SGN2013-00023 Fir
TIGARD
City of Tigard
March 28, 2013
Salem Sign
1825 Front Street NE
Salem, OR 97301
Re: Permit No. SGN2013 -00023
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 13815 SW Pacific Hwy #90
Project Name: H & R Block
Job No.: N/A
Refund Method: ❑ Check # in the amount of $
® Credit card "return" receipt in the amount of $171.00.
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 permit was a duplicate permit by another
contractor; refund 100% of application 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
City of Tigard
TIGARD 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: Salem Sign DATE: 3/28/2013
1825 Front Street NE
Salem, OR 97301 REQUESTED BY: Dianna Howse
Marissa Daniels
TRANSACTION INFORMATION:
Receipt #: 190149 Case #: SGN2013 -00023
Date: 2/6/2013 Address /Parcel: 13815 SW Pacific Hwy #90
Pay Method: CreditCard Project Name: H & R Block
EXPLANATION: Applicant's request for 100% refund as this was a duplicate of permit SGN2013 -00002
submitted by another contractor.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000 -43104 $ Amount
Sign Permit 100- 0000 -43115 $149.00
Sign Permit - LRP 100 - 0000 -43117 22.00
TOTAL REFUND: $171.00
APPROVALS: SIGNATURES DATE:
If under $5,000 Professional Staff 0r1Q
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 Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: I Date: I :3/1 /3 By: '
I: \ Building\ Refunds \RefundRequest.doc x 09/01/2010
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT CI
lig Request Permit Action
T Ri A It i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: CITY OF TIGARD V 0 1 .1
Building Division Services Supervisor 3/2/3 ;i 1(
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 I Fax: 503.598.1960 www.tigard - or.gov
FROM: 111 Owner [ Applicant ❑ Contractor ❑ City Staff
(check one)
REFUND OR Name:
INVOICE TO: (Business or Individual) Sa yl &)i
Mailing Address: VI 2_5 fv i- Wei, i" •�
City /State /Zip: SCLQ.Q,4rf i O _. 9130 I
Phone No.: 1- 5v3 - 3 ' iR1o2 (M(Afrf l ie))
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
J
❑ CANCEL /VOID PERMIT APPLICATION.
Z 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 #: ScoN 20 1b -00023
Site Address or Parcel #: t 15 Que t (-i (, iAw Unl - 44 90
Project Name: V' GM (L pj(,n UX—
Subdivision Name: Lot #:
EXPLANATION: OUeltc,uke. OF 8220 gn 2p13 -00002 of pU curl fi
Ye-c6 f Vi2- Fund I s -e-e, 0A- xi
Signature: }910. �j1jJ Date: ? V5
Print Name: V■Oyisset D9.X1■U5
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.
c) not more than 80% of the land use application fee for issued permits.
d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended.
e) not more than 80% of the building permit 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 2 -4 weeks for processing refunds.
FOR OFFICE USE ONLY
Rte to Sys Admin: Date By Rte to to-TRW Admin: Date 3/4.2.y /3 By
i
Refund Processed: Date ..3/Z By • 4 . 4 Invoice Processed: Date By
Permit Canceled: Date j jj3 By , r • • Parcel Tag Added: Date By
Receipt # Date / Method Amount $
I:\ Building \Forms \ReqPermitAction.doc Rev 05/25/2012
G
Dianna Howse
From: Dianna Howse
Sent: Monday, March 25, 2013 2:07 PM
To: 'Marilyn Anderson'
Cc: Marissa Daniels
Subject: RE: REFUND REQUEST FOR PERMIT #SGN2013 -00023
Hello Marilyn,
I have received a request dated March 14 to process a refund for the above permit. I am processing the refund to
return 100% of the sign permit fees paid as this was determined to be a duplicate permit.
Our normal processing time for refunds is 2 -4 weeks. Your refund is on schedule to be processed and will be refunded
to you in the same manner received by credit card. I will send you a letter with the credit card refund receipt attached
when the transaction is completed. Please allow 2 -5 days for this refund transaction to be credited to your account by
the company that issued your card.
Thank you and please let me know if you have any questions.
Dianna Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd., Tigard, OR 97223
503 - 718 -2430
From: Marilyn Anderson [mailto:marilyn @salemsign.com]
Sent: Tuesday, March 19, 2013 4:28 PM
To: Marissa Daniels
Cc: Dianna Howse
Subject: RE: REFUND REQUEST FOR PERMIT #SGN2013 -00023
Thank you — I will wait for the contact.
