SGN2014-00144 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N •
I Request for Permit Action
I i,,A :'i 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 ❑ Applicant Contractor ❑ City Staff
Check V)one T�
REFUND OR Name:
INVOICE TO: (fiusincss or individual) I
Mailing Address: q1 j F C Jf'1 t4.,S� Kt) , rr
City/State/Zip: EC 4_ &( )VE f/1//43e. 7-4--J�},� (00667
Phone No.: JNF-+CjG STf�1lIEluS (3411cv. 7i7- 373- 2&/2
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): Acc ��w� -x'47 �° �- 3z8co
).— Er CANCEL/VOID PERMIT APPLICATION.
FUND PERMIT FEES (attach copy of original receipt and provide explanation below).
p INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
n c t REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). SG
Permit#: bk.) 2.0 1L •VO7-1 IiLL ZLA Lk-00074 213N-0(3i(N
Site Address or Parcel#: 1 $%S$ 5 c∎c- c.. TyQA J
C'
Project Name: .!
Subdivision Name: Lot#:
EXPLANATION: S[E -pmrE, —two — Sae .7o32-41 15
Signature: Date: 212-7(15--
Print Name: S'/{ K:t rEPMEaS cw
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• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort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,
Route to Sys Admin: Date By Route to Records: Date By
Refund Processed: Date By Invoice Processed: Date By
Permit Canceled: Date By Parcel Tag Added: Date _ By
l:\Building\Fos mARcgPermitAction.,092314.doc
I
Sherri Stephenson
To: Betsy Galicia
Subject: RE: Request for permit action - SGN2014-00144
Betsy,
Thank you for the link.
Please find attached your form, permits already paid for and copy of this email with explanation of situation:
Icon is an international sign company that hire's contractors to permit and install signage around the US.
Icon hired Quicksilver Neon and Signs to permit and install the location—
12955 SW Pacific Hwy,Tigard with new Cricket signage for their national rebranding program.
Please see attached PO for permit procurement from Icon to Quicksilver
Quicksilver has declined to work for us, and we have hired a new contractor in the area to change the signage and
permit the location.
New contractor-
- Hannah Sign Systems—Dave Lanphere-503-946-8373 (CCed on this email)
Quicksilver has refused to send a letter releasing the permits to Hannah
Icon sent the checks to Quicksilver for the exact amounts for the permits made out to the city of Tigard. Basically Icon
paid you for the permits directly.
Quicksilver walked in with these checks and retrieved the permits.
There has been no change to the signage or the work other than the contractor doing it.
In a perfect would— I would just love to have the permits changed over to Hannah for completion of my job.
As a secondary plan, if I can't get the permits changed over, please refund the permit money and we will have Hannah
apply for new permits.
Please feel free to call or email with any questions, or let me know which is going to happen so I can start the process
asap.
Thank you for your assistance with this process.
Thank you for your time and help in this situation.
Sherri Stephenson—Icon Project Manager—727-373-2042
From: Betsy Galicia (mailto:BetsyG @tigard-or.gov]
Sent:Thursday, February 26, 2015 5:14 PM
To:Sherri Stephenson
Subject: Request for permit action -SGN2014-00144
Meghan,
i
Remit To: PURCHASE ORDER
1418 Elmhurst Road
Elk Grove Village, IL 60007
icon 847.364.2250
DATE : 11/1312014
Identity Solutions PURCHASE ORDER NO: 1289824
Quicksilver Neon and Signs Inc. Location#70324118
2325 NW 154th PI SW Pacific Hwy
12955 SW Pacific Hwy
Beaverton,OR 97006-5546
Phone : (503)626-7020 Tigard, OR 97223-5032
Order Date Ship Via F.O.B Terms Wanted Date x Taxable
11/13/14 NET75 11/13/2014 IL Resale No.2803-9955
FL Resale No.62-8012394662-9
Dept. No. Job No Promised Date
1080107 Accounting Code CA Resale No.SR-OHA-97051550
SC Resale No.1936051.00
Procure&secure all permits
INSTALL THE FOLLOWING
Qty Size Item code Description Total
1 PERMIT PERMIT PROCUREMENT 255.00
ADDITIONAL INFORMATION
The Icon Companies does not imply or require any activity or the use of any equipment that violates any and all federal and/or
state and/or local safety regulations that apply to the requirements stated in this purchase order. The recipient of this purchase
order assumes controlling contractor status for any and all work performed at the job site identified on this purchase order.
