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SGN2019-00139
q TIGARD City of Tigard March 9,2021 Rudnick Electric Signs 1400 SE Township Rd Canby, OR 97013 Re: Permit No. SGN2019-00139 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 10830 SW Greenburg Rd Project Name: Comfort Inn&Suites Job No.: N/A Refund Method: ® Check#238581 in the amount of$182.40. ❑ Credit card "return"receipt in the amount of$ . 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): Permit was expired as applicant did not submit property owner's signature or written approval as required for land use application. Refund 80% of application fees. If you have any questions please contact me at 503.718.2430. Sincerely, 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 71 q City of Tigard T[GARU 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 ate 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: Rudnick Electric Signs DATE: 3/1/2021 1400 SE Township Rd Canby, OR 97013 REQUESTED BY: Dianna Ornelas LS TRANSACTION INFORMATION: Receipt#: 427334 Case#: SGN2019-00139 Date: 12/11/2019 Address/Parcel: 10830 SW Greenburg Rd Pay Method: CreditCard Project Name: Comfort Inn&Suites EXPLANATION: Per request by Lina Smith as applicant did not submitt property owner's signature or written approval and permit expired after 180 days. Refund 80% of application fees. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount 1 New or Modification to Existing Sign 100-0000-43115 $182.40 TOTAL REFUND: $182.40 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager C/ Z._Y7t4—J 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: I Date: %1V21 By: �j"e I:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 T'IC Alt_r7 Project Name: Comfort Inn &Suites Site Address: 10830 SW GREENBURG RD /J I`J-6 Receipt Number: 436255 - 09/04/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2019-00139 $-182.40 Total: $-182.40 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 238581 DHOWSE 09/04/2021 $-182.40 Payor: Rudnick Electric Signs Total Payments: $-182.40 Balance Due: $182.40 Page 1 of 1 CITY OF TIGARD RECEIPT ra g 113125 SW Hat Blvd.,Tigard OR 97223 f 503.639.4171 TIGARD Project Name: Comfort Inn& Suites Site Address: 10830 SW GREENBURG RD 1)/2 rctA7 C! Receipt Number: 427334 - 12/11/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2019-00139 New or Modification to Existing Sign 100-0000-43115 $228.00<;-- Total: $228.00 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 5845619 LSMITH 12/11/2019 $228.00 Payor: MICHELLE MORRIS Total Payments: $228.00 Balance Due: $0.00 • Page 1 of 1 g)116 - City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III 14 2. Request for Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.rigard-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 ❑ Applicant ❑ Contractor ® City Staff Check(✓)one REFUND OR Name: Rudnick Electric Signs INVOICE TO: (Business or Individual) Mailing Address: 1400 SE Township Rd City/State/Zip: Canby, OR 97013 Phone No.: (503) 263-3600 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 #: SGN2019-00139 Site Address or Parcel #: 