Marilyn
SALEM SIGN CO INC
1825 Front St NE
Salem OR 97301
503.371.6362 office
503.371.0901 fax
marilvn a(�salemsign.com
From: Marissa Daniels [mailto:Marissa(atigard- or.gov]
Sent: Tuesday, March 19, 2013 3:55 PM
To: 'Marilyn Anderson'
Cc: Dianna Howse
Subject: RE: REFUND REQUEST FOR PERMIT #SGN2013 -00023
Hi Marilyn,
1
As we discussed last week the person in our office who processes these requests is out of the office for two weeks. She
will return on March 25 I've copied her on this email, and I am sure that she will get back to you as soon as possible
upon her return.
Thanks,
Marissa Daniels
Associate Planner
Community Planning Division
City of Tigard
503.718.2428
marissa @tigard- or.gov
13125 SW Hall Blvd. ( Tigard, OR
From: Marilyn Anderson [mailto:marilyn @salemsign.com]
Sent: Tuesday, March 19, 2013 3:50 PM
To: Marissa Daniels
Subject: RE: REFUND REQUEST FOR PERMIT #SGN2013 -00023
Hello Marissa
Can you check on the progress of the refund that we spoke about last week?
Or give me a contact so I can check on it?
Thank you
Marilyn
SALEM SIGN CO INC
1825 Front St NE
Salem OR 97301
503.371.6362 office
503.371.0901 fax
marilvnna.salemsian.com
From: Marissa Daniels [mailto:Marissa @tigard- or.gov]
Sent: Thursday, March 14, 2013 3:26 PM
To: Marilyn Anderson
Subject: RE: REFUND REQUEST FOR PERMIT #SGN2013 -00023
Thanks for sending, I will forward on.
MD
From: Marilyn Anderson [mailto:marilyn @ salemsign.com]
Sent: Thursday, March 14, 2013 3:25 PM
To: Marissa Daniels
Cc: 'Corey Spady'
Subject: REFUND REQUEST FOR PERMIT #SGN2013 -00023
Marissa
Thank you for investigating the above numbered permit. (Permit #SNG2013 -0023 for H &R Block at 13815 SW Pacific
Hwy 90)
Evidently we were hired along with another sign company to do the work at this location. We acquired the permit and
when we were scheduled to do the work, we realized that it had already been completed by another sign company —
who was also issued a permit by the city of Tigard.
2
We are requesting a refund of the permit fee of $171.00 because obviously we did not use it due to the work being
completed by the other sign company.
Please acknowledge receipt of this email and don't hesitate to call if you have any questions.
Thank you
Marilyn
SALEM SIGN CO INC
1825 Front St NE
Salem OR 97301
503.371.6362 office
503.371.0901 fax
marilyn ansalemsign.com
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."
3
CITY OF TIGARD SIGN PERMIT
Permit #: SGN 013 -00 2
COMMUNITY DEVELOPMENT Date Issued: 2161L013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S103DD0080
Jurisdiction: Tigard
Name of Business: H & R Block
Business Address: 13815 SW PACIFIC HWY 90
Applicant/Agent: Spady, Corey
Work Description: New 2'6" x 13' 8.5" wall sign at 13815 SW Pacific Highway, #90.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 2'6" x 13' 8.5"
Total Sign Area: 34.16
Wall Area: 315
Wall Face (Direction): East
Sign Height: 11.5 ft.
Projection From Wall: 9.5 in.
Illumination: Internal
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $171.00
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. 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: tO aiQ,(,+
Permittee Signature: 4,T)M? -.'.t
CITY OF TIGARD RECEIPT
4
g . 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 190149 - 02/06/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00023 Sign Permit 100 - 0000 -43115 $149.00
SGN2013 -00023 Sign Permit - LRP 100- 0000 -43117 $22.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 021176 AKOWACZ 02/06/2013 $171.00
Payor: Corey Spady
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
RECEIVED
FEB 0 5 2013
I N City O f Tigard CITY OF TIGARD
PLANNING /ENGINEERING
Sign Permit Application
TIGARD
GENERAL INFORMATION
Name of Development /Project
S
H r K f3LdG k FOR STAFF USE ONLY
Site
Address / Street Address Permit No.: „., IQ20V3 — 0002 -3
Location /56/.5 5w The./ PIG Oki Y 't
Approved By: _
Suite /Bldg. # (:it}' /~talc Zip � �
I0 /ot� `I7 Date: -3 1
Name Receipt #: I 0
Property D S iv nu. CO . Map /TL #: 2-S (0?, DDooFs
Owner Mailing Address Suite Zoning: C -E
4130 Sw MACAda P1fr (Q( Allowable Total Area: 41 - 2S
City /State Zip Phone
Tenant or Name
�1�✓ r�q + Electrical Permit Required? [ Y ❑ No
Business Hi R. B Lock Building Permit Required? Yes ❑ No
Name Rev. 7/1/12
/ ,/ 4 is \curpin \ masters \land use applications \sign permit app.doc
Sign 4 C...t lid..