SUBMITTED BY : Sherri Stephenson Cost not to exceed : $255.00
CHICAGO: CLEARWATER: LEXINGTON. MOORESTOWN: RANCHO: IRVING
1418 Elmhurst Road 14055 46th St.North Ste 1106 147 Litton Orive 1247 N.Church St. 10156 Sharon Circle 4343 W.Royal Lane,Ste 114
Ek Grove Village,IL 60007 Clearwater,FL 33762 Lexington,SC 29073 Moorestown,NJ 08057 Rancho Cucamunga,CA 91730 Irving,TX 75063
847.364.2250 727 536.8646 803.359 2525 215.781.8500 909.942.5100 972.929.2840
CITY OF TIGARD SIGN PERMIT
11 o /P
IN Permit#: SGN2014-00144
COMMUNITY DEVELOPMENT =3 e- - Date Issued: 11/25/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503,718.2421 Parcel: 2S102BD02600
Jurisdiction: Tigard
Name of Business: Cricket
Business Address: 12955 SW PACIFIC HWY
Applicant/Agent: Lopez, Karen
Work Description: New internally-illuminated wall sign, 2'4.6"x 9'3"on southeast face of building. 3/3/2015:
REPRINT permit to change contractor. DLH
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 2'4.625"x 9'3"
Total Sign Area: 22.1
Wall Area: 310
Wall Face(Direction): Southeast
Sign Height: 13 ft.
Projection From Wail: 3 in.
Illumination: Internal
Materials: aluminum, acrylic
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $192.00
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.
l Approved By: �� � /f,r0
Permittee Signature: Sef_ c,r-;5,,-vc4
CITY OF TIGARD SIGN PERMIT
ll Permit#: SGN2014-00144
COMMUNITY DEVELOPMENT Date Issued: 11/25/2014
TI G.1 R - 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102BD02600
Jurisdiction: Tigard
Name of Business: Cricket
Business Address: 12955 SW PACIFIC HWY
Applicant/Agent: Lopez, Karen
Work Description: New internally-illuminated wall sign, 2'4.6"x 9'3"on southeast face of building.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 2'4.625"x 9'3"
Total Sign Area: 22.1
Wall Area: 310
Wall Face(Direction): Southeast
Sign Height: 13 ft.
Projection From Wall: 3 in.
Illumination: Internal
Materials: aluminum,acrylic
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $192.00
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.