10830 SW Greenburg Rd Project Name: Comfort Inn & Suites Subdivision Name: N/A Lot#: N/A EXPLANATION: Applicant never submitted property owner's signature or written approval,and application expired(more than 180 days old).Please void application and refund applicant 80% of original permit fee ($228 x 80% = $182.40). Thank you! 7/1/2020 Date: Signature: --L- Print Name: Lina Smith 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. a 3. Please allow 3-4 weeks for processing refund requests. L, GetN,16 FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date — y 7 ' By t Refund Processed: Date.3/4/_/ By 441 Invoice Processed: Date By p IRA* Permit Gerreeledr. Date 3J//•a.d By 1) Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_ 23314.doc XPlf p E* PtZ.-7 3//2-/ de ECity of Tigard RECEIVED INa COMMUNITY DEVELOPMENT DEPARTMENT DEC 1 1 2019 CITY OF TIGARD TIGARD Sign Permit Application PLANNING/ENGINEERING SIGN LOCATION REQUIRED SUBMITTAL Address: IQ&3O t 6een •te#: ELEMENTS City/state: *-- ,, •X. �1q0 ZZ'2- Zi 2 copies of elevations on 8'h"x 11" Tenant or business: .�C1.1-1^ (.. �7)CQS or 11"x 17"pages(Wall sign elevations must include dimensions Cl"m l - t� of sign and wall face and show the Property owner name: t l l location of sign on the wall. Address: I WOO ' Shy`o 1_0 Freestanding sign elevations must CCity/state: '� _ ne-- Zip: (11 7?S— drawn to scale.) Phone: Email: 2 copies of site/plot plan,drawn to scale,on 81/2"x 11" or 11"x 17" c ges(not required for wall signs) ,oD Sign contractor: Vnte k f,8kQec. -iISMS ( Le Address: WI�A pE �a. List or diagram squareoq all existing sign , •� y� �mensions and footage City/state: l�� Zip: ggb1 J 1QJApplication Fee Phone: ' 3 Zrg-3(e Email: Serv:cQ t4&n. ck-aPtACkcS+ oe.`mr'' ©� NOTES: CCB License#: 1.&o tS" Expiration date: 20 O • Freestanding signs over 6 ft.in height Contact person: < 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 70 lbs.or more,plans must be prepared New s n TYPE (Check all that apply) by a structural engineer. Freestanding 0 Electrical • Building permits.require 2 sets of 0 Alteration to 0 Wall construction drawings and,if sign is ❑ Freeway existing sign freestanding,2 copies of site/plot plan ❑ Roof 0 Other and 2 sets of engineering must be Sign #: MonuiM p e, submitted with building permit application. t 4------ t \t 2 6. Sign dimensions: 0 (h) x_(w) = '-I 0\ 'sq.ft. sign area (�i New s V sq.ft.+ Existing sign area sq.ft.=_Total FOR STAFF USE ONLY Total sign area:2C?) sq.ft. /10A building face sq.ft. =NA %of bldg face Case No.:S1901826t9—. 6/10/3I 1 a Height to top of sign: N b ft.Projection from wall: /in. Related Case No. ): Materials: Fee: .2.1$ Application, accepted: Is the sign under 20 lbs.? ❑ Yes IX-No By: I. A Date: 4244, (Building Permit required i f over 20 lbs) Application determined complete: Direction wall faces (circle one): N S E W NE NW SE SW Will the sign have illumination? ,r Yes El No By Date: If yes,what type: 0' Internal ❑ External l:\Community Development\land We Applications\02 Forms and TemplatesVand Use Applications Rev 12/14/2017 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 