SGN2020-00040 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 212,3Ai 40
III Request for Permit Action
f I GARO 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • 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 0 Applicant ❑ Contractor X❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Indn7dual)
Mailing Address:
City/State/Zip:
Phone No.:
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
® 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).
Permit#: SGN2020-00040
Site Address or Parcel#: 12168 SW Garden Place
Project Name: Office Furniture Reborn
Subdivision Name: Lot#:
EXPLANATION: Permit has expired. Additional information was not provided within
180 days.
Signature: / Oe. Date: 1/1212021
Print Name: Agnes indor
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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 27Z3 / ;;i,
Refund Processed: Date A '4 By,ee 0 Invoice Processed: Date By
Permit Canceled: Date Zg h.,/ ByieM Parcel Tag Added: Date By
I:\Building\Forms\RegPern itAction_ 2051 .doc
RECEIVED 171' / b
it City of Tigard
- _n COMMUNITY DEVELOPMENT DEPARTMENT APR 2020 CITY OF TIGARD
z/73/Z/ �0
Sign� Permit Application
PLANNING/ENGINEERING
SIGN LOCATION
REQUIRED SUBMITTAL
Address: /..1 I(p g .S(i) Ga dan Pt„,. Suite#: ELEMENTS
City/state: T 15...r d OR- Zip: q 7- .23 ❑ 2 copies of elevations on 8:/z'x 11"
Tenant or business: t'}crtciZ, ftkrn l/t+/G Ke,lo�rin or 11"x 17"pages(Wall sign
elevations must include dimensions
Property corm clone,- Peo I Z 6,..+ C,LL of sign and wall face and show the
P �'owner name: . location of sign on the wall.
Address: Po QD)c L`b 0 1101 Freestanding sign elevations must
City/state: Hui/moo T X Zip: 0790.s7o be drawn to scale.)
Phone: Email: ❑ 2 copies of site/plot plan,drawn
to scale,on8'/+_"x11"orll"x17"
pages(not required for wall signs)
Sign contractor. 5 1.5A Gr��� S lC n$ �L
/n� ./ ❑ List or diagram of all existing sign
Address: 1 C' 110.k o?3 to310 dimensions and square footage
City/state: ( tsart O(L Zip: 74)8/ 0 Application Fee
Phone:9 &3R-`ilio Email: tel-ft,a 515 n Grad-pd)i. c0,,,,
CCB License#: ISS4l0 Expiration date: l zz./z.I NOTES:
person: •QG}, Sceff O r .IOU1 a r 1 tr, Freestanding signs over 6 ft.in height
Contact
and walls signs of which any element
weighs 20 lbs.or more require a
building permit for construction.
SIGN DATA(Complete all items in this section) If any element of a wall sign weighs
TYPE (Check all that a 1 70 lbs.or more,plans must be prepared
8 New sign PP y) by a structural engineer.
0 Freestanding 0 Electrical • Building permits require 2 sets of
❑ Alteration to ❑ Wail construction drawings and,if sign is
❑ Freeway
existing sign freestanding,2 copies of site/plot plan
❑ Roof ❑ Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
C' .rcJl If ."11-/ �4
Sign dimensions: 9 (h) x_(w) = t6°{r sq.ft. si area
Lt/` 1 FO12 57.-A1-F l' L 0\L!
New sign: (p sq.ft.+ Existing sign area Pr sq.ft.=_Dotal
Total sign area: (0-sq.ft./ (IL? building face sq.ft.= ti.q %of bldg face Case No.:- t02020 -00040
Height to top of sign: l to ft.Projection from wall: 1/t. in. Related Case No.(s):
Materials: Sirik12-. / c /I Coo. Fee: *Zl�
Application accepted:
Is the sign under 20 lbs.? va Yes ❑ No By. kL Date: 4i *V
(Building Permit required if over 20 lbs,)
Direction wall faces (circle one):(I}I S E W NE NW SE SW Application determined com lete:
Will the sign have illumination?/ El Yes IZ( No Br: Al-- Dare:4�27 �
If yes,what type: 0 Internal 0 External l:\Community aevelpp`nenULand Use Ad
Templates\land Use Applications Rev 12/14/2017
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City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97273 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2
APPLICANTS
NOTE: Person specified as"Applicant"shall be designated"Pertnittee'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 lade 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,arc 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.
