SGN2011-00133 C V PY Community Development
TIGARD Request for Permit Action
TO: CITY OF TIGARD
Building Division Services Coordinator
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.7182430 Fax: 503.598.1960 www.tigard-or.gov
FROM: n Owner I I Applicant I I Contractor F City Staff
(check one)
REFUND OR Name: Ramsay Sign Co.
INVOICE TO: (Business or Individual)
Mailing Address: 9160 S.E. 74t Ave
City /State /Zip: Portland, OR 97201
Phone No.: 503- 777 -4555
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (/):
CANCEL PERMMIT APPLICATION.
REFUND PERMIT FEES (attach receipt, if available).
INVOICE FOR FEES DUE (attach case fee schedule and explain below).
REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: SGN2011 -00133 ELC2011 -00718
Site Address or Parcel #: 11844 S.W. Pacific Hwy
Project Name: Enterprise Rental
Subdivision Name: Lot #:
EXPLANATION: Due to Director's Interpretation; please void sign permit and
refund 5161.00 fee - created in error.
Also, please refund 1 sign lighting and adjust ELC permit to read 3 sign lightings.
Signature: Date: 1/24/12
Kristie Peerman
Print Name:
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b) not more than 80'h of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.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 1 -2 weeks for processing refunds.
_ • FOR OFFICE USE ONLY
Rte to Sys Admin: Date By Rte to Bldg Admin: Date By
Refund Processed: Date By Invoice Processed: Date By
Permit Canceled: Date By Parcel Tag Added: Date By
Receipt # Date Method Amount $
I:\ Building \forms \RegIennitAction.doc Rev 07 /26/07
CITY OF TIGARD RECEIPT
II
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 185002 - 12/23/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00133 Sign Permit 100-0000-43115 $140.00
SGN2011 -00133 Sign Permit - LRP 100 - 0000 -43117 $21.00
Total: $161.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 3047 KPEERMAN 12/23/2011 $161.00
Payor: RAMSAY SIGNS, INC.
Total Payments: $161.00
Balance Due: $4.00
Page 1 of 1
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 184998 - 12/23/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
ELC201 1 -007 1 8 Sign or Outline Lighting 220- 0000 -43103 $271.36
ELC2011 -00718 12% State Surcharge - Electrical 100 - 0000 -24001 $32.56
Total: $303.92
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 3047 BTAGGART 12/23/2011 $303.92
Payor: Ramsay Signs
Total Payments: $303.92
Balance Due: $0.00
Page 1 of 1
a
TIGARD
City of Tigard
February 23, 2012
Ramsay Signs, Inc.
9160 SE 74 Ave.
Portland, OR 97206
Re: Permit No. SGN2011 -00133 & EIC2011 -00718
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 11844 SW Pacific Hwy
Project Name: Enterprise Rental
Job No.: N/A
Refund Method: ® Check #205667 in the amount of $236.98.
❑ 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): Refund 100% of sign permit fees collected in error and refund electrical
permit fees associated with the sign permit.
If you have any questions please contact me at 503.718.2430.
Sincerely,
/
Dianna Howse
Building Division Services Supervisor
Enc.
1:\ Building \Refundslig421 �-iNn Bboict arcloPo on 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard- or.gov
171!
City of Tigard
TIGARD Accela Refund Request
This form is used for refund requests of land use, development engineering and building application
fees. Receipts, documentation and the Request forPermitAction form (if applicable) must be attached
to this request. Refund requests are due to Accela System Administrator by Wednesday at
5:00 PM for processing by the following Wednesday. Accounts Payable will route refund
checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing.
