SGN2021-00016 CITY OF TIGARD SIGN PERMIT
iIII
Permit#: SGN2021-00016
COMMUNITY DEVELOPMENT Date Issued: 3/2/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1S133AD02200
Jurisdiction: Tigard
Name of Business: Westgate Christian School
Business Address: 12930 SW SCHOLLS FERRY RD
Applicant/Agent: DUTTON, BRIAN
Work Description: New freestanding electronic information sign.Applicant is responsible for ensuring sign
is located on their own private property.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: Yes
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions:
Total Sign Area: 64
Wall Area:
Wall Face(Direction):
Sign Height: 6 ft.
Projection From Wall: in.
Illumination: Internal
Materials:
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $231.00
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.
Approved By:
Permittee Signature: See application
City of Tigard RECEIVED
.IN - COMMUNITY DEVELOPMENT DEPARTMENT
FEB 1 7 2021
TIGARD Sign Permit Application CITY OFTIGARD
PLANNING/ENGINEERING
SIGN LOCATION REQUIRED SUBMITTAL
Address: 12136 SO SCitow c01/2.Y Suite#: ELEMENTS
City/state: T'IGkl2") / OR c60.1- Zip: 97 12.3 ❑ 2 copies of elevations on 81/2"x 11"
Tenant or business: 0& dri T ZAPT1Sc c ,eolt or 11"x 17"pages(Wall sign
elevations must include dimensions
of sign and wall face and show the
Property owner name: I.. (✓'S'r Cr Arm All't's'r C ttUa }� location of sign on the wall.
Address: 1Zg30 56J 'SC %oUS FeIKR.Y RI Freestanding sign elevations must
City/state: TiG A d'D t 0 vt.0 4•O J Zip: q 7 ZZ3 be drawn to scale.)
Phone: 5 03 52k 35°7' Email: ❑ 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
Sign contractor: K �v'CTt>N CoNSTI K:rut,l l =NG pages(not required for wall signs)
❑ List or diagram of all existing sign
Address: I.Li 6S .56J Lyn]KS 51 dimensions and square footage
City/state: -rl 4.itetb Zip: gj1Z23 ❑ Application Fee
Phone: So3 51Z '73f1Z Email: et. IZCMDIS® YhKoo=c,00-,
/ NOTES:
CCB License #: lg5`10 Expiration date: OI Z (
• Freestanding signs over 6 ft.in height
Contact person: 9 A lA r'e Nbu1iVtz 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
ew sign pp y) by a structural engineer.
Freestanding JElectrical • Building permits require 2 sets of
❑ Alteration to ❑ Wall construction drawings and,if sign is
0 Freeway copies of
existing sign ❑ Roof LI Other freestanding,
2 co p site/plotIan
p
and 2 sets of engineering must be
Sign #: submitted with building permit
application.
Sign dimensions: If (h) 4(w) -= E�S sq ft. sign area
New sign: sq.ft. + Existing sign area sq.ft.=_Total FOR STAFF
U�SE ONLY
Total sign arca: sq.ft. / building face sq.ft. = % /
of bldg face Case No.: __ �61-2/ — t 0bii J
Height to top of sign: 6 ft.Projection from wall: — in. Related Case No. ): 7
Materials: Fee: Lj 27
Application accepted:
Is the sign under 20 lbs.? ❑ Yes INo By: Date: •-2// /2f
(Building Permit required if over 20 lbs)
Application determined comple
Direction wall faces (circle one): N S E W NE NW SE SW p 2
�/ By: /�-o Date: cS /�
Will the sign have illumination? Ja es ❑ No
If yes,what type: Internal ❑ External I;Community Development\Land use Applications\02 Forms and
Templates\Land Use Applications Rev 12/14/2017
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-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.
SIGNATURES of each own r of the subject property required. -
Applicant's signature Print name Date
�� I $/�rxl �{/v77ZW 2 -1?—Z(
Owner's signature Print name Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2
APPROVED Applicant is responsible for ensuring sign is located on their own private property.
LinaCS , 17:38:01, 03/01/2021 -
-----a . .- -_ - �-
�-- 1nSi� edr, - sidRw,a.
_. ? alai &holt% Femj t•211
/ Y
/� W� cea # k' ,. t:
�Z-
12R30 564 &hulls Ferri Rd ,f
1 Tigard, OR 97223 _— A___
(i te/i. \ ,, r.
, / /
/ x k
�'"
I 1-/ / \ t
. / .,1
`l•Asop /.• 't
I ' � ,
1 '_ f
t
1I 1
4i ;
I cd,r3 {iota
f
Ii