SIGNATURES of each owner of the subject property required.
Q Srpk� _ Si5nCfc. L �nS L.L . �I20I2oZx.
1 cant s al nature Print anlc Date
Kia�w ri pp s �s•.�., ems .} fit. teoti oanury w Poet �. wit, t1,
3 g> -_ T� e C7 c S 4/2012owo
Owner's signature (As -wf-7 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
Job Name:
• Office Furniture Reborn
Off ice Furniture Re born 12168 Tigard R 9722Garden Place
Tigard OR 97223
Date : 4/17/2020
Sit Stand World
CLIENTAPPROVAL
INCLUCESCOLOPS,SPELLING ANTWORF,
Non - Illuminated Sign Meesefntal
Please date
x il. :
Sign Sq Ft 66
i - s .y These plans are the axclusiue property of
ad.4s�a^r a Signtrafl Signs,LLC.and the result
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r `i' a — 5� of the onglnal work of its employees.They are submitted
Ali "ii !w ,46 a `�h 11 s Sign weight .251bs per letter to your company for the sole purpose of your consideration
w x - ' �,x- J e j of whether to purchase these plans or to purchase from
e a i-t$' `6 Nt a ,4 _ y • Signeralt Signs LLC.a sign manufactured
tiY, _ Frontage: 16x70=1120 according to these plans Distribution or exhibition of these
plans to anyone other than employees of your company,or use
L 2T- of these plans to construct a similar sign is expressly forbidden.
3'_Office Furniture Reborn 5.8% of frontage 15% allowed In the event exhibition occurs,SignCraft Signs LLC
expects to be reimbursed$500.00 for time and effort in creating
Slt Stand World these plans.
Manufacture &Install ONE (1) set of non-illuminated SignCraft Signs
1/2" Black sintra Letters Siliconed to Concrete wall. »owl OR
_ Installation : Siliconed to Concrete Fascia 8900 SW Burnham St. Tigard, OR 97223
'_- ph:503-639-4910 fax: 503-620-9568
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IENTAPPR
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Job Name:
• Office Furniture Reborn
office Furniture Re born 12168 Tigard OR 97223
Tigard OR 97223
Date : 4/17/2020
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1/2" Black sintra Letters Siliconed to Concrete wall. "gar*Ox
c,a; Installation : Siliconed to Concrete Fascia 8900 SW Burnham St.Tigard,OR 97223
ph:503-639 4910 fax:503-620-9568
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Agnes Lindor
From: Agnes Lindor
Sent: Thursday, December 10, 2020 8:50 AM
To: 'Debi Scott'
Cc: Lina Smith
Subject: FW: SGN2020-00040
Hi Debi-
There is a sign permit here for Office Furniture Reborn has been waiting on ownership information (see
below). However, it is now expired. Please complete this form to obtain a partial refund (80%). You will reapply for a
new permit. Thanks,
Agnes Lindor I Associate Planner
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
Email:AgnesL@tgard-or.gov
From: Agnes Lindor
Sent: Monday, April 27, 2020 9:46 AM
To: info@signcraftpdx.com
Subject:SGN2020-00040
Hi Debi/John/Tim-
I have a different property owner than listed on the application ( Icon Owner Pool I West, LLC). The County records
show:
BKM PARK BC 252 LLC
1701 QUAIL ST STE 100
NEWPORT BEACH, CA 92660
Please provide an updated owner signature.
Your permit is ready for $228.00 fee payment. Please note there is a 3% service charge for all debit and
credit card payments. You can select the check option under payment method to avoid the service fee.
You can pay the fee online by clicking this link: https://aca.accela.com/tigard/, go to the "Planning" tab,
search for record number SGN2020-00040. 'Then, go to the "Payments" tab and click "Fees" to submit
your online payment. Please notify us once you've paid. Thanks,
Agnes Lindor I Associate Planner
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
Email: AgnesL@tigard-or.gov
1