PAYABLE TO: Ramsay Sign Co. DATE: 2/17/2012
9160 SE 74 Ave.
Portland, OR 9720tp REQUESTED BY: Dianna Howse
KJP
TRANSACTION INFORMATION:
Receipt #: 183002, 184998 Case #: SGN2011 -00133 and
ELC2011 -00718
Date: 12/23/2011 Address /Parcel: 11844 SW Pacific Hwy
Pay Method: Check Project Name: Enterprise Rental
EXPLANATION: Refund 100% of fees collected in error for a sign permit that was voided. In
conjunction, refund fees collected for (1) sign lighting.
• REFUND INFORMATION: . -
Fee Description From Receipt , Revenue Account No: Refund
Example:. Building Permit Fee -. Example: - 2300000 - 43104 . $ Amount
Sign Permit 100- 0000 -43115 $140.00
Sign Permit - LRP 100- 0000 -43117 21.00
Electrical Permit 220- 0000 -43103 67.84
12 % State Surcharge 100- 0000 - 2.1001 8.14
TOTAL REFUND: $236.98
APPROVALS:
If under $5,000 Professional Staff _
If under $12,500 Division Manager
If under $23,500 Department Manager
If under $30,000 City Manager
If over $50,000 Local Contract Review Board
- FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY . -
Case Refund Processed: I Date: I 2/ ' /�at I By: -W4
L \Building\ Refunds \RcfundRe ucst.dnc s 1)9 /I)1 /21i10
Community Development
TIGARD Request for Permit Action
TO: CITY OF TIGARD
Building Division Services Coordinator
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov
FROM: Owner ❑ Applicant n Contractor ❑ City Staff
(check one)
5I61,S /AI li ,
REFUND OR Name: Ramsay ignCo.
INVOICE TO: (Business or Individual)
Mailing Address: 9160 S.E. 74t Ave
City /State /Zip: Portland, OR 97201
Phone No.: 503 - 777 -4555
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
CANCEL PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach receipt, if available).
I I INVOICE FOR FEES DUE (attach case fee schedule and explain below).
REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: SGN2011- 00133 & ELC2011 -00718
Site Address or Parcel #: 11844 S.W. Pacific Hwy
Project Name: Enterprise Rental
Subdivision Name: Lot #:
EXPLANATION: Due to Director's Interpretation; please void sign permit and
refund $161.00 fee - created in error.
4 ?,SY -0 f , /y = 1• 7?
Also, please refund 1 sign lighting and adjust ELC permit to read 3 sign lightings.
Signature: Date: 1/24/12
Kris tie Peerman
Print Name:
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` /o 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 1 -2 weeks for processing refunds.
FOR OFFICE USE ONLY
Rte to S s Admin: Date B Rte to ' - -- Admin: Date , AWArA B . 4
Refund Processed: Date.Z. 2y / s By T Invoice Processed: Date By
Permit Canceled: Date o 2/ o't y // By4e''r � Parcel Tag Added: Date By
Receipt # /J'500 Date 7�3 / �-
/ Method �t.¢ Amount $ a'4 , 9?
L \Bu ]ding \Fp3rta�Ig1 tAction.do Re v 0.7%26/07
- - - _ ter'°
I
Community Development
'''' 7 :-..::
toARD
Request for Permit Action
TO: CITY OF TIGARD
Building Division Services Coordinator
13123 SW Hall B1 -cI., Tigard, OR 97223
Phone: 303.715.2430 Fax: 303598.1960 www.tigard-or.gov
FROM: 1 1 Owner 1 I Applicant 1 1 Contractor :< City Staff
(check one)
REFUND OR Name: Ramsay Sign Co.
INVOICE TO: (Business or Individual
Mailing Address: 9160 S.E. 74' Ave
City/State/Zip: Portland, OR 97201
Phone No.: 503-777-4555
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
N CANCEL PERMIT APPLICATION.
REFUND PERMIT FEES (attach receipt, if available).
1 1 INVOICE FOR FEES DUE (attach case fee schedule and explain below).
