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SGN2014-00127 Eril v TIGARD City of Tigard December 4, 2014 Ramsay Signs Attn: Darcy or Nancy 9160 SE 74th Ave. Portland, OR 97206 Re: Permit N . SGN2014-00127 SGN2014-00128, SGN2014-00129 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 10100 SW Washington Square Rd Project Name: Red Robin Job No.: N/A Refund Method: ® Check#215787 in the amount of$460.80. ❑ Credit card "return" receipt in the amount of$ . 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): Per applicant's request to withdraw application. Refund 80% of sign permit application fees: (3) permits @ 153.60 = $460.80 total refund. 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 ppg 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: Ramsay Signs DATE: 11/20/2014 Attn: Darcy or Nancy 9160 SE 74th Ave. REQUESTED BY: Dianna Howse Portland, OR 97206 AK TRANSACTION INFORMATION: Receipt#: 198275 Case#: SGN2014-00127 Date: 11/4/2014 Address/Parcel: 10100 SW Washington Sq Rd Pay Method: Check Project Name: Red Robin EXPLANATION: Sign exceeds the allowed 15%of area on front facade. Applicant withdrawing sign permit application. Refund 80%of application fees. REFUND INFORMATION: -- Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Sign permit 100-0000-43115 $133.60 Sign permit-LRP 100-0000-43117 2/7 . f. TOTAL REFUND: $153.60 cv APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff j - ///2c`/f/ 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: Date: e,27v/iy I By: I ird`. - - 1:\Building\Refunds\RefundRequest.doc x 09/01/2010 MiCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT /2/0 1 Q?"• le Request Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO:T CITY OF TIGARD O GARD Building Division Services Supervisor 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ❑ Owner teRr Applicant ❑ Contractor ❑ City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) hn j S OS (Aim �rc&i DQ Ne4naj Mailing Address: °I I Ito 0 4ti �r / J J City/State/Zip: Pb 14 O "ii Z(Lp Phone No.: SO3. 711 . Lf��rjr�- PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): al 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#: SW2014 -0012-1 k -►---= _ - _c Site Address or Parcel#: • 7! , " (AShlnri uv1 AC. A- - L Project Name: ReG1 P4A91 V1 Subdivision Name: Lot#: EXPLANATION: jb (.1,1 y1S eXLeGDI 'fyl.Ci el iteweor I 59) Slep. F I k . ApO1COW* V lni 1 t i z wi slo-m nd- AC.d,& • (se. ) Signature: '/' 41`'"4V/r Date: 1 11'A L- 1 . Rom,"/ Print Name: � � VoV -G-s- /!o 7 oU - /23.4,o 51 Y0 Refund Policy aS `�U r S� 1. The Director or Building Official may authorize the refund of: /S3, b o 3 I-.Ye) a any fee which was erroneously paid or collected. � not more than 80°o 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°o of the land use application fee for issued permits. d) not more than 80°'0 of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80°o 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 a hick payment was received. Please allow 2-4 weeks for processing refunds. FOR OFFICE I SI-. ON l.l Rte to Sys Admin: Date By Rte to' dmin: Date o2 N /y By ;: f' Refund Processed: Date z2/y/iy By(clig Invoice Processed: Date By Permit Canceled: Date /,2./y//y ByAy94 Parcel Tag Added: Date By Receipt# Date Method Amount$ I:\Building\Forams\RegPermitAction.doc Rev 05/25/2012 Agnes Kowacz From: Darcy Newton <darcy @ramsaysigns.com> Sent: Thursday, November 13, 2014 8:43 AM To: Agnes Kowacz Cc: Roxie Schwochert Subject: FW: Red Robin Permits_77 Washington Sq Agnes - Per your discussion with Roxie from Priority Signs, please