Contractor Mailing Address Suite
/B2.5 Aa,rsr'
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
4 J 91 4 pe '9730 / .31/t 456 Z (Note: applications will not be accepted
Oree Oust. Board License # Exp. Date without the required submittal elements)
6 9 Z.L / yt
mpleted Application Form
Proposed El Permanent ❑ Freestanding El Freeway
2 copies of site /plot plan, drawn to scale
Sign ❑ Temporar ❑ Roof El ectron
Electronic
(Check all that ,--,/ (3 copies, if a building permit is required)
apply) W ❑ Other
S requirement: 81/2” x 11 ", or 11" x 17"
2 copies of elevations, drawn to scale
' New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sig Dimensions: , n i e . p e requirement: 8t /z" x 11 ", to 24" x 36"
0 Total Sign Area (sq. ft.): _, y $171.00 Fee (Permanent sign, any size) (Temporary Total Wall Area (s . ft.) ❑ $54.00 Fee or 9 sign,
Sign Data 31 5 = (Q,�' any type)
(Complete all Direction Wall Faces : l
circe one): .
( )
items in this NOTES:
section) N S @, W NE NW SE SW
Height to top of sign (feet): //! 6 es • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 9 /b. i ' must include dimensions of wall face and sign
placement.
Materials: mum
• Wall signs do not require site /plot plans.
Will sign have illumination? Q ❑ No • Freestanding signs over 6 ft. required a building
Type: [nternal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes 10
If `yes ", a list or diagram of all sign dimensions and square
(OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 1 of 2
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
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
BY SIGNING BELOW, 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, and
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 and 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 are required.
/• - / 3
Applicant Sign. Date
Signature of Owner /Agent Date
/ ' 5/ i 19 371 ( a
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 2 of 2
a
FEB 05 2013 Single Face Internally Illuminated Wall Display
, ,
CITY OF TIGARD
CITY OF TIGARD Approved __ _.-___
Job
Conditionally Approved
s ■ 13' - 8 1 1/2" Salem Sign Co., Inc.
PLAN • - ' - F or only the rk described in:
_.
- 30" 10' - 3 1/2" PERMI N . ��I� — 1825 FRONT ST. N.E.
See Le tter ts' 0: FO�IOW [ SALEM,OR 97301
— Attach._ [ 1 503-371- 6362
Ad dres FAX 503-371.0901
e -mail signs @salemsign.com
BY: Date: - THIS DRAWING IS THE PROPERTY
OF SALEM SIGN CO., INC.
I ! f 4 - CLIENT II H &R BLOCK
0 in
CO SCALE: 3/4 " =1'
1(1—
DATE: 12-11 -12
3M BLACK VINYL APPUED 0 : # 13696 JOB TITLE: ■ H &R BLOCK
LOCATION:
— * Note - Verify Placement
.063 ALUMINUM BACKS NOTES:
34,16 s,f 35 5' ALUMINUM RETURNS t black) RACEWAY PAINTED TO MATCH 0
3/4' TRIM CAP I 0
FASTENERS AS REQUIRED
ACRYLIC FACE _ I 0
I . % - USTED DISCONNECT SWITCH
LISTED BUSHING ' PRIMARY ELECTRIC SUPPLY 0
ILI
1 LED I
2' - 6" H & R BLOCK H 5" — i - 4 -1z { LED POWER SUPPLY
T ( Scale = 1/2 " =1' 0
* Letters - Custom Aluminum Fabricated 0
1 * Returns - Aluminum ( Black)
DRAWN Br.
* Raceway - Aluminum Painted to Match Razing
cZ
C * Trim Cap - Black SKETCH # 11128 -12
` W`'
* Illumination White LED SALES: Brad Spady
* Face - 3/16" High Impact White Acrylic
* Vinyl - 230 -106 Apple Green LISTED APPROVED /
J
r
Standard L.E.D. Pan Channel Letter (Raceway Detail)
-a,— ,
ATTACHMENT DETAIL FOR TYPICAL RACEWAY MOUNT CHANNEL LETTER
- Salem Sign Co., Inc.
WOOD STUD 1825 FRONT ST. N.E.
INSTALL SALEM,OR 97301
503.371.6362
,4721 79 - _ f' ,4 /u g5 7 FAX 503.371.0901
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Clinched and caulked seams - i `TC /l) / i CLIENT:
LED illumination o tt • SCALE:
! Drain holes o � DATE:
1
1 JOB TRLE: AD - CHANNEL RW L.E.D.
CONCRETE OR : #
BRICK INSTAU. LOCATION:
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