1 1 REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: SGN2011 -00133 & ELC2011 -00718
Site Address or Parcel #: 11844 S.V. Pacific Hwy
Project Name: Enterprise Rental
Subdivision Name: Lot #:
EXPLANATION: Due to Director's Interpretation; please void sign permit and
refund $161.00 fee - created in error.
Also, please refund 1 sign lighting and adjust ELC permit to read 3 sign lightiggs.
Signature: Date: 1/24/12
Kris tie Peerman
Pint Name:
Refund Pi,licv
I. The Director or Building Official may authorize the refund of:
a) any fee which was erroneously paid or collected.
ID; not more than $'Y'„ of the Lind use application fee when an application is withdrawn or canceled before any review errort has been e:pended.
c) not more than 50'1 %. or the land use application fee for issued permits.
J) not more than 80 of the building plan review fee when an application is canceled before any plan review error[ has been expended.
e) not more [hag SlY of the building permit fee for issued pernaits prior to any inspection requests.
2. Refunds will be reneged to the original Paver in the same method in which payment was received. Please allow 1 -2 weeks rot processing refunds.
� c;. 3f-- -t.N. h, �,,. -- .. u. ,may, ,.. _ ..._ � a- �"�� ''7; t .i< w. i �
g t+VM*a ' . frg . 5 � FOROFFICE USE:UNLY -'tom .:- jf $ ` ; f ` �Y `: :`; N
1 Rte to Sys Admin: I Date By 1 Rte to Bldg Adrnin: Date 1 By
Refund Processed: Date By Invoice Processed: Date By
Perini: Canceled: Date By Parcel Tag Added: Date By
Receipt r Date Method Amount $
[:\Buildin Forms \Rcc Rev 117 /2(/07
der . 11 ir—PALA ...As+t,j,.,0 .
a City of Tigard ‹• e...o,A.A.6,42...)
Sign Permit Application
TIGARD , ,L• -(0
GENERAL INFORMATION .
Name of Development /Project
FOR STAFF USE ONLY
Site l✓wSTEiI,?k1 SE iZe. ∎
Address/ Street Address Permit No.: S 6 1 0 10 /1. Oa (3 3
Location 1 t8 1 -11-k . Sw G4 ►c N w 99 Approved Approved By: /V0 7 10" pprage..Q
Suite /Bld # Cit /State p
1 ly, R OA , cl 122 / Date: 8 2 Ili � 4 t s
1st ea
✓ Q
Name Receipt #: I � / 0
Property ee ATCACI� e._ Map /TL #: ), (1 1 6 6 -00q00
Owner Mailing Address Suite Zoning. M G -- C.13 0
Allowable Total Area: i 5 TO
City /State Zip Phone
Tenant or Name Electrical Permit Required? [Yes ❑ No
Business E YvTetQ .. lZ l`Q T2P ZT A t-- Building Permit Required? ❑ Yes LilClo
Name Rev. 7/1/10
is \ cm/pin \masters \land use applications \ sign permit app.doc
Sign 2 (\ m$pa-.( Sic Cv
Contractor Mailing Address i Suite
Q t lt„o S.1:.141 Av E
City /State Zip Phone REOUIRED SUBMITTAL ELEMENTS
n
Y att.,Av.) 0 e. gn?o) 503.11-7-4 ST s- (Note: applications will flat be accepted
Oregon Const Cont. Board License # Exp. Date without the required submittal elements)
105422. 1 -13 20 I `)i ❑ Completed Application Form
Proposed ❑ Permanent Freestaudut Freewa ❑ g ❑ 1:1 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that g Wall ❑ Other i »
aPPly) size requirement: 8 /2 x 11", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
13 New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: � i size requirement: 8t /s" x 11 ", to 24" x 36"
3 xR
Total Sign Area (sq. ft.): al 6 ❑ $164.00 Fee (Permanent sign, any size)
Si Data Total Wall Area (sq. ft i, p d ❑ $52.00 Fee (Temporary sign, any type)
atogr _tea-
(Complete all Direction Wall Faces (circle one):
items in this
N
section) N S E W NE " SE SW
Height to top of sign (feet): 1/.i 1 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): Z~ must include dimensions of wall face and sign
placement.
