SGN2013-00045 1711
n
TIGARD
City of Tigard
October 3, 2013
Capitol Financial Group LLC
Attn: Stan Smith
333 South State Street, Ste. #V104
Lake Oswego, OR 97234
Re: Permit No. SGN2013-00045
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 7585 SW Hunziker Rd
Project Name: LED Sign Face Replacement
Job No.:
Refund Method: ® Check #211599 in the amount of$171.00.
❑ Credit card "return" receipt in the amount of$ .
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): Sign permits created in error by city planning staff; refund 100% of
permit fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
/i ''',"4 / ‘74.e.---•
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
n City of 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 Reg/lei-Ow 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: Capitol Financial Group LLC DATE: 9/26/2013
Attn: Stan Smith
333 South State Street, Ste. +V104 REQUESTED BY: Dianna Howse
Lake Oswego, OR 97234 John Floyd
TRANSACTION INFORMATION:
Receipt#: 190909 Case #: SGN2013-000.15
Date: 04/09/2013 Address/Parcel: 7585 SW Hunziker Rd
Pay Method: Check Project Name: LED Sign Face Replacement
EXPLANATION: Sign permits for this project created in error by city staff. Void all associated building
permits and refund 100°o of permit fees to applicant for sign and building permits.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Sign Permit Fee 100-0000-43115 $149.00
Sign Permit Fee - LRP 100-0000-43117 22.00
• TOTAL REFUND: 5171.00
APPROVALS: SIGNA S DATE:
If under$5,000 Professional Staff Xf/ 6;f:_
If under S 12,500 Division Manager
If under$25,500 Department Manager
If under S50,000 City Manager
If over$50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY /
Case Refund Processed: Date: �G/.3A.3 By: ✓
I:`'Building\Rchutl,\RctundRcyucst.dnc x09/01/21)10
ei
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT C
■ " Request Permit Action
r l G A R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: CITY OF TIGARD V0 D
Building Division Services Supervisor
13125 SW Hall Blvd.,Tigard,OR 972230a2 /3
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov
FROM: ❑ Owner p Applicant ❑ Contractor 'City Staff
(check one)
REFUND OR Name:
INVOICE TO: (Business or Individual)
Mailing Address:
City/State/Zip:
Phone No.:
PLEASE TAKE ACT IN FOR THE ITEM(S) CHECKED (✓):
►: CANCEL/VOIDD PERMIT APPLICATION.
dow•v, .)(KEFUNi5 ERMIT FEES (attach copy of original receipt and provide explanation below).
I. INVOKE FOR FEES DUE (attach case fee schedule and provide explanation below).
❑ REMOVE/REPLACE CONTRACTOR ON PERMIT�(do not cancel permit). ,
tt//r ✓✓ ��_ ..// _ ✓ S
Permt #• � "► ��
S6A/c2o/3-. eiDO�S ✓ .%
i.
Project Name: -
Subdivision Name: 9��5 -S-4.) 74/74"/2/��E^�— Lot#:
EXPLANATION: A'€aSe f iGilk u // , , i-- 43 Pad
/ 72/V/ /S. a Ea /,./ &2./f�.
VD- /6- CZ y r L/S( T AJ CSA e .6 (-(- -c;-..7/2.
Signature: /� Date: /02-//3
Print Name: 04 It
t 4/
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 li) Rte to Bldmin: Date 70 3 /3 By 7r7
Refund Processed: Date /S 3// Invoice Processed: Date By
Permit Canceled: Date,�o2/3 By. Parcel Tag Added: Date By
Receipt# Date Method Amount$
I:\Building\Forms\RegPemritAction.doc Rev 05/25/2012
CITY OF TIGARD SIGN PERMIT
4
$ . Permit #: SGN2013 -00045
COMMUNITY DEVELOPMENT Date Issued: 04/09/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S101AC01800
Jurisdiction: Tigard
Name of Business: LED sign face replacement
Business Address: 7585 SW HUNZIKER RD
Applicant/Agent: Smith, Stan
Work Description: Replace standard sign face 14X43 with LED sign face same size
Permanent: Yes Freestanding: Yes Freeway: Yes
Temporary: Wall: No Electronic: Yes
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 14X48 ft
Total Sign Area: 672
Wall Area:
Wall Face (Direction): East
Sign Height: 50 ft.
Projection From Wall: in.
