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SGN2020-00040 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 212,3Ai 40 III Request for Permit Action f I GARO 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 0 Applicant ❑ Contractor X❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Indn7dual) Mailing Address: City/State/Zip: Phone No.: 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). Permit#: SGN2020-00040 Site Address or Parcel#: 12168 SW Garden Place Project Name: Office Furniture Reborn Subdivision Name: Lot#: EXPLANATION: Permit has expired. Additional information was not provided within 180 days. Signature: / Oe. Date: 1/1212021 Print Name: Agnes indor 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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 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 By Route to Records: Date 27Z3 / ;;i, Refund Processed: Date A '4 By,ee 0 Invoice Processed: Date By Permit Canceled: Date Zg h.,/ ByieM Parcel Tag Added: Date By I:\Building\Forms\RegPern itAction_ 2051 .doc RECEIVED 171' / b it City of Tigard - _n COMMUNITY DEVELOPMENT DEPARTMENT APR 2020 CITY OF TIGARD z/73/Z/ �0 Sign� Permit Application PLANNING/ENGINEERING SIGN LOCATION REQUIRED SUBMITTAL Address: /..1 I(p g .S(i) Ga dan Pt„,. Suite#: ELEMENTS City/state: T 15...r d OR- Zip: q 7- .23 ❑ 2 copies of elevations on 8:/z'x 11" Tenant or business: t'}crtciZ, ftkrn l/t+/G Ke,lo�rin or 11"x 17"pages(Wall sign elevations must include dimensions Property corm clone,- Peo I Z 6,..+ C,LL of sign and wall face and show the P �'owner name: . location of sign on the wall. Address: Po QD)c L`b 0 1101 Freestanding sign elevations must City/state: Hui/moo T X Zip: 0790.s7o be drawn to scale.) Phone: Email: ❑ 2 copies of site/plot plan,drawn to scale,on8'/+_"x11"orll"x17" pages(not required for wall signs) Sign contractor. 5 1.5A Gr��� S lC n$ �L /n� ./ ❑ List or diagram of all existing sign Address: 1 C' 110.k o?3 to310 dimensions and square footage City/state: ( tsart O(L Zip: 74)8/ 0 Application Fee Phone:9 &3R-`ilio Email: tel-ft,a 515 n Grad-pd)i. c0,,,, CCB License#: ISS4l0 Expiration date: l zz./z.I NOTES: person: •QG}, Sceff O r .IOU1 a r 1 tr, Freestanding signs over 6 ft.in height Contact and walls signs of which any element weighs 20 lbs.or more require a building permit for construction. SIGN DATA(Complete all items in this section) If any element of a wall sign weighs TYPE (Check all that a 1 70 lbs.or more,plans must be prepared 8 New sign PP y) by a structural engineer. 0 Freestanding 0 Electrical • Building permits require 2 sets of ❑ Alteration to ❑ Wail construction drawings and,if sign is ❑ Freeway existing sign freestanding,2 copies of site/plot plan ❑ Roof ❑ Other and 2 sets of engineering must be Sign#: submitted with building permit application. C' .rcJl If ."11-/ �4 Sign dimensions: 9 (h) x_(w) = t6°{r sq.ft. si area Lt/` 1 FO12 57.-A1-F l' L 0\L! New sign: (p sq.ft.+ Existing sign area Pr sq.ft.=_Dotal Total sign area: (0-sq.ft./ (IL? building face sq.ft.= ti.q %of bldg face Case No.:- t02020 -00040 Height to top of sign: l to ft.Projection from wall: 1/t. in. Related Case No.(s): Materials: Sirik12-. / c /I Coo. Fee: *Zl� Application accepted: Is the sign under 20 lbs.? va Yes ❑ No By. kL Date: 4i *V (Building Permit required if over 20 lbs,) Direction wall faces (circle one):(I}I S E W NE NW SE SW Application determined com lete: Will the sign have illumination?/ El Yes IZ( No Br: Al-- Dare:4�27 � If yes,what type: 0 Internal 0 External l:\Community aevelpp`nenULand Use Ad Templates\land Use Applications Rev 12/14/2017 .;•4ssrss sonzt��iscss-asssoaetsm.u.,uw.s,r...--c a%St71 ,A.,,,,,,NrUea vR[S::xs:zx'as,":w4Tsz- ss - �9,rc,..s sxRav:s..a91..^fu+C,Aca4.U+sn.,.m..._ar. t'^t..:a.^..'......