303-718-2421 • Page 1 of 2 • APPLICANTS NOTE: Person specified as"Applicant" shall be designated"Permittee"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 back 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,are 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. pplic. is sign Pe Print name Date Owner's signature Print name Date Owner's signature Print name Date SIGN PERMIT APPLICATION City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2 &r,le . c)cx-ne %cc+-e 1 'l \' ff 0_,..___p_lE 1 Ci • F AR a 'Approve, Panning Date: .rl. i �''� 30'• c� v. ` o t� Initials �r...r n�:a��e ! a_ ' Cj Si s''�C� � �, r clo sc� '�� ,,„,,,,w...._,.. ,,,„,„,., ..,„... t- Pr U_ Os-o-k *-1 r i 1111111111111 0 1 i I ` &_c12.c \NkPR - r" - \\ tii) ��C-LC 9 2 '�YOFTIGe Tn t ��( 1 C1�.aAPPra anning Date: ks -1 - 1 Initials: �~ �J _ U - _ i --_ - A .CCM , d I _ r � � Ge- e 9 i ! I AA 1 hT "t-e. u 1 4 i --.:-Y. s.).-.0..)I.1--) A ki d '.-Lit . 5. lcti li S4l44p�. ��� 4Alo1i4 2 CJI ti owb pay •.6 •t�p, _ \I /� , At/ ab �� /. rwT _ L __, ‘ - - _ _ n\, k a t it1:.) 1 ►-r >, . .' — JjL Ali. ''..- 1:i I .1 :slalilul _11-1/I- _ Susuue / :asap abad •ana sd 4 zi II 113 0 T ti ).72\--\ �r r: c.\ 211 g1 11 i Ifiri 1\ i • '4 1— ,\., 1 ..„. ), ,t 1 ki ie, _ , . .. 1-13-4 C)�1 . x 0 •. -ic, I T : SHEET I- 4'-1` 4'-�"_ �1$"--� 1. Alf design,GENERAL detailiNOng,ES tobricoting and canstruclion shalt conform to OFthe following codes and specifications: o. The Oregon Structural Specialty Code. -,---r }s--.. i r The 6 International Building Code. I I b i - . Amencon Society of testing and Muter-ids(AVM)specificolions. .- __ I I ) 1 a Building Code Requirements for Reinforced concrete CI V L d 1 ) (AC1 318-(Current Edition)). - : I 1 �4 d. Code for Welding in Building Construction of the (d m o m y I ' ) American- Welding Society. = m u,u lt61)F p t { l ; f e. Speclfcstion for the Design,Fabricotion and fraction of Structural '� O vim,x M j .... 1 S Steal for Buildings Ay Tne Amadcon lnstilute of Steel Constriction ai°u 'n m$$. I i kj { i` (AMC)(Current Edition), t a) o o-S B j �tr - .' f. Aluminum Association Aluminum Design Monad(2010 Edition). C ohm 1 `xr r - j j 2, Concrete shad be r.= , P.S.I. 0 28 days Compressive M TIE ,0 , d .d ,� , Strength. STD WT (150 P.C.F.) Tz `` L{ 1 �" t I 3. Reinforcing Steel shall be ASTN A-615 Crede 60,(iIIreAtter. (7 C Ur i I i_ ,j__ ,' ems; ' ! f a. All reinforcing steel shoe be free from mud, of,rust or .3 Z I I III 1'e , �' I • coatings that would reduce or destroybond. F CABINET COLUMN SUPPORT: I I I I b. All rein bars shoe MP dwrvrelas minimum,wept as noted. Z Co n,I f o rat HSSEy= 4 KSI WALL TUBE I c Mm owes comets cow on slimes and minters hot be 33(1 Kehler dab.rdILTI F� 46 KSI STEEL MN. I 1 �� - I and mixes net exposed to seethe ore cooled rlh grand;3 idles for untamed 0. — 0 I -1, — -- I.