SGN2004-00128 CITY OF TIGARD SIGN PERMIT
44 DEVELOPMENT SERVICES PERMIT #: SGN2004 -00128
` �' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/9/2004
PARCEL: 2S 102CC -00500
BUSINESS NAME: HOME TURF SPORTS BAR ZONE: C -G
SIGN LOCATION: 13500 SW PACIFIC HWY 70 HOME TURF SP. BAR JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X30"
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: 840 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one permanent 6.25 sq ft wall sign.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 31.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. 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 fr alidity dat .
APPROVED BY: i
PERMITTEE SIGNATURE: m" -
DATE: 6/9/2004
`6/03/2004 16:47 FAX 5035981960 CITY OF TIGARD Z002
, , A.
. SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX.. (503) 684 -7297
GENERAL INFORMATION
Name of DevaiopmenVProject
Site vie yr ; P4f^ �a� FOR STAFF USE ONLY
�
Address/ Street Address V . it) 2x.5! - °° Permit No,: .
Location 1 Ot S ?a ct 4G t -*
9uRe/Bldg. # City /State Zip Expiration Date:
7 o '1 123 Z Receipt #: _
Name
• `35po L Approved By: �,J
Property >?`cc` t Cot p01 �.oh
Date: b 9 t
Owner Mailing Address Suite Map /TL #:
2 \500 Rate( 'J 0 t 1 Zoning:_ C- (a
■ City.'State Zip Phone
I4 oiAke M `It 167
Tenant or Name 1 Electrical Permit Required? Yes ❑ No
•
Business lkovle 'vf4- 101A-5 g Building Permit Required? ❑ Yes R
Name Car r1 Gk \ ef.A Rev. ef7 /2003 i:tcuipin�masterylrevisedtslgn p.m* app,doc
Sign •
Contractor Mailing Address Suite Prior to Permit 29 9 R EQUIRED SUBMITTAL ELEMENTS
( P f 5 5w 2Z\ t / (Note: applications will not be accepted
!ssuance,a
copy of all CIty/State Zip Phone without the required submittal elements)
kw's"we N:115 \p l b
oro� ` 513- 5'i- 8`I'1'4
required W ❑ Completed Application Form
expired In the Oregon Coml. Cont. Board Exp. ate
City tabase License U r-Z 169 Z/02 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed Permanent Freestanding (3 copies, if a building permit is required)
9 ❑ Freeway size requirement: 81/2 x 11", or 11" x 17"
Sign pQ ry ❑ Electronic
(Check all that other Billboard ❑ BMW 2 copies of elevations, drawn to scale
aPON) •
New sign? (3' copies, if a building permit is required)
g ❑ Alter to existing sig size requirement: 8 x 11", to 24" x 36"
•
ign Dimensions: $,., •5a rX30tl
$31.00 Fee (Permanent sign, an size)
Total Sign Area (sq. ft.): 6 i 1
��' $15.00 Fee (Temporary sign, any type) •
l�
Sign. Data Total Wall Area (sq. ft.) 8 i 1 O r Jurisdiction: 0 City ❑ Urb
(Complete all Direction Wall Faces (circle one): `t'
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): t • Wall signs do not need to be drawn to scale,
•
Projection From Wall (Inches): 6" J but must include dimensions of wall face and
sign placement.
Cop : • Wall signs do not require site/plot plans.
Materials: re ac r Freestanding signs over 6 ft. required a •
Will sign hay Ilumination? ' Yes ❑ No building permit.
Type: Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freest nding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
A BECO Yes ❑ No
ME NULL AND VOID.
If "yes", a list or diagram of all sign dimensions and
square footaage must also be submitted.
•
(OVER FOR SIGNATURES)
1
A6/03/2004 16:47 FAX 5035981960 CITY OF TIGARD 4 003
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 9 day of
.me , 20 0
I CA/
c
'..nature o er /Agent
Lev; (00,A\5 503- S) -EL
�l
Contact Person Name Phone No
CITY OF TIGARD 6/9/2004
13125 SW Hall Blvd. 12:34:39PM
iiy,- H,M Tigard, Oregon 9 7223
•
. _ ,:, (503) 63 9-4 17 1
Receipt #: 27200400000000002446
I ate: 06/09/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
ELC2004 -00327 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40
ELC2004 -00327 [TAX] 8% State Surcharge 100- 0000 - 207020 4.27
SGN2004 -00128 [SIGN] Sign Permit 100 - 0000 - 437000 31.00
Line Item Total: $88.67
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check CARRICK INC. BB 3227 By Mail 88.67
Payment Total: $88.67
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CITY OF TIGARD
Approved I )c
Conditionally Approved _......._....._ [ I
For only the wojic as described in:
PERMIT NO.
See Letter to: Follow -- 1 1
An= ch. t 1. - 1 J
Job Ad. es- • / Of --"•"" v
Sv: . -
Oregon L3ttery Sign Attachment Lnfoi ration
'.TAI I srtM it
Sitirn Dinvenskkr
30% "x30% "x 6"
•
W
48 Lbs w/o face or back plates
51 Lbs w/ (2) face pates
52 Lbs mot/ (1) face plate (1) back plate
Si Construction
1/8" extruded aluminum welded corners with (2) two captive face plate channels_
Aluminum back plate (when required) 30" x 30" x 1/8" is inserted in place of one face
plate.
Wan Mount
Insert aluminum back plate into appropriate channel_ Drill (4) four 5/16" holes in the
corners of the back plate.
Alternate attachment method_ Attach (4) for Simpson Strong-tie A-2I or equal, angle
brackets to the 1 ur corners of the sign with (4) flour 5 /I6"xl" self tapping screws_
Locate the sign box at the desired wall location and attach with the appropriate screws
Iisted below.
Surface Type
Wood: (4) #10x2" Pan head screws w /'/"xI" Fender washers_
Concrete or (4) #10x1 %" Pan head screws w/ % "xI" Fender washers.
Concrete block
Stucco w/ (4) 3"x4/4" Toggle bolts w/ 1/4"xl" Fender washers
Mesh back
•
Sheet Steel I (4) 3 "xl /4" Toggle bolts w/ %"x I" Fender washers
Oregon Lottenj Sian
30 1/2' X 30 e/2' X 6" Sage box
IInI ( 5 /l6°wa g holes
0 . 0 A x vas
Akez note supptrzt track..
(4) ea Il — ed pm sign
Atwell Qa sigm v.r/ 5/16"
s tripping
Th iB1 (2) 5/16" des
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