^� City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97273 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2 APPLICANTS NOTE: Person specified as"Applicant"shall be designated"Pertnittee'and shall provide financial assurance for work. •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 owner(s)must sign this application in the space provided on the lade of this form or submit a written authorization with this application. THE APPLICANT(S)SHALL CERTIFY THAT: • If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. • All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,arc true;and the applicants so acknowledge that any permit issued,based on this application,may 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. I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with the City of Tigard. SIGNATURES of each owner of the subject property required. Q Srpk� _ Si5nCfc. L �nS L.L . �I20I2oZx. 1 cant s al nature Print anlc Date Kia�w ri pp s �s•.�., ems .} fit. teoti oanury w Poet �. wit, t1, 3 g> -_ T� e C7 c S 4/2012owo Owner's signature (As -wf-7 Print name Date )(‘."-owner's signature Print name Date SIGN PERMIT APPLICATION City of Tigard • 13125 SW Hall Blvd. - Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2 Job Name: • Office Furniture Reborn Off ice Furniture Re born 12168 Tigard R 9722Garden Place Tigard OR 97223 Date : 4/17/2020 Sit Stand World CLIENTAPPROVAL INCLUCESCOLOPS,SPELLING ANTWORF, Non - Illuminated Sign Meesefntal Please date x il. : Sign Sq Ft 66 i - s .y These plans are the axclusiue property of ad.4s�a^r a Signtrafl Signs,LLC.and the result 1 t ' r `i' a — 5� of the onglnal work of its employees.They are submitted Ali "ii !w ,46 a `�h 11 s Sign weight .251bs per letter to your company for the sole purpose of your consideration w x - ' �,x- J e j of whether to purchase these plans or to purchase from e a i-t$' `6 Nt a ,4 _ y • Signeralt Signs LLC.a sign manufactured tiY, _ Frontage: 16x70=1120 according to these plans Distribution or exhibition of these plans to anyone other than employees of your company,or use L 2T- of these plans to construct a similar sign is expressly forbidden. 3'_Office Furniture Reborn 5.8% of frontage 15% allowed In the event exhibition occurs,SignCraft Signs LLC expects to be reimbursed$500.00 for time and effort in creating Slt Stand World these plans. Manufacture &Install ONE (1) set of non-illuminated SignCraft Signs 1/2" Black sintra Letters Siliconed to Concrete wall. »owl OR _ Installation : Siliconed to Concrete Fascia 8900 SW Burnham St. Tigard, OR 97223 '_- ph:503-639-4910 fax: 503-620-9568 t-Mail: infogslgncraftpdx.corn t S I to P I a f Job Name: Office Furniture Reborn N 12168 SW Garden Place Tigard OR 97223 le A MaintenanL r Garden Pi' rvices ROKKE Perform. "AMMNIMINor .. , R � The Date : 4/22/2020 ., bityi Park217 `fa`. 1 • I '_ � • CLIENTAPPROVAL for . IENTAPPR sr..-1-, ,*xa {F r r r( . t � `--f �,Vil e .4s �. p, Ilk gyp, . i+ s'p d� Rene mill: t ` s 1 A, �y S .apt _ . wwoik WunderIic h,MaleeT ' 11.7"` Ii../ l V ', Engifieenn'g �•.., 4 i.' Sign 1 These plans are the exclusive property of fi -illiii AP-- �{y �' SignCraft Signs,LL.antl the result ` r• -. `.' rkla+ '. h of the original work of its employees. They are submitted y 1 i. I-Jae / ' i- t. to your company for the sole purpose of your consideration Gt,�j - V - 'I . i / , - zYC -0 of whether to purchase these plans or to purchase from t w., f' �, yam" i y SignCraft Signs LLC.a sign manufactured 1I �•. I r. Id ^ - according to these plans. Distribution or exhibition of these '!�$pt'� t'y .zt e i ' 1 plans to anyone other than employees of your company,or use of these plans to construct a similar sign is expressly forbidden. • y r - , In the event exhibition occurs,SignCralt Signs LLC. Y .1 expects to k reimbursed S5ro.m for tine and effort in creating '_ Office -Doll* * these plans. g" ai �" : 4 iki diabetes r A * . - . .. I ■ Teehnolooies s rcry - �L �` I. :' �,• C Si nCraft SunI. s y a -� _ t -— " ... — r_ �_ 1 �` 8900 SW Burnham St.Tigard,OR 97223 av r " a' * .,.- ph:503-639-4910 fax 503-620-9568 * A, .. e�`�,F r r .«is, E-Mail: info@signcraftpdx.com ` a Job Name: • Office Furniture Reborn office Furniture Re born 12168 Tigard OR 97223 Tigard OR 97223 Date : 4/17/2020 Sit Stanol-Wo-rld- , CLIENTAPPROVAL I INCLUDES COLORS.SPELLING.ARTWORK Non - Illuminated Sign Please rota b Please date, Sign Sq Ft 66 ..y c �I TheseSigntraft Signs,LLC.and the property of 41 p I of the original work of its employees.They are submitted )I Sign weighty .251bs per letter to your company for the sole purpose of your consideration h P, _ - #�., y I .