $0.00
Lavatories 230-0000-43101 $75.06 $75.06 $75.06 12/5/2017 Credit Card 414267 $0.00
Sink 230-0000-43101 $25.02 $25.02 $25.02 12/5/2017 Credit Card 414267 $0.00
Tub/Shower/Shower Pan 230-0000-43101 $25.02 $25.02 $25.02 12/5/2017 Credit Card 414267 $0.00
Water Closet 230-0000-43101 $75.06 $75.06 $75.06 12/5/2017 Credit Card 414267 $0.00
Water Heater 230-0000-43101 $37.52 $37.52 $37.52 12/5/2017 Credit Card 414267 $0.00
Totals for Fees $406.31 $406.31 $406.31 $0.00
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
414267 Credit Card David Ranieri 12/05/2017 $406.31
Total Payments: $406.31
Balance Due: $0.00
q
CITY OF TIGARD FEE AND PAYMENT HISTORY
13125 SW Hall Blvd.,Tigard OR 97223
"` 503.639.4171
TIGARD
47y er-Gli"/C72-- PLM2017-00317 - 15195 SW 98TH AVE, TIGARD, OR 97224
"7/ -./ Nelson
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
12%State Surcharge-Plumbing 100-0000-24001 $18.01 $18.01 $9.01 11/20/2017 Credit Card 412179 $0.00
$9.00 11/20/2017 Credit Card 414005
Clothes Washer 230-0000-43101 $25.02 $25.02 $25.02 11/20/2017 Credit Card 414005 $0.00
Misc Administration Fee 230-0000-45319 $45.00 $45.00 $45.00 11/20/2017 Credit Card 414000 $0.00
Sink 3) 230-0000-43101 $75.06 $75.06 $50.04 11/20/2017 Credit Card 412179 $0.00
$25.02 11/20/2017 Credit Card 414005
Tub/Shower/Shower Pan (.11) 230-0000-43101 $25.02 $25.02 $25.02 11/20/2017 Credit Card 412179 $0.00
Water Closet C i 1 230-0000-43101 $25.02 $25.02 $25.02 11/20/2017 Credit Card 414005 $0.00
J Totals for Fees $213.13 $213.13 $213.13 $0.00
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
412179 Credit Card Sandra Nelson 08/03/2017 $84.07
414000 Credit Card Sandra Nelson 11/20/2017 $45.00
414005 Credit Card Sandra Nelson 11/20/2017 $84.06
Total Payments: $213.13
Balance Due: $0.00
INCITY OF TIGARD RECEIPT
i 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Nelson
Site Address: 15195 SW 98TH AVE
Receipt Number: 412179 - 08/03/2017
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
PLM2017-00317 Sink 230-0000-43101 $50.04
PLM2017-00317 Tub/Shower/Shower Pan 230-0000-43101 $25.02
PLM2017-00317 12%State Surcharge-Plumbing 100-0000-24001 $9.01
Total: $84.07
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 030750 BTAGGART 08/03/2017 $84.07
Payor: Sandra Nelson
Total Payments: $84.07
Balance Due: $0.00
Page 1 of 1
illCITY OF TIGARD RECEIPT
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
T€t . ,n.o
Project Name: Nelson
Site Address: 15195 SW 98TH AVE
Receipt Number: 414000 - 11/20/2017
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
PLM2017-00317 Misc Administration Fee 230-0000-45319 $45.00
Total: $45.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 005458 BTAGGART 11/20/2017 $45.00
Payor: Sandra Nelson
Total Payments: $45.00
Balance Due: $0.00
Page 1 of 1
CITY OF TIGARD RECEIPT
a • 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIC AR.D
Project Name: Nelson
Site Address: 15195 SW 98TH AVE
Receipt Number: 414005 - 11/20/2017
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
PLM2017-00317 Clothes Washer 230-0000-43101 $25.02
PLM2017-00317 Sink 230-0000-43101 $25.02
PLM2017-00317 Water Closet 230-0000-43101 $25.02
PLM2017-00317 12%State Surcharge-Plumbing 100-0000-24001 $9.00
Total: $84.06
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 009381 BTAGGART 11/20/2017 $84.06
Payor: Sandra Nelson
Total Payments: $84.06
Balance Due: $0.00
Page 1 of 1