� 5-- 1 sortoces deposited against the pond expel as old a Z I INN & SUITES 1 1 t, l i N r.e L ___- — F_ I,I e j 4. Structural Material Specifications: ' era CO n l ,. #'t a. Aluminum shapes shall be extruded from 6061-T6 okay. .. ® 1 Welding filler alloy shall be 5356. no a. I d I_� t IL b. Structerd Steel and Plates shall be ASTM A-36(Fy=36 ksi). - SEE MATCH PLATE DETAILS A 9 , lit L- c. W-Shape beams shall be(Fy=50 ksi) Minimum $y r rs d. Structural Tubing Poll be AS1M A-SGT,Grade B,(Fr46 kit) �y s F I I e. Structural ON dal be AVM A-53,40b 6,Tpef a S(Fy. iv),ASN A572 ,E. 6 t I 1 Gosh 4y`.Y4!iSfJ a 4G111 u12 Grade.�(F�50 lei). oO - I i -r I, (see droving for indiniduc member specificotions). p ' �'M t' eI s " { p 5. High strehgth bolts for connections shall be ASTM A-325. U N ` ..- -- ` r ---1\ L_- unless otherwise noted. c _ o ' �� 1 6. Welding electrodes shall comply with AVE Dt 1 (Current Edition),E70X2. L''. '- oh 0 0 +. " �\ yy {As weld, 10 ,e cone reI cerl ea`or specified eels true.) a a+ + o p iy e+ a VJ N,f C] z W ' .( FRAME & LAMP DETAIL CROSS SECTION A—A 7. Design Wind Speed, Vela MPH ( ) i - . +,� I + J ® Equivalent Wind Load, Puv= PSF 9 above the p NOT TO SCALE NOT TO SCALE C Tit • llr+ +• *CY ground (3 Sec Wind Gusts.) . • I i I J`... .'.,.,. �__— Exposure Rook Category T C p zg� ai fV at W + �1 ( 1- -- " ' -- 8. Sail Bearing Capacity Requirements- co t"' O V J / 17 �v� • F 1 ¢ a 3 • + .�+ ` . d a. Minimum Allowable Vertical Bearing Capacity shall be ' P.SF. G it) a C ten ola re ! — - J ' THIS SIGN tS INTENDED TO BE INSTALL IN b. Minimum Lateral Bearing Capacity shall be Illaaa ,+ pp ACCORDANCE MTH THE REWh2EMENTS OF (100 ' 2) P.S.F. per foot of depth. - (3) t L - - t ARTICLE 600 OF THE NATIONAL 1BEGTRICAL f� `4 . _ (Times two increase per I8C Section 1804.3.1) 'v N co _ u CODE AND/OR I OTHER APPLICABLE LOCAL x .-] co _ y A CODES. THIS INCUJDFS PROPER GROUNDING �� Cn') N. ' • + BOTTOM VIEW AND BONOtNG OF THE SIGN. 9. Contractor shall verify all dimensions and conditions in the field before %s t`yy o 4-. z - - t , I I• a Jv a NOT T0.SCALE ' � section Mal notify the Engineer of any discrepancies. Cn 1 - / . BASE COLUMN SUPPORT: P.F. �LR -; s >• e wco NSS 4`xNS! S• WALL TUBE - S z ti ro _ I 1 -.+ Fr �1G K51 STEEL MIN. tt% (-' m I. ,�' •N c' V C� 0 ELEVATION VIEW -'_' W s PARTICU_AR CARE SHALL BE 05 '—' TAKEN TO PROVIDE SUFFICIENT eZ3a PREHEAT OF THE THICKER 0 Ci ELEMENT FOR THE SOUNDNESS >; Z no OF THE WELD. OTHERWISE, / L=, ti USE 1/4" MIN. WELD. - U _ O Ion IC" w O HOME, l0 TES.I.,spRRFRNR for omlwm*wpm,watdpMe lyofior s Goa,aact&win �-j orgy Sipaeed as apDa.c.Melon.c,areDie at. msik,it)ate Op maurwlm=c - _� N -�— I B' 7/8`0 HOLES FOR 8., dmnc-..fe.veman Emmet mmx r.upDec my muss sn,he vile use.rtfs.m re F, ' 3/4'0 ANCHOR BOLTS 7 6"d HOLES FOR J.senestbawLcnnE xrci�.+:,i,atre yxmed Ul IWO FPG • • • 3y'4'4 ANCHOR BOLTS k...-. C .) W . z cam, CABINET COLUMN G I � � • Q O I 1 2`0 ELECTRICAL HOLE BASE COLUMN 88057 E—e a, = I all1 I m 2"4 ELECTRICAL HqE cot) I ( ( I PLATE TO (� OREGON c .... �. i i 3/15"� COLUMN, , �3/16"� COLUMN, TIP. r/G '' f4 � j f . 1 • IAti o r " 4- O V' THICK STEEL PLATE O 44- THICK STEEL PLATE � � ,7-1 ��a�� ( s..t•:7 UPPER MATCH PLATE DETAIL LOWER MATCH PLATE DETAIL 2-0'm 4x SCALE 4x SCALE AUGURED FOOTING(R�p OPTION DETAIL RENEWS: 06/30/2020 9REC19AiM.(ldt LI FIGURED) f1a CARL E, THOMPSON, JR., P.G.