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SGN2018-00098
VOIDED SGN2O18 - 00098 WILLOUGHBY HEARING CENTER City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT I Ld 11111 . Request for Permit Action /i09 TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2.139 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: Owner ❑ Applicant n Contractor ® City Staff Check(✓)one REFUND OR Name: INVOICE T O: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): C� CANCEL/VOID PERMIT APPLICATION. n REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). U REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit #: SGN2018-00098 Site Address or Parcel#: 15660 SW Pacific Hwy Project Name: Willoughby Hearing Center Subdivision Name: N/A Lot #: N/A EXPLANATION: Applicant never submitted payment or property owner verification. Please void this application and the invoiced fee. Thank you. 1/17/2019 Date: Signature: Print Name: Lina Smith Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date / /f /r • Refund Processed: Date . l41-- By/J Invoice Processed: Date By Permit Canceled: Date ///e//9 B arcel Tag Added: Date By I:\Building\Forms\Rey PermitAction_A92314.doc Lina Smith From: Lina Smith Sent: Wednesday, October 24, 2018 1:20 PM To: Renee Henning Cc: #CD PoD Subject: RE: New Sign Permit Hi Renee, You listed the property owner as New Sound Hearing, but our records show the property owner is: ROIC OREGON LLC ATTN: SCHOEBEL, RICHARD 8905 TOWN CENTRE DR, STE 108 SAN DIEGO, CA, 92122 Can you submit written authorization from the property owner/property management/landlord for this sign? Also, when you're ready to pay the $218 sign permit fee, you can do so online here: https://aca.accela.com/tigard/, go to the "Planning" tab, search for record number SGN2018-00098. Then, go to the "Payments" tab and click "Fees" to submit your online payment. After we receive the correct property owner authorization and payment, we'll e-mail you back with the permit. Thanks, Lina Lina Smith Assistant Planner City of Tigard I Community Development 13125 SW Hall Blvd.Tigard,OR 97223 E-mail: LinaCS@tigard-or.gov From: Renee Henning<Renee@rosecitysigns.com> Sent: Wednesday, October 24, 2018 12:58 PM To: #CD PoD <CDPoD@tigard-or.gov> Subject: New Sign Permit Thank you, Renee Henning Rose City Signs Co. PO Box 1294 1 w n 1 0 , ,...., RECEIVED City of Tigard ///dVi t � •I OCT 24 2018 N : COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGARD TIGARD Sign Permit Application PLANNING/ENGINEERING SIGN LOCATION �. 15660 SW Pacific Hwy ,q.... ---- .. REQUIRED SUBMITTAL Address: Suite #: ELEMENTS City/state: Tigard, OR Zip: 97224 (� 2 copies of elevations on 81/2"x 11" Tenant or business: Willoughby Hearing Center ✓ or 11"x 17"pages (Wall sign elevations must include dimensions NewSound Hearingof sign and wall face and show the Property owner name: location of sign on the wall. Address: 26222 RR 12S Freestanding sign elevations must City/state: Dripping Springs,TX Zip: 78620 Kopies be drawn to scale.) Phone: 512-858-0300 Email: { of site/plot plan,drawn to scale,on 81/2"x 11"or 11"x 17" Sign contractor: Rose CitySigns Co pages(not required for wall signs) 4144 SE 322nd Ave ( ..List or diagram of all existing sign Address: dimensions and square footage City/state: Troutdale,OR Zip: 97060 ❑ Application Fee Phone: 503-912-0782 Email: renee@rosecitysigns.com CCB License #: 212386 Expiration date: 10/11/20 NOTES: Contact person: Renee • Freestanding signs over 6 ft.in height and walls signs of which any element weighs 20 lbs.or more require a SIGN DATA (Complete all items in this section) building permit for construction. If any element of a wall sign weighs 70 lbs.or more,plans must be prepared TYPE (Check all that apply) by a structural engineer. g New sign El Freestanding ❑ Electrical • Building permits require 2 sets of ❑ Alteration to 0 Freeway 0 Wall construction drawings and,if sign is freestanding,2 copies of site/plot plan existing sign 0 Roof 0 Other and 2 sets of engineering must be Sign #: submitted with building permit application. Sign dimensions: 2' (h) x 12.5' (w) = 25 sq.ft. sign area New sign: 25 sq.ft. + Existing sign area 0 sq.ft. = 25 Total t O tt STAY! 1 `,I: ()N1,) Total sign area: 25 sq.ft./ 342 building face sq.ft.