SGN2008-00188 !� CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2008-00188
TIGARD 13125 SW Halt Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 10/8/2008
PARCEL: 2S 10X8-00100
BUSINESS NAME: BROADWAY ROSE ZONE: R-12
SIGN LOCATION: 12850 SW GRANT AVE JURISDICTION: TIG
APPLICANT/AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8' X 1.8'
TOTAL SIGN AREA: 14 sq.ft.
WALL AREA: 3,125 sq.ft.
WALL FACE(DIRECTION): N
SIGN HEIGHT: 10 ft.
PROJECTION FROM WALL: 2 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of(1)one permanent 14 sq. ft. wall sign.
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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
from validity date.
ir':17-11)17-'1" .".41'-'--4
APPROVED BY:
PERMITTEE SIGNATURE: vir J •
DATE: 10/8/2118
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blzd, Tigang OR 97223
0 Phone 503.639.4171 Fax:503.598.1960
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site' --' _
Address/ S tAddress `" Permit No.: .<�i i33 — 0Olg3
Location
Expiration Date:
Suite/Bldg.# City/State Zip
Receipt#:
Name Approved By K S l
Property i el Date: {z) /9/02
Owner Mailing Address
�t (, 1 Suite Map/TL#:
V S(. i���iU/61 Zoning• k—i_1.
ry tate Zip Phone
Tenant or NameElectrical Permit Required? [} Yes ❑ No
Business Building Permit Required? E Yes ❑ No
Name Rev.7/5/06
is\curpin\masters\land use applications\sign permit app.doc
Sign c\'� 0.i('�C�
Contractor Mailing Addss Sitree
(Prior to pemvt 2 i( �` \
Issuance,a (� -... klkt)*k.-,
copy of all City/State Zip Phone 5:2)s REQUIRED SUBMITTAL ELEMENTS
lrequire are 'y c&i 1 � Ct 7.--2 �/�.I i (Note: applications will not be accepted
required if ` ' '1 Tfu v`1'v without the required submittal elements)
expired in the Oregon Const.Cont. oard License# Exp.Date
Gtyof Tigartl's
database) i q26:f1 ❑ Completed Application Form
•
Proposed ❑ y ❑ 2 Copies of Site/Plot Plan,Drawn to Scale
p Pertnarrent FreestandingFreeway
Sign Temporary Wall ❑ Electronic (3 copies,if a building permit is required)
(Check all that
apply) ❑ Other Billboard ❑ Balloon size requirement: 81/2" x 11",or 11" x 17"
K.New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations,drawn to scale
Sign Dimensions: r, (3 copies,if a building permit is required)
11 size requirement: 81/2" x 11",to 24" x 36"
Total Sign Area(sq.ft.):
Ityr.
❑ $39.00 Fee (Permanent sign,any size)
SignG Data Total Wall Area(sq.ft.) i n5G j ❑ $19.00 (Temporary emPtype)
o sign,any
(Complete all D• tion Wall Faces (circle one):
items this NOTES:
section) LildS E W NE NW SE SW
Height to top of sign(feet): I() ' • Wall signs do not need to be drawn to scale, but
Projection From Wall(inches): -1,./ must include dimensions of wall face and sign
Copy ! ijAil (lr � placement.
Wall signs do not require site/plot plans.
Materials: _.,40 it W t n 011),-, ♦ Freestanding signs over 6 ft. required a building j
Will sign have illation? 4 Yes ❑ No permit.
Type: Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety(90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME i�
❑ Yes El No NULL AND VOID.
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted. _. -_.- -- . _. --
(OVER FOR SIGNATURES)
r .
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 day of II ,_ ��.. 20 cP6---
Signature o er/Agent
fl(P(, �v _ _
Contact Personaame Phone No.
r r
° 5 *- �' , 16 =4 cos 6-413 atii101t
�` Wall Display0
3r Non-Illuminated SECURITY
Manufacture and install one (1) set of flat cut out
aluminum wall letters and Custom Fabricated SIGNS
Cabinet. Quality Since 1925
2424SE Holgate Boulevard
Portland,Oregon 97202
Construction: 6" Deep Custom Fab cabinet 503-232-4172 fax503-230-1861
1/4"Aluminum FCO 0 " painted black . www.se`ur'tysigns.`om
OR CCM 122809 WA SECUR51020CF
"Broadway Rose": 1/4° Thick 5051 Alloy(aluminum) FCO VOA 1011.2All
painted black with 3 stand-off INTERNATIONAL
SIGN ASSOCIATION
Retainer Size: 1 1h" °
T H E A T R E COMPANY Faces: .177 White Lexan PROJECT MANAGER
Joseph Platt
Custom Fab Cabinet
Graphics: 3M Black 230-22 DESIGNER
,i
C.Renfro
7 Installation
�� � ���, PROJECT NAME
Wall Type: Brick
1 ,T,
•
Mounting: Shielded lags as required
az G N
aN
.,� , I 6" > C7 0
Colors r/10
'` .150 White lexan 3M Black �o
:: IN 230 22 H
. s
111
ELEVATION - 13.83 SQ. FT. Black aG
Side View °�
W Scale: None
Site verify install location Crnt OF TIGA€ D PAGE DESCRIPTION
ii'y Approved Wall Diplay
8'-0 " • i
PERMIT NO. C G 2��f? -�,I se
See Letter'0: Follow .... ( = REVISIONS
Attach i Q 09/24/08(ar)
�-r Larger sign.
'Oh r dareSS: ZS 5c:r .St43 `1/rt S
-- - Non-Illuminated.
y r,P„2....„„.„„..,D n i 078/el - Photo updated.
/'_ Q 10/108(ar)
roEsti,
dway Rose'
lettes increased in
size o same lengthasbx sign.M ®Copyright007 Security Signs,Inc.
is oriinalesign and specifications
a are exclusive property of
Security Signs,Inc.The use of this
Co' :
design as a whole or part to produce
b P011 D\Alfil P 0 S t CO a similar sign without written
authorization Is prohibited.
x—
APPROVALS
2„ Client Signature
S
QO Landlord Signature
M 01OMPANY
.O M
THEATRE ,
DATE: 09/03/08
Sign Detail - 13.83 SQ. FT. PAGE#: 2 of 2
CScale: 11/2” = 1'-0" DRAWING#:
08-CR892r1