Illumination: Internal
Materials: Metal /composite
Electrical Permit Required: Yes
Building Permit Required: No
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:
Permittee Signature:
•
City of Tigard
Sign Permit Application
TIGARD
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
• Site e"-C � l CL ' C_ 1 C ✓+ 4-aG e
Address/ Street A ress —� I , y Permit No.: s6 /✓ g^ OG'b9S
Location -7 S , 3 S t'il lvl�./ NCf `S►
Suite /Bldg. # I City /State Zip Approved By: /
r DQ � � 72- Date: L7/"-If r' / 3
Name / Receipt #: 19 oI 09
Property 1( 1 ) rr,r y Map /TL #: "s-�^S) !, i 4e--- O/ $DO
Owner Mailing Address Suite Zoning: .i -1-
WI P , Allowable Total Area:
r.=xt sn IQ C e
City /State Zip Phone
Tenant or Name Electrical Permit Required? Yes ❑ No
Business r A- Building Permit Required? ❑ Yes 11Clo
Name Rev. 7/1/12
J ) e permit \curpin \masters \land use applications \sign peit app.doc
Sign 1 e etV1 4
Contractor Mailing Address Suite
ZDI vo 6 (1240(-
L
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
' I 1v, q`7d -7D (Note: applications will not be accepted
Oregon Const. Cont. Board License # / Exp. Date without the required submittal elements)'
2, `
i — - 1 4 - 1 Ill<mpleted Application Form
Proposed P Permanent Freestanding Freeway
al of site /plot plan, drawn to scale
Sign temporary Roof Electronic (3 copies, if a building permit is require) "
(Check all that ❑ wall ❑ Other
apply) vN1 size requirement: 8t /s" x 11 ", or 11" x 17"
'� lc 1 1 �
e !,� ll4�� 2 copies of elevations, drawn to scale
❑ New sign? ❑ Alter to a eistli slgn?1-- copies, if a building permit is required)
Sign Dimensions: s' e requirement: 8t /g p "x 11", to " x 36" 12 4
Total Sign Area (sq. ft.): // � $171.00 Fee (Permanent sign, any size)
b
Sign Data Total Wall Area (sq. ft) I = ❑ e)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S 620 NE NW SE SW
Height to top of sign (feet): s - b.f- • Wall signs do not need to be drawn to scale, but
Projection From W Inches): /l,/ /1- must include dimensions of wall face and sign
Materials: KA e_ I placement.
• Wall signs do not require site /plot plans.
Will sign have umination? 12r Yes ❑ No • Freestanding signs over 6 ft. required a building
Type: Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes No
(OVER FOR SIGNATURES)
If "yes ", a list or diagram of all sign dimensions and square
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.
.47A 11_
Applicant Signature Date
/ ;; ¥ i
Signature of Owner /Agent Date
..r S c,
t44/14 SD3.- ry -7 4 7
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
CITY OF TIGARD RECEIPT
_ g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 190909 - 04/09/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00045 Sign Permit - LRP 100- 0000 -43117 $22.00
SGN2013 -00045 Sign Permit 100- 0000 -43115 $149.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 6411 HWATKINS 04/09/2013 $171.00
Payor: Stan Smith, Capital Financial Group, LLC
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
•
0 Chicago Title Company
10135 SE Sunnyside Road, Suite 200
Clackamas, Oregon 97015
Phone: 503.786.3940 Fax: 503.653.7833
E -mail: trios @ctt.com
METROSCAN PROPERTY PROFILE
Washington (OR)
OWNERSHIP INFORMATION
Owner : Mostul Terry A & Debbi C Parcel Number : R0457669
CoOwner : Ref Parcel # : 2S101AC 01800
Site Address : 7585 SW Hunziker St Tigard 97223 T: 02S R: 01W S: 01 Q: NE QQ: SW
Mail Address : 7585 SW Hunziker St Tigard Or 97223 Bldg # 1 Of 1
Telephone :
SALES INFORMATION
Transfer Date : 03/26/1997 Document # : 26693 Multi - Parcel
Sale Price : $900,000 Deed Type : Warranty
% Owned : 100 Vesting Type : Estate By Entire
Prior Transfer Date : Prior Document # :
Prior Sales Price :
PROPERTY DESCRIPTION ASSESSMENT AND TAX INFORMATION
Map Page Grid : 655 G4 Mkt Land : $567,350
Census Tract : 307.00, Block: 1 Mkt Structure : $707,230
Neighborhood : YI5 Mkt Total : $1,274,580
School District : Tigard %Improved : 55
Subdivision /Plat: M50 Total : $1,024,010
Class Code : Warehouse Levy Code : 02381
Land Use : 3010 Ind,Improved 11 -12 Taxes : $16,820.27
Legal : ACRES 1.82, SEE Al ACCOUNT(S) Millage Rate : 16.5961
•
PROPERTY CHARACTERISTICS
Bedrooms : Lot Acres : 1.82 Year Built :
Bathrooms : Lot SqFt : 79,279 EffYearBlt :
HeatMethod: BsmFin SF : Floor Cover:
Pool : BsmUnfinSF: Foundation :
Appliances : Bldg SqFt : Roof Shape:
Dishwasher: 1stFIrSF : Roof Matl :
Hood Fan : UpperFlSF : InteriorMat :
Deck : Porch SqFt : Paving Matl :
GarageType: Attic SqFt : Ext Finish :
Garage SF : Deck SqFt : Const Type :
This title information has been furnished, without charge, in conformance with the guidelines approved by the State of Oregon Insurance
Commissioner. The Insurance Division cautions intermediaries that this service is designed to benefit the ultimate insureds. Indiscriminate use
only benefiting intermediaries will not be permitted. Said services may be discontinued. No liability is assumed for any errors in this report.
�' = Information is deemed reliable but not guaranteed
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