/I
Approved By: ,GliL L
l
Permittee Signature: ∎4 `� --_
. , •
City of Tigard RECEIVED
Sign Permit Application NOV 2 5 2014
TIGARD
CITY OF TIGAHU
GENERAL INFORMATION PLANNING/ENGINEERING
Name of Development/Project FOR STAFF USE ONLY
Site (3/2.16+etT 2-0��" 001144
Address/ Street Address Permit No.:
Location Z-9 -S—..-C-..c Cc) •lgUFieyi✓y Approve By:
Suite/Bldg.# ' City/State Zip l 125 1
73'49,21 es/2_ 77zz Date:
Name Fee: 11 *co
Property 24✓/U /L/A-1 Receipt#: KISS 2)6
Owner Mailing Address - Suite Map/TL#: 2S(02.81)02600
Zoning: C-6
City/State Zip Phone . o it
,i■�ID k/M /97Le y rt�tea/i a:-•-",
Allowable Total Area: p
Tenant or Name
Business c12/Ge,-7r Electrical Permit Required? es ❑ No
Name Building Permit Required? I Yes ❑ No
Sign 417v/L,e1/!.-6/47_A/4p,v/-fll,‘S ILL Rev.10/21/2013
I:\CURPLN\Masters\Land Use Applications\Sign Permitdoc
Contractor Mailing Address Suite
Z3zr1I/ / 4 " s/
City/State Zip Phone
13. 10/042/71,4/ah 77ie46 S2,z4>- 70 1�
REQUIRED SUBMITTAL ELEMENTS
Oregon Const Cont.Board License# Exp.Date
<15.fS-/SL ompleted Application Form
Proposed Permanent Peanent El Freestanding Freeway L"I 2 copies of elevations on 81/2"x 11"or 11"x 17"
Sign Temporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
(Check all that
apply)
Wall ❑ Other +€1-..'2-ropies of site/plot plan,drawn to scale,on
81/2"x 11"or 11"x 17"pages (required for
MNew sign? ❑ Alter to existing sign? reestanding signs only)
Sign Dimensions: Z / t' f 12 'f Application Fee
`//f3x93f
Total Sign Area(sq.ft): Z Z/071 NOTES:
• Applications will not be accepted without all required
S'g' Data Total Wall Area(sq.ft.) =7.12 o� submittal elements.
n 3/p
(Complete all Direction Wall Faces(circle one): ♦ Wall sign elevations must include dimensions of sign
items in this and wall face and show the location of sign on the wall.
section) N S 0 W NE NW SF. SW
Height to top of sign(feet): Z> ♦ Freestanding signs over 6 ft. in height and walls signs
�� of which any element weighs 20 lbs. or more require a
Projection From Wall(inches): 3 permit from the Building Division for construction. If
Materials: any element of a wall sign weighs 70 lbs. or more,
Will sign have unmination? g Yes ❑ No plans must be prepared by a structural engineer.
_ Type: Internal External ♦ When a Building permit is required, 2 additional
Are there any existing freestanding or wall signs at this location, copies of elevations and, if sign is freestanding,
including wall signs that overlap a tenant space? site/plot plan must be submitted with application.
❑ Yes rk No 1
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted. (OVER FOR SIGNATURES)
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,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 below 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.
-c-o,( Crick€}
Applicant Signature Date\I (1 --5-/ t LP
VaPitil i'—Signature of Owner/ - t / Date
YQxX \ LCQZ _ciq 5,g2o
er/Agent's Name (P1 a Print) Title Phone Number
See a*t'ac e v o i nor 0,01 O Y
• zr 1 Con
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov 1 Page 2 of 2
III CITY OF TIGARD RECEIPT
. 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
T IL \1 )
Receipt Number: 198536 - 11/25/2014
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2014-00144 Sign Permit-LRP 100-0000-43117 $25.00
SGN2014-00144 Sign Permit 100-0000-43115 $167.00
Total: $192.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 46384 TLEHRBACH 11/25/2014 $192.00
Payor: Icon Identity Solutions
Total Payments: $192.00
Balance Due: $0.00
Page 1 of 1
•
CITY OF TIGARD
Exterior Site Plan I CR-FL-24B-BP-R Approved — - — ~~- x }
Conditionally Approved_ — [ I icon
For only the. ,Y ��BSOC`!kjed in:
PERMIT N0. JC IV �1
See Letter to: Follow__----•-----•- . I
Job As. s: A� ....iti [,r ,.--- n [ . l E-112
u_.1 i Proposed Cy: • ` Date: ` Existing
E
B
-,...4 I ill /-"--- N He Lt C
D A c cric 7,4:a
ProductCode A 6 C D E SF iii'
■ na.+ -\.