= 7 %of bldg face Case No.: W/ C/ -00060 Height to top of sign: 16 ft. Projection from wall: ,9 in. Related Case o.(s): Materials: Polycarbonate;Aluminum;LED's , dip Fee: Application accepted: Is the sign under 20 lbs.? 0 Yes © No By: L` Date: AD112q he (Building Permit required if over 20 lbs) Application determined complete: Direction wall faces (circle one): N❑ S E W NE NW SE SW Will the sign have illumination? IN Yes LINo By: Date: If yes,what type: © Internal ❑ External I:\CURPLN\Masters\Land Use Applications Rev.03/03/2015 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2 APPLICANTS 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. 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,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 or 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. SIG TURES •f each owner of the subject property required. _ / Curtis Henning 10/20/18 App cant's signature Print name Date a)z,fetd Ted Williford 10/20/18 Owner's signatur Print name Date Owner's signature Print name Date SIGN PERMIT APPLICATION City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2 152 in I HEARING CENTER cL Channel Letter Side View cf) N FK4 4 letn'3:2P NO Mow, .ammo Compok&abort A 114"Se119*Smri ...". HEARING CENTER i.... C x 14'x 144' 11;-"Aiumizzu aNtwirr. C..r5 ilelaskill <,. 0 _. E.: .— — I! LIJ °c' L6---"cd ,_. * 1 , t WGNI I-1- tr-1 • (--. • .• uni L_) r" CD ,p' — Z Cr Z ' '::71 11111 SIGN SPECIFICATIONS SCOPE OF WORK Channel Litter•2'Edgecap;5"kumirum Return:MN Poly Attach&awl laws to backboard usil self zipping scrawl 'aces Atta&backboard to raceway uslIg sal'tapping screws Backboud•ilellirinul Co7pusite Powir NM B ath At%Amy to lath using kg bolts Rataway•MO Nurnium Nil*Black CO1111010 Bk*power supply behind facia IllumInstiOn-DV 9C2 LED's wIti 60W Power&pp las 1 1 ,.... • . . L .r t, 'r Channel Letters with Raceway De 10/20/18 SC* ' : ' '' ‘.' rt .Iii Gresham, OR 97030 Add5:b3ross 15660 SW Pacific Hwy,Tigard OR ,--- ,.....;/ 503.912.0782 um-Willoughby Hearing Centers . %11 , This diming is copyrighted 2(4 by Hose Cily Signs end shall remain the sate property of Rose City Signs.Any(triplication,in whole or io pig is prohibited unless tothorized by Rose City Sips Co. ___________ _ 152 iii _. _ _ , HEARING CENTER ..„. ....., ________ co Slide View CNFsci r I r t 23'I M" F'IWh Apr CU r►*Flt *I ~. IN"ScLrkriag SGT HEARING CENTER a, ,i,,,Iu' 1.141.4...1...,„„y ,.1 • T I ,;„ C l`.L ea,. 4 I ( s� 'St P Art0 y R, h LIE 6 2 in `i z ► CD 0CC z SIGN SPECIFICATIONS SCOPE OF WORK Chinni)Letter-2'Edipcba;G"A'uminum Returrs:Whhe Poly AthWI chino!Id'M to backboani usihy loll ring screws 'oci© Alma backboard to IlGOWily uslog stil'*ON saw Backboard.1 14"Ak,rknu"1 C.v^�mitu Powder CQQakxI B 46 kW Rnaawny tea Iu v us ny IN txIts !tawny-.060A umInn Pointed Black Conned b exictm0 pow supply behind facie Illuminallon•SA 902 LED's wits SOW Pow SON 1 ,`KV - Pry Channel Letters with Raceway 1012011 N. y 1 1.1l, Gresham, GR 97030 Addross 15660 SW Pacific Hwy, Tigard OR .. �. �0 503.912.0782 ' Br CJGt0110' Willoughby Hearing Centers RH This drawing is coprlphted2018by Rose City Sigos algid sbollremain the sole propertyetkm CO Sipos,fly dolicotion,in obit or in port is prohibitor!unless aro04orized by Rose City Signs Co.