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Inspections (9)Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9610 SW WASHINGTON SQUARE RD G01, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2016-00202 Jeff Grove Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9610 SW WASHINGTON SQUARE RD G01, TIGARD, OR, 97223 Commercial - Electrical 140 Sign installation PASS ELC2016-00202 Jeff Grove Violation Summary: Inspector Contractor Rt. CARR /En N City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1 = Request for Permit Actin JU 9 2016 O i l et 4..i_, t 3f bi,'-'i. TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 •www.tig� ti r q; ,t9r, F("' tai 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 Iktontractor ❑ City Staff Check(1)one REFUND OR Name: INVOICE TO: (Business or Individual; 5Eaii,.t 514 NS 1 / IGC. Mailing Address: 2c{24, SE 1401.4 f-e-- ,p City/State/Zip: Po, rL-' a ca. 4/7.2-02, Phone No.: g3 5ye, 7102. / 5"tr>3 2-32- 4.1 t72 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): El CANCEL/VOID PERMIT APPLICATION. P1j7 )A'L- a.V.REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). 0 INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: C(,,Gg.p/Go •- DD2.-D2 Site Address or Parcel#: - 416/) ) 1tiM re)A4 54 les9 61)I Project Name: US- Iarbie(A/G com.0.971iy Subdivision Name: /,12 .017/11 77A/ A.yZ—" Lot#: EXPLANATION: We- ONLY l NSTrif / eV 1 / 4(J/77/1y, -f ? S/4n1 IN 51-E ,PG Z Z . Tee- oTErz Si fir is NON /GL IrnI1 At Alle.12 .. — 13‘)Tit //v 5/OG poe 41,46L . Signature: 49141 .2 1 % Date: c;‘;;/ ,‘51/60 Print Name: egAio/ 527eit5 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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. �fvr 17, Ger IT- , 5c-VL- Oefe -c— / Sir` vL.E -1-1-1 I N SPEC r/o/V. 1YR ' Lin) . FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date 7 2.5" /b By j.-, Refund Processed: Date '2/y/fr/fr By die Invoice Processed: Date By Permit Canceled: Date /S( By 44r•. ' Parcel Tag Added: Date By I:\Building\Forms\RegPennitAction_0 2314.doc 47. kV- .5'y, .27 = S/3. 7 S/, gi ,, /ir-- G• Si = r L1 1,-7? - . 9� /vdr7 is 5 . �O 9/ , /g CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2016 00202 T[G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/15/2016 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9610 SW WASHINGTON SQUARE RD G01 Project: THE WALKING COMPANYQ Subdivision: None Lot: None Project Description: INSTALL(2) ILLUMINATED CHANNEL LETTER SIGNS ON RACEWAYS THAT SAY'THE WALKING COMPANY' Contractor: SECURITY SIGNS INC Owner. PPR WASHINGTON SQUARE LLG 2424 SE HOLGATE BLVD PO BOX 847 PORTLAND, OR 97202 CARLSBAD,CA 92018 PHONE: 503-546-7114 PHONE: FAX: 503-230-1861 FEES Quantity Description Date Amount 2 ea Sign or Outline Lighting 03/15/2016 $135.68 Specifics: 1 ea 12%State Surcharge- 03/15/2016 $16.28 Electrical Type of Use: COM Class of Work: NEW Type of Const: Occupancy Grp: Total $151.96 Required items and Reports(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. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept In a conspicuous place on the Job site until completion of tho project. Approved plans are required on the Job site at the time of each Inspection. • 1. TIGARD City of Tigard July 29, 2016 Security Signs, Inc. Attn: Cyndi Stocks 2424 SE Holgate Blvd. Portland, OR 97202 Re:Permit No. ELC2016-00202 Dear Applicant: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 9610 SW Washington Square Rd Project Name: The Walking Company Job No.: N/A Refund: ® Check#221885 in the amount of$60.78. ❑ Credit card"return"receipt in the amount of$ 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$ Comments: Per applicant's request to as only (1) of(2) illuminated signs was installed. Refund 80% of permit fees for (1) sign. If you have any questions please contact me at 503.718.2430. Sincerely, Al 'z 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 1114 at 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 forPermit 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: Security Signs, Inc. DATE: 7/21/2016 Attn: Cyndi Stocks 2424 SE Holgate Blvd REQUESTED BY: Dianna Howse Portland, OR 97202 TRANSACTION INFORMATION: Receipt#: 402560 Case#: ELC2016-00202 Date: 3/15/2016 Address/Parcel: 9610 SW Washington Sq Rd Pay Method: CreditCard Project Name: The Walking Company EXPLANATION: Per applicant's request as scope of work reduced signs from (2) to (1)illuminated sign. Refund 80%of the difference for(1) sign. REFUND INFORMATION: Fee Description From R ceipt Revenue AaMilit No. " is d Example: Building Permit Fee Example: 2300000-43104 $Amount Electrical Permit Fee 220-0000-43103 $54.27 12%State Surcharge 100-0000-24001 6.51 TOTAL REFUND: $60.78 APPROVALS: SIGNA ' - I TE: If under$5,000 Professional Staff �� 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: 7/�,2,A0 By: , I:\Building\Refunds\RefundRequest.doc x 09/01/2010 oofti _ilbtify)1Aiteit-1-c. IN Ine° il-Ltifi4 V 56'-.5" f UNI-7-MNECIN Sign.lighting&Graphlcs Company oo.ory daffsrnansalp Roo.In: 500 Pine SL-Suite 36 Holmes,Pa. 19043 ..._.... 610-522-5555 (fan)610-461-5560 www.intanneon.com THE eeilkilW [7.- , WALKING I. !. COMPANY WASHINGTON SQUARE MAI,L 216 PORTLAND OR 154" f oAnc 62-17-16 MCM I 14" SALM JM Mr.WATKINtc, r,c_',.tAiml-', ./.9," penAl on the bpi allese aknopyi E_WALL(ING COMP . 1:— LY.1 NAL RL _L, _ —71 VOIY:r,,.t7".....2;e7"t,"."3 ' - rtEvIS J745 _„.. wileifteTbeeti wade**mow' T.. WO= - k ;ZRED LINE NO1L-S : .— Customer Approval I:, • , . - _ -- --- FRONT ELEVATION•Sign Type(A)(QTY:1) FRONT ELEVATION-Sign Type(B)(QTY:1) [Landlord Approval 10"Flat Cut Aluminum Letters-Rail Mount 14"Dimensional Edge Lit Letters-Rail Mount Scale:3/16"=1'(10.6 SOFT) Scale:3/16"=1'(21 SOFT) Custornes Signature Authorizes Nat Neon Ta Prod=Deep WOIACERICH" As Specified. Tenant Coordination An Spellin PanclualixArtdCobrs K APPROVED Hate Been Reviewed And Approved. APPROVLD AS Nal 1,11 _APP ROI NI,Pt...MUNE;RISUBMISSION AR Designs Property Or Urban Nen.n ParrnIttad Karen L Maynard Not AVP Tenant Coordination 005.5 2q411,6 „, Sheet Size(8.5"x 14") DRAWINGS A 0628REV2mcm PAGEN 1