SGN2006-00146 pr i CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00146
DATE ISSUED: 8/16/2006
'TI,GARD° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S127DD
BUSINESS NAME: SHANE COMPANY ZONE: C -
SIGN LOCATION: 09730 SW CASCADE AVE JURISDICTION: TIG
APPLICANT /AGENT: SHANE COMPANY
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 7' X 25'
TOTAL SIGN AREA: 175 sq. ft.
WALL AREA: 530 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 37 ft.
PROJECTION FROM WALL: 4 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of one (1) permanent wall sign 7' X 25'
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from
approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED B Ai L 4 I . • 1 '�
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PERMITTEE SIGNATURE: -
DATE: 8 °16/2006
Z ,, F,'Y 4 i1, is
:. a �n � ; . SIGN PERMIT APPLICATION
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>X` �� `, City of Tigard Pemit Center 13125 SW Hall BM, Tiga OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site Sf/41,16 C . *1
0
Address/ Street Address Otircioroe Permit No.: ` (D— D"d (��
Location i ScJ AU 6
Expiration Date:
Suite /Bldg. # Gty/State Zip
/t 444 ' 7223 Receipt #: �fl) L
Name t Approved By S--. T r
Property 6 e5 Date: ell b I D Co
Owner Mailing Address Suite M /TL# : ( 5( ?- i DO 0 Of 0
Zoning: C4
City/State Zip Phone
Tenant or Name Electrical Permit Required? J Yes ❑ No
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/5/06
f �� or is \curpin \masters \land use applications permit app.doc
Sign F t54 ,C111.1 red
Contractor Mailing Address Suite
(Prior to permit 62. 5(0 [3
Issuance, a
copy of all Gty/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
requiredaf 11 F t4 01W c 2 1 4' 50 3 � 2� e00 (Note: applications will not be accepted
without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Gt of Tigard's 6 ( —3 6 — 0 7
datbase) y Completed Application Form
Proposed [f] Permanent ❑ Freestanding ❑ Freeway 11 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary EI Wall . ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 " x 11 ", or 11" x 17"
apply) q
[p New sign? ❑ Alter to existing sign? a 2 copies of elevations, drawn to scale
Sign Dimensions: 7 ! X ZS Q �/� i (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
S (' s n $39.00 Fee (Permanent sign, any size)
Sign Data
Si Total Wall Area (sq. ft.) r
g 7 3a ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) O S E W NE NW SE SW
Height to top of sign (feet): 3 7 / ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): �
4. must include dimensions of wall face and sign
Copy sere placement.
Materials: A • Wall signs do not require site /plot plans.
♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? r, Yes ❑ No permit.
Type: Internal ❑ External ♦ If work authorized under a sign permit has not been
• Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
•
❑ Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
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.
DATED this 1,(0 da y of T , 1\1) U C 20 0 �o
Signature of Owner /Agent
cd 3 fr20 .. e? - d
Contact Pe n N e Phone No.
t ti cr7 ,S74. ••-/ Co •
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a m i d- , � 'n ' �,'� .
City of Tigard, Oregon ® 13125 SW Hall Blvd. e Tigard, OR 97223 , � � ,' ,' tw f
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August 16, 2007 '47" s
Meyer Sign Co. of Oregon, Inc.
15205 SW 74`'' Ave.
Tigard, OR 97224
Attn: Steve Murphy
Re: Permit No. SGN2006- 00143, 144, 145, 146, 147
Dear Mr. Murphy:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 9730 SW Cascade Ave.
Project Name: Shane Co.
Job No.: N/A
Refund: I>< Check #52926 in the amount of $156.00.
n . Credit card "return" receipt in the amount of $ .
n Trust account "deposit" receipt in the amount of $ .
Notes: Per applicant's request as work was completed by another contractor. Refund 80%
of permit fees.
If you have any questions please contact me at 503.718.2430.
Sincerely, pp
Dianna Howse
Permit Specialist
Enc.
l:A Building \ Refunds \ Administration \LtrRefund- CancelPermit.doc 01/16/07
Phone: 503.639.4171 0 Fax: 503.684.7297 0 www.tigard- or.gov e TTY Relay: 503.684.2772
• 7
City of Tigard
TIGARD Tidemark Refund Request
This form is used for refund requests of land use, engineering and building application fees.
Receipts, documentation and the Request for Permit Action orR form (if applicable) must be
attached to this form. Refund requests are due to Tidemark System Administrator by Friday
at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark
System Administrator for distribution. Please allow 1 -2 weeks for processing.