2-0' 6-10 318" 1'-6 718' 2'-0 518' 9'-3 1116' 22 04 S C r'C' y. IIIIIIII1 =�
RACEWAY PAINTED DARK RED(MATCH FASCIA) , '
'K'Height 3'-6" Sign Width:11'-0 1/2"
7G a i
5
may:
t t Sign Band Width:18'-0"
.,Lank,. Storefront Overall Width:20'-0"
Revision notes: i� UlD: 70324118 Drawn by: CR
Client: Cricket Checked by: -
Cr 1et Project: As Built Scale: NTS
Title: TBD Revision: 1
Date: 10.15.2014 Page: 5
r
CITY OF TIGARD
I
ICON i _....er* I _
5• Conditionally Approve ---•.••
1:2 1/P Ri hew ribs ELECTRICAL °ESGN LOADS: y gIgA t/r QO��I
RISK MPH RAND U3A0 ,I� 0 ••
2012 CATEOORY'N,'E
C01 E.ASCE A ?Test r to: Follow •'
LBW AOILIONT LS PRO 160(65001(N1+ITEI CODE,ASCE 7
BALLAST UNIVERSAL 60 WATT(PS-12-6Oe5L-1pQ-277 p .
PANT 10 A110IAEeAL p(A1CROPO I I LETTER
AMPS 1.0 PER UNIT ttii 1 ••••••• =O
V.A. 120 VOLTS TOLERANCE:A 1/16'ON
= CIRCUITS 1-20 AMP ALL DIMENSIONS!C`.h Liss: � Na ' J 0
PLASTIC TRY CAP - �,
THIS SIGN IS INTENDED TO BE THIS SIGN TO SIGN INTERIOR 1011E Date:
INSTALLED
EOL IN ACCORDANCE NTH BEAR THIS MARK PAINTED FLAT NHITE FOR
THE REQUIREMENTS OF ARTICLE 600 MAKINN REFLECTIVITY
OF THE NATIONAL ELECTRICAL CODE ®tom IY SECTION ANCHOR TYPE WALL TYPE
AND/OR OTHER APPLICABLE LOCAL
CODES.THIS INCLUDES PROPER sacTN C ow
GROUNDING AND BONDING OF SIGN. USE WHITE SLICONE TO
CONCEAL UGHT LEAKS
n/Y SLEEVE AsONA
NOTE:VINYL LAYOUT
SHOWN FOR NOTE: DISCONNECT SNITCH (s3 II ae 1 Y MU,BRED(
GRAPHICAL LOCATED ON SIDE OF WWII ODm11F1/T
O LETTER'I'DETAIL REPRESENTATION ONLY. RACEWAY
SEE ARTN0RK FOR
SCNC ILLS. PRODUCTION.
1 B 040 aluminum 03/13'EXPANSION per_ E
I 5' 3.37'-1
MOCK 2 1/2'
.__.7
return l LNM N
N 1. I �_ N
1'hwelite Raceway Wired
him cap Letter with
1■1�� z 1 Background
Section
...w....0 6,a
D I TOW exam.
L I lick/ et Agilighl ;ill 03/6 AG ear PLYeOW 1 LS-PRO.160-65K - I l White lED rnodu n Breallormed L � � oluminum -
f `J .063 oluminum
back U•sMle mounting clip
l2"wide x I/8'thick) ��
E k �F/�A =Am. RRoo 6000 CONCEIT BLOCK.