�•x.,�a Y J j. 44: r .a, e of whether la purchase these plans or W purchase from h 'm -- �� SignCratl Signs LLG a sign manufactured Frontage: g p .. IV aecordin to Craft tans.Distribution n ma exhibition red of these plans to anyone other than employees of your company,or use 5.8 /o of frontage 15 /o allowed ofthese plans construct on occurs, signisaft Signs lLLC arbitltlen. Office FllI'nitllTC',RCbOrn oo pans to mezhiuition similar sign is ex Signs lorb Liao' . .-S expects to be reimbursed$500.00 for time and effort in creating i•� Sit Stand World these plans. J` limier 1%9' Manufacture &Install ONE (1) set of non-illuminated ti> n( aff Signs 1/2" Black sintra Letters Siliconed to Concrete wall. "gar*Ox c,a; Installation : Siliconed to Concrete Fascia 8900 SW Burnham St.Tigard,OR 97223 ph:503-639 4910 fax:503-620-9568 E-Mail: info@signcraftpdx.com t S I ite P I a n Job Name: Office Furniture Reborn N12168 SW Garden Place V aw , Tigard OR 97223 Ka ainten.nee 4-, .$Y *► 1 ,�t,. , - SW Gard( l el. ,'xt ROKKE-Perform. 5 ""'..`';• b +R `�'`-_ ` The Date . 4/22/2020 i7r ` f>, is r}y' L � - " Park 217 ed: I . `�..0 , r n ., ` - I . CLIENTAPPROVAL d r"c` l' L•yr.. - ..'mr . T 1 n ^ j% "., a` - ap,rvGan lik a; ns a r+r� , 1 r tt t f�'' •�. /! I`�"� .? ,. { «."41 P4g, ') r "' `" ;� ' + 't OTC.# Please MN: 4. • "' ta,. a 'I t� i • ; # :' - I. ' V.iir ;,;r t t l/ ,-er of r al AV Sign +� ` a/ T These plans are the exclusive the of >1 j {9 SpnCratt Signs LLC.and he result _ r j ,p� 'ter. ►♦ 'v" @ 4P- of Me original work of ik employees.They are submitted f ✓•` a / ? r• / M your Company for the sole eplanpurpose Of t opurchasee(agon } 1,T � �r 1 ! / m, of whether to purchase these plans or to purchase from ,,{ Ir.'l�Ta i:• er 0 -. e Signeratt Signs LLC.a sign manufactured e ♦ ■9/ , w 4 N a \ ' - according to these plans. Distribution or exhibition of these / "� p T .' plans to anyone other than employees of your company,or use • / ` �+. ,' t ' of these plans to construct a similar sign is expressly forbidden. i 1 a `v In the event exhibition occurs,SignCraft Signs LLC. a% ' _ •, expects to be reimbursed PB S5CCW for tine and effort m creating sr =-,' : a Of ice R•be( ,� et f. S y., these plans. R d r a. t _ " [-WN Diabetes a•" ! v.",j a e �9•�- 7• •• nologies x: SourTvee- • ' "A V, - f n . ` . .) r- i - ra inn Yr�� � 7 Signs 4), I f rf -40• b r_ _C oar `war - ' . y vx x 4 'tr",- ,, w•,•.N ' h. . -e• C 8900 SW Burnham St.Tigard, OR 97223 � e .- r ,, -- �l,_ ph: 503-639-4910 fax:503-620-9568 t . aa�l r ► 3 " 's3 X = �.a, r E-Mail: info@signcraftpdx.com 1 1 c t t, -.s-- Agnes Lindor From: Agnes Lindor Sent: Thursday, December 10, 2020 8:50 AM To: 'Debi Scott' Cc: Lina Smith Subject: FW: SGN2020-00040 Hi Debi- There is a sign permit here for Office Furniture Reborn has been waiting on ownership information (see below). However, it is now expired. Please complete this form to obtain a partial refund (80%). You will reapply for a new permit. Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email:AgnesL@tgard-or.gov From: Agnes Lindor Sent: Monday, April 27, 2020 9:46 AM To: info@signcraftpdx.com Subject:SGN2020-00040 Hi Debi/John/Tim- I have a different property owner than listed on the application ( Icon Owner Pool I West, LLC). The County records show: BKM PARK BC 252 LLC 1701 QUAIL ST STE 100 NEWPORT BEACH, CA 92660 Please provide an updated owner signature. Your permit is ready for $228.00 fee payment. Please note there is a 3% service charge for all debit and credit card payments. You can select the check option under payment method to avoid the service fee. You can pay the fee online by clicking this link: https://aca.accela.com/tigard/, go to the "Planning" tab, search for record number SGN2020-00040. 'Then, go to the "Payments" tab and click "Fees" to submit your online payment. Please notify us once you've paid. Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email: AgnesL@tigard-or.gov 1