Materials: A 11 IAA, • Wall signs do not require site /plot plans.
Will sign have illumination? ® Yes ❑ No • Freestanding signs over 6 ft. required a building
Type: 121 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)
foot • e must also be submitted.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503 -718 -2421 1 www.tigard - or.gov 1 Page 1 of 2
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.
DATED this 22. v day of J ,N, (1„).4 n , 20 1 I
Signature of Owner /Agent
le,Q Q\1 r 6(?p( )3vJ SO% - ySS's -
Contact Person Name Phone No.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 1 www.tigard - or.gov 1 Page 2 of 2
3" e
rrs�Y Ko1 4- a
1 S 4 / a
P 0 Pitif
9' -0 "
SISK AREcl
Date
2 I-1 12.14.10
SCALE: ' /2" =1' - 0" Client
�,,, ' 1 1 OF TIGARD • Enterprise
94, r1 1 RECEIVE AND INSTALL NEW FASCIA BAND ON NORTH BUILDING ELEVATION
� 'r ro , e __ „....,.. ( nterpr O 11844 SW Pacific Highway 99
C : ditionally Approved _ _� ( e.„), � Tigard, Oregon 97223
AWNINGS TO BE REMOVED PRIOR TO INSTALL
For only the w rk as described in:
PERMIT N O. Z* (- �
-' , 1 3
3 Account Executive
Sep Letter to: Follow. -- - .- -.. - -- 1 Darin Hauer
,• J y 1 PQTh / a
. . Approvals
tl
Client Date
i•
vv pt L A. is ( C A • [r ' Landlord Date
fa. . .
152 r
Revisions
J b Date
Wi "' * Change Scope of 1 Work 11 10.13.11
.� . .,. . .. p± ° Change Scope Layout of Work 10.28.11
_ - i "a ft . 1,17, •
f Change
- p
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. 4 - .-O
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-.
F es *.�
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aF om .. .a 's- • ' �
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1
J ® Copyright 2010, Ramsay Signs, Inc.
These plans are the Distribution or exhibition of
exclusive property of these plans to anyone
Ramsay Signs, Inc. And other than e mpl
' t the your compa or use of of
z t ori ginal ar e the work r of of its design these plans to construct a
. , ..
te am. sign similar t the o ne
,.
.. z '_
k � embodied h e r ein, oyees i s ;:i. i.:, .::
They e btted to your expressly forbidden.
t_ company fo the sole
i, n a pu in the event that such
¢ 4 r � - . • s Th of your ar co su nsideration mi of exhibition occurs, Ramsay
'4 = whether to purchase these Signs Inc. expects to be
F <
1 pl ans or to purchase from reimbursed 1000.00 in
—. is Ramsay Signs, Inc. a sign compensation for time and
manufactured accordin to effort entailed in creatin
g
g :.at [ w and ,::„....,,"..-4., 'x.., -d �'. . ..�. 'Y g
th th
�t ,. � . ;v'�d ese plans. ese plans.
Ramsay Sians
` ' 0 S E 74th ue Portla
916 Aven rid, to5
.a- . n.a" .- iy 503 777.4555 800 613.455503 777.0220 97206
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Building 1 - 7
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. SW = two -rn Place _ � ���
4 � Garden w ,a
4\0,1#' gr
Site Plan ~� --�_
►w sac �",--- --'
. „ , '''\
--------..- - . _ _ --\
i : a k..: 1_` _ w� IgY WIEGHT;
INTERNALLY ILLUMINATED WALL SIGN
3g „ Xj . 4 l ,
LA G SCREWS WITH
ALUMINUM 8 „ ANGLE CLIPS INTO
CABINET WALL ACROSS TOP
REMOVABLE 2- E Pt
RETAINER
ACRYLIC 0
OR POLYCARBONATE
SIGN FACE
FLUORESCENT
- �2 CONDUIT
LAMPS THRU WALL
9Ey 120 V.