PAYABLE TO Meyer Sign Co. of Oregon, Inc. DATE: August 1, 2007
15205 SW 74 Ave.
Tigard, OR 97224 REQUESTED BY: Dianna Howse
Attn: Steve Murphy
TRANSACTION INFORMATION:
Receipt # : 2006 -4125 Case # : SGN2006- 00143, 144, 145,
146, 147
Date: 8/16/06 Address /Parcel: 9730 SW Cascade Ave.
Pay Method: Check Project Name: Shane Co.
EXPLANATION: Per applicant's request as work was completed by another contractor. Refund 80% of
application fees.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: [BUILD] Permit Fee Example: 245- 0000 - 432000 $ Amount
[SIGN] Sign Permit 100- 0000 - 437000 $136.00
[LRPF] LR Planning Surcharge 100 - 0000 - 438050 20.00
TOTAL REFUND: $156.00
APPROVALS:
If under $500 Professional Staff
If under $7,500 Division Manager L 7Cr %l•L ('
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: jY /, �C By. --
I:\ Building \Refunds \RefundRequest.doc 05/23/07
CITY OF TIGAR® 8/l /2007
�� 13125 SW clan Blvd. 2:52:43PM
Tigard, OR 97223 503.639.4171 -
TIGARD -
Receipt #: 27200600000000004125
Date: 08/16/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
7 SGN2006 -00143 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00143 [MISC] Misc Fee 100- 0000 - 451000 5.00
' SGN2006 -00144 [SIGN] Sign Permit 100- 0000 - 437000 34.00
\
SGN2006 -00144 [MISC] Misc Fee 100- 0000 - 451000 5.00
SGN2006 -00145 [SIGN] Sign Permit 100- 0000 - 437000 34.00
N . SGN2006 -00145 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
\/ SGN2006 -00146 [SIGN] Sign Permit 100- 0000 - 437000 34.00
\ SGN2006 -00146 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00147 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -00147 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
ELC2006 -00459 [ELPRMT] ELC Permit 220 -0000- 431510 267.00
ELC2006 -00459 [TAX] 8% State Surcharge 100- 0000 - 207020 21.36
Line Item Total: S483.36
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check MEYER SIGN CO OF OREGON DEB 15723 In Person 483.36
INC
Payment Total: S483.36
r S - 767 : Ai j i 2 - .2 , le ;,' .-5 - / ---
/I/ AV) ‘-/ CV A: ..25 '-'- (..--,Z.. , er
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cReceipt.rpt Page 1 of 1
•
•
Building Division
TIGARD Request for Permit Action
TO: CITY OF TIGARD
Permit System Administrator
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 50 3.598.1960 w<vw.tigard- or.gov
FROM: n Owner .Applicant FX1 Contractor 1 1 City Staff
(check one)
REFUND OR Name:
NVOICE TO (Business or Individual) z i ( l . t`,
f
l Mailing Address: ti ` v �` t..._ ,!
City /State /Lip: ,... A (r_`t . c)P 7 `_ t
L 1
Phone No.: �'�':: //t . .
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
CANCEL PERMTT APPLICATION.
REFUND PERMIT FEES (attach receipt, if available).
n INVOICE FOR FEES DUE (attach case fee schedule and explain below).
n REMOVE CONTRAC "I'OR FROM PERMIT (do not cancel permit).
Permit #: ∎Sl° A1, 2.00 -- 0001
Site Address or Parcel #: ?73o 6L lfl C%ct Q
Project Name: Co „-
Subdivision Name: Lot #:
EXPLANATION: 1. oh • �
k t
fj \
Signature: Date:
Print Name: ' jar'''t-'
Refund Policy
1. The Director or Building Official may authorize the refund of
a) any fee which was erroneously paid or collected.
b) not more than 80' of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.
tom) not more than 80% of the land use application fee for issued permits.
c) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended.
d) not more than 8O of the building pen fee for issued permits prior to any inspection requests.
2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds.
FOR OFFICE USE ONLY
Rte to Sys Admin: Date By Rte to Bldg Admin: Date By
Refund Processed: Date f v By4',40 Invoice Processed: Date By
Permit Canceled: Date ;f // 6)7 By •*"' - Parcel Tag Added: Dare By
Receipt #04,. - - /Z 5 Date � %!% Q4, Method � ' Amount $
1:\ Building \honns \RerPermitAction.c {oc Rev 05/24/06