remove E06, Qty 3 Window Vinyls from the scope of work for the Red Robin location at 10100 SQ Washington Sq Rd. Based on that information, please advise what is needed to complete the permit process and when they will be available to pick up. Thank you for your assistance! Darcy Newton Ramsay Signs & Heath Northwest 9160 SE 74th Avenue Portland, Oregon 97206 503 777 4555 Fax 503 777 0220 800 613 4555 darcy(a�ramsaysigns.com www.ramsaysigns.com VSLY his U `iA Please consider the environment before printing this e-mail. 1 ED vol 4 *CiEl\I 3014 IN • City of Tigard ���y�y ��j 1 o i OF NEEAING Sign Permit Application ANN, TIGA RD P Imessimri GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site red rob►n Address/ Street Address Permit No.: 561\12-011"1" 00121 Location lu 1QC) SW V\aSY fl� Suite/Bldg.# City/State Zip t+ Approved By: Date: dr� Name Receipt#: I U 21 5 Property Map/TL#: 1 S�It 13/S BA00►OZ Owner Mailing Address Suite Zoning: 1`e`V l.- Allowable Total Area: City/State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes tg No Business +fed rutDI In Building Permit Required? ❑ Yes IN No Name Rev.7/1/12 c\curptn\masters\land use applications\sign permit app.doc Sign 1aMSac7\ S►gnS Contractor Mailing Address Suite x1100 SE 14"/ City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS qn9--.412-- (Note: applications will not be accepted Oregon Coast.Cont.Board License# Exp.Date without the required submittal elements) (13 422 ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of site/plot plan,drawn to scale Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies,if a building permit is required) (Check all that ❑ �'wav Other apply) size requirement 8'/2"x 11",or 11"x 17" ❑ 2 copies of elevations,drawn to scale gNew sign? ❑ Alter to existing sign? (3 copies,if a building permit is required) Sign Dimensions: (9.0Q2 i 1_ )8\ C01 (u 7 size requirement: 8'/2"x 11",to 24"x 36" Total Sign Area(sq.ft.): ` .KA, $o? ❑ $171.00 Fee (Permanent sign,any size) S' Data Total Wall Area(sq.ft.) J _©.83lJ ❑ $54.00 Fee (Temporary sign,any type) ' l ibaco (Complete all Direction Wall Faces(circle one): items in this NOTES: section) N O E W NE NW SE SW Height to top of sign(feet): el • Wall signs do not need to be drawn to scale, but Projection From Wall(inches):Q must include dimensions of wall face and sign V 1fIV), placement. Materials: • Wall signs do not require site/plot plans. Will sign have illumination? ❑ 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 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. 6_Al, • t0 - -ly pplicant Signature Date Signature of Owner/Agent Date 3'e SS t S Sad .111 L S S 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 E06 Window Vinyl - RR-WV - (Qty 3) after Remove any existing vinyl,clean residue from glass,apply new vinyl as shown. Note:Window mullions and V.O. of windows to be verified. Application 3M Vinyl Color _.__.. _._ ____ �. .. CEng #77255E-314 Dusted Crystal A � ! f_ -� ' iigglj 0— )1, -— FA: ''. _ ., ' ' . _, _ tiii, ., . , is ir _ 4 _ �Mw..•.. ..are �' - ■ ' ; t:: VERIFY l ________ _-- "'ft.; 48.00" 39.38" f before z 1 , t.... it. WI i l f L~ • n 1,1 i - 111-k- • i li VERIFY Graphic - -- H gt 11166r 1111171 RECEIVED I , , , , Actual surveyed I i OCT 13 2014 window V.O.s 4 CITY OF TIGARD Approximate logo placement guide PLANNING/ENGINEERING with spacing Scale 1:24 1 ra Revisions: Revisions: File Location: Date: 05.13.14 Location: 10100 SW Washington Square Rd Site ID: 77 C40492 x x ArtDept\Core)Colors ed �id�n x x \Red Robin Designer: TMC City: Portland,OR Name: - E06 prlOrltySlgn