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SGN2006-00144 17 1! CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006 -00144 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: $/16/2006 PARCEL: 1 S127DD - 00100 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: 243 sq. ft. WALL FACE (DIRECTION): SW 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: N 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 BY: '� -�� - / �y PERMITTEE SIGNATURE:— 1 DATE: $ /16/2 •t l�fir�yCli h''74�' r : - 'ai ll , ._ SIGN PERMIT APPLICATION t, �!s-. "' `" : ® City of Tigard Permit Center 13125 SW Hall Blvi, Tigarc1 OR 97223 Phone. 503.639.4171 Fax: 503.598.1960 • GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site SiAiu 6 Co • * i Address/ Street Address Permit No.: 5°1) ate' D D/ Location --73P-0 S(J � r c -O( Ave Expiration Date: Suite /Bldg. # City/State fr� Zip � f tyla(r.� br28 717-3 Receipt # : - DO 1 1 i ? -1 - 5----- i5 Name Approved By - T - l Property 6731014.6 Date: 0it 04 p � Owner Mailing Address Suite M /TL## : / SI ot n 0 0 l Zoning: G. 6 City/State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes ❑ No Business Building Permit Required? ❑ Yes ❑ No Name Rev. 7/5/06 Or is \curpin \masters \land ute applications \sign permit app.doc Sign , L M 40� �,Q Contractor Mailing dress e Suite (Prior to permit 'c26C J ,1 vCl C0 .7C-F124- 4 rs issuance, copy of all City/State A Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are � Gf Q ,,, (Note: applications will not be accepted required if T �� 72? (co 3 �pZ�d without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date G base) aril's /• r/. l 4 - ( ^36 - O —� database) l4 `T Completed Application Form Proposed [n Permanent ❑ Freestanding ❑ Freeway Q 2 Copies of Site /Plot Plan, Drawn to Scale Sign ❑ Temporary E1 Wall ❑ Electronic (3 copies, if a building permit is required) . (Check alpha[ ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17" aPP q DK1 New sign? ❑ Alter to existing sign? n 2 copies of elevations, drawn to scale Sin Dimensions: g ' x Z 0 //C? size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): C., R s y $39.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) Z 1 3 ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) NjrIE W NE NW SE SW Height to top of sign (feet): 3 ♦ Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 41-1-7 must include dimensions of wall face and sign CD placement. Co C � - U ' ♦ Wa11 signs do not require site /plot plans. Materials: � J IA". e Freestanding signs over 6 ft. required a building Will sign have illumination? Yes ❑ No permit. Type: E/ Internal �J 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. 1?OR STCNATT_TRES) 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 L(40 da y �u of t' el U C o 20 ©� • Signature of Owner /Agent • tT� cd .1 Contact Pe n N e //�� Phone No. C� , • '3 , City of Ti and ' Oregon ® ® g Ore on 13125 SW Hall Blvd. Tigard, OR 97223 X+ ' • ®1 's �! ,0D,; r August 16, 2007 '� _; Meyer Sign Co. of Oregon, Inc. 15205 SW 74t 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: P' 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, Dianna Howse Permit Specialist Enc. 1: \ Building \ Refunds \ Administration \LtrRefund -CancelPermit.doc 01/16/07 Phone: 503.639.4171 0 Fax: 503.684.7297 o www.tigard - or.gov 0 TTY Relay: 503.684.2772 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 A ction or R 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 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: e4/0 7 I:\ Building \Refunds \RefundRequest.doc 05/23/07 .s CITY OF TIGARD 8/1/2007 Pr 13125 SW Hall nnd. 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 SGN2006 -00143 [SIGN] Sign Permit 100- 0000 - 437000 34.00 SGN2006 -00143 [MISC] Misc Fee 100- 0000 - 451000 5.00 l 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 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: $483.36 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: $483.36 T S - /CA) 1 ,2 - . 2 - z2.6 je .-5 =-- •-- ^' __ r -- Z fA� c Cr , f .-_ C`z) / 1 .) . 07) cReceipt.rpt Page 1 of 1 Building Division TIGARD Re 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 www.tigard- or.gov FROM: 1 1 Owner I Applicant [ ] Contractor I J City Staff (check one) REFUND OR Name: INVOICE TO: Business or Individual � - 1 11 .r Mailing .Address: E .! "5 r . _w _ :.iA2 City /State /Gip: `( c r r , C,-` R t 1 C`. 2. c. /.. Phone No.: / , (J 2. _ '7'` l ' PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): R` CANCEL PERMIT APPLICATION. V REFUND PERMIT FEES (attach receipt, if available). INVOICE FOR FEES DUE (attach case fee schedule and explain below). (1 REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: 6a_) l L: -- / Site Address or Parcel #: Q 730 5 ;(0 apt Project .Name: / tP Subdivision Name: Lot #: EXPLANATION: i ' ; :fit ° = �� �:: � �; '. ! (T .l•; ) C 1,fr 1.t rte'.'. 44 (.7) _( . 1 �. j C::•.. t._ )( r' 1 Signature: :!rp`A.,. ;( `.!'._\ Date: l 2 Print Name: 3715\L::: Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. h) not more than 80",0 of the land use application fee when an application is withdrawn Or canceled before any review effort has been expended. ✓c) 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 80 of the building permit fee for issued permits prior to any inspection requests. 2. Rebinds will he returned to the original Payer in the same method in which payment was received. Please allow 1 - weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admire: Date By Rte to Bldg Admin: Date By Refund Processed: Date we • 7 By - Invoice Processed: Date By Permit Canceled: Date ` / l B Parcel Tag Added: Date By Receipt #4 , - -I/42S Date ,p7/ /, -, 1\Iethod� � Amount $ 1:\ Budding \Forns \ReciPernitAction.doc Acv 05 /24/06