BALLAST TO J -BOX
IN CONDUIT
0 3/8" ”
N5dLy- - LAG SCREWS THRU
BACK OF CABINET
& INTO WALL.
WOOD WALL
'''1 0 ; 4 5 fItlY,4 4,6 0 41 0,0I1-0.K
„, 1 DESCRIPTION QTY
7 / \ / K , ; \
/ < `, .)--- -N ,
, Aoori -
/ /Th 1 Th \ . \ I \ 1 /0 N
-S".i,PitifrilillhtitO* 1;4010 it,MtrittiOWNiKid fli ' I I/ ) /
; ,,, , „,,, J ,I,I,„ S4 - , •Seiniiii.EVINOTIIODISECIIOW
----, , 1 \
'--- -- wEslii ,,,-;,.: v •:,, —,,A DESCRIPTION QTY
1 -
e° X 16' - 6° 1 .
DETAIL A DETAIL B DETAIL C 0 3 0° X 26'• T nal !
,
DETAIL C . , t,. N
,
SOON ElliAllON
+ PLAN VIEW REVISION HISTORY.
:"'t• ;...:41 '''i"4:' ;7',4?7 '''',V,e -PS,;',10.-Aq , ,W;n11 ttigf.i= :44:' f.,-, , 1.-0 .
TOP VIEW
DETAIL B
--- '
FASCIA DE P1
n 1' 4 Al A2
44 gam ,-' —
116■1 Ai014311
34. vtak PIS ek ,.,..v:414 :Ilk .; .. :,,,,,, -. t*:*.---,E,-:,
. .c.r.......i
BAND 10INT AREA-
! SIDE VIEW • 3 ''''t . — - 1" — - " 40 N- 4■1114 V *
. I —1,M31.1,—
I WEST ELEVATION 139.25 SZE
8
1 SigalFesource
- - - -
1 SIM ra.c113.1 • Noy..., CA 002,0
..c.<2.1.,M1". • lu Stli., 4,1
V
1 ' 0 ' --r -r-Pe-- =,ki;. .;n1:.;'g*? , 5eN,....7....it.Psi.,.....1 ---
GENERAL NOTES
DETAIL A TOP VIEW
•Xterf tbilwassnatteonstost
FASCIA DEPT I •
55"--0
I Sktl '..4 SIMON )4 SIMON .,...., -
FASCIA BAND WON
1 , too JOINT AREA - IJAND MINI AM -
SIDE VIEW I''' o ....< - . _ ilf.• ...
SOUTH ELEVATION 177.0 SO FT.
,,,, ' EE660068 -1° Ter 3
--,--
;:,.......„71 . - —
1 ,
, .
■
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
•TIGARD
Receipt Number: 185002 - 12/23/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00133 Sign Permit 100-0000-43115 $140.00
SGN2011 -00133 Sign Permit - LRP 100 - 0000 -43117 S21.00
Total: $161.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 3047 KPEERMAN 12/23/2011 $161.00
Payor: RAMSAY SIGNS, INC.
Total Payments: $161.00
Balance Due: $4.00
Page 1 of 1
Mg CITY OF TIGARD RECEIPT
It 13125 SW Hall Blvd., Tigard OR 97223
;.;:. i 503.639.417
Receipt Number: 184998 - 12/23/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
ELC2011 -00718 Sign or Outline Lighting 220 - 0000 -43103 $271.36
ELC2011 -00718 12% State Surcharge - Electrical 100- 0000 -24001 532.56
Total: 5303.92
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 3047 BTAGGART 12/23/2011 5303.92
Payor: Ramsay Signs
Total Payments: 5303.92
Balance Due: 50.00
•
Page 1 of 1