Raceway mounted
Supply wire L eANL �
5 in same location
0 3/16"acrylic A 3/8"threaded rod ■
Product Code A i8 e D E SF letter face ��
2'.0 8'-10 3/8' 1'.5 7/8' 2'-4 5/8' 4-3 1/16' 22.55 may wry per sift) I Afro THREADED ROD ws mil.i
11 2'-6' 11'-1' 1'-105/16' 2'•1113/16" 11'•613/16" 35.23 0 L:_.. � �A"^'N
3'-0' 13'.3 9/16" 2'-2 3/4' 3'.7' 13'-10 9/16" 50.73 7/8s plastic . I Primary electrical
4
3'-6' 15'.6 3/16" 2'-7 1/4' 4'.2 1/8' 16'-2 5/16' 69.05 bushing source
4'-0 17.8314' T-1111/16° 4'•95/16" 18'61/16' 90.18 1/4"dia.weep hole — rLm�
4'-6' 19'-11 3/8" 3'-4 3/16' 5'-4 7/16' 20'•9 13/16' 114.14 with light[Over KIX TOGGLE WIT 5455 MATTE
5'-O' 22'•1 15/16' 3.8 5/8' 5%11 5/8" 23'•1 5/8' 140.91 (I NG OR PWOT RD)) SHEARING,PLY1IOOp
illgir
.125'aluminum background
�,
pone'painted to match whits Oroin fides in hinged cover
All raceways to be pointed to mulch corresponding fascia colors. pro-coot(satin finish)
- ELEVATIONS&SIZE CHART - TYPICAL CROSS SECTION - MOUNTING OPTIONS !
.� SCALE MIS scar.:ILLS. SCALE:N.I.S.
REF. DWG. FACE-LIT LETTERSET FAT wIM BACKER PANEL, LOCATION: VARIOUS ^ O •
1418 ELMHURST RD. r=RACEWAY MOWED LOCATION No.: - _ / �3� 1�
ELK GROVE VILLAGE •r�sml.wlu6wslssr.6s.6r.uRN.eT_,. REQUEST No.:^195222 lvi 1 �
ii ILLINOIS 60007 mupooNweN` N N�NKNA Nommooss: DRAWN BY: ADAM DIMODICA CHECKED BY: J
..mule.ow MIR w or WO 001161WLL NSA IL111 rsur
- mINSTMI mesnrn.N.smeowYms>wswsNO DATE DRAWN: 11/05/2014 DATE CHECKED: -
- SIGN ICON o ID' 00414-0P41 _DRAWING SCALE:.AS NOTED 'FILE: CRI0004A SHEET: 1/8
T Ia I rummer
R NCC(XATScICR CNET WIRELESS1CR00D4■_FACE ti,RACEWAY.BACKER PANEL',FAN.I if T TERSET dg I:f2O.A'12'32 AM,A,Ai
Cricket wireless Landlord Consent Let
From: David Kim
<da vi dk im197Zggma i 7 , com>
sent : Sunday, November O2,
2014 10: 35 PM
To : Shannon Joyner
Subject : Re : Cricket
Wireless Land7ord Consent Letter
Shannon, you can consider this
ema i 1 appro va 1 by the landlord
to swap out signs for the
Cr i cke t
Wireless Business located at
12955 SW Pacific Highway, we
would like to know what date the
sign change will take place and
to take caution if they intend
to ge t on top of the roof.
Thank you .
David Kim
Page 1
cricket Wireless Landlord Consent Let
On Fri, Oct 31 , 2014 at 11 : 10
AM, Shannon Joyner
<sjoynerOiconid, com> wrote :
Hi David -
Attached you will find the
landlord consent letter for the
Cricket Wireless located at :
12955
SW Pacific Hwy. You can either
sign it now or wait until have
specs in hand, Please just let
me
know!
Thanks !
Shannon Joyner
This e -ma i 1 is only intended for
the person (s) to whom it is
addressed and may con to i n
confidential information , unless
stated to the
Page 2
Cricket Wireless Landlord Consent Let
contrary, any opinions or
comments are persona 1 to the
writer and do not represent the
official view of the company. If
you have received
this e-mai 1 in error, please
notify us immediately by reply
e-ma i 7 and then delete th i s
message from your system. Please
do not copy it or
use it for any purposes, or
disclose its contents to any
other person . Thank you for your
cooperation . Please consider the
environment
,before printing this e-mai 7
Page 3