SGN2010-00142 °fit. n SIGN PERMIT
_ t. , CITY OF TIG
_.: ; Permit #: SGN2010 -00142
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,; ;. - . COMMUNITY DEVELOPMENT Date Issued: 09/03/2010
1 , f - i:RD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S113AC00101
Jurisdiction: Tigard
Name of Business: Stash Tea
Business Address: 16655 SW 72ND AVE 200
Applicant/Agent: Wirick, Sue
Work Description: Installation of (1) one 113 s.f. permanent wall sign.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 72" x227"
Total Sign Area: 113
Wall Area: 3739
Wall Face (Direction): North
Sign Height: 20 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: Metal & Synthetic
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $164.00
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: AP ---
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Permittee Signature: -
E 11 SIGN PERMIT APPLICATION
Cit o Ti Permit Center 13125 SW Hall Blvd, Tigard, OR R ECEIVED
Phone: 503.639.4171 Fax: 503.598.1960
PL
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GENERAL INFORMATION '/ /f`� ��` y 'k Y 4f��i�� -�-�, OF 1
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Name of Development /Project I
c FOR STAFF USE ONLY .
5
Site 77 Sf - FE A •
Address/ Street Address n 4 Permit No.: (56./ 2 ..c 1t 0 - 0 � I `{ Z
Location /06,55 81,L) `7-)
Suite/Bldg. # City /State Zip Expiration Date:
C.> OO i ctrl q 7 z2-3 Receipt #: /ii-/112
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Name Approved By: q /" /. P Property R - 1 '�-.. tS r Date: t./ //v
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Owner Mailing Address 35 6 suite Map /TL #:
c.- 0 - t .7> Pk'- - 3Ob Zoning.
City /State Zip A Phone rv 3
1—?)944--c4 ci 2 & 24. 6, 3 04
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business I"( / x Building Permit Required? ❑ Yes ❑ No 1
Name /�� y�,y Rev. 7 /1/07
D 1 J` T7fl1cT �lc A G ` - jeou / i. \curpin \masters \land use applications \sign peanit app.doe
Sign
Contractor Mailing Address / 5 S / L Suite
( Prior to permit a
issuance, p 12 �� t� S
e 1.1 V
copy of all City/State Zip Phone 5 C) 3 REQUIRED SUBMITTAL ELEMENTS
licenses are q (Note: applications will not be accepted
required if 1-- - CSC` �� / 7635 G� 3�'/ S6 S without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City ofT s J
database) l / / / j>0 Completed Application Form
Proposed ` ❑ Permanent ❑ Freestanding El Freeway [ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary 1 Wall ID Electronic (3 copies, if a building permit is required)
(Check all that Other ❑ Billboard ❑ Balloon size requirement 8 x 11 ", or 11" x 17"
3 New sign? ❑ Alter to existing sign? 14 2 copies of elevations, drawn to scale
Sign Dimensions: _ . � " X _ - ,1 (3 copies, if a building permit is required)
size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft): i 1 3 -
$40:00 Fee (Permanent sign, any size)
Total Wall Area (sq ft.) 1 � l ❑ $ .0 `S p any typ )
Sign Data 7 3 LP 19.00 Fee (Temporary s an e
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) ( J S E W NE NW SE SW
Height to top of sign (feet): 0 / • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): i/Z /' must include dimensions of wall face and sign
placement.
Cop : x_,___ A t- 17�cyt_4_ol • Wall signs do not require site /plot plans.
Materials:,r 4 t 4 S r,.4 --G.4 „. • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes [X 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
❑ 'es ❑ No NULL AND VOID.
If `yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
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.
DA'Z'ED this S day of 27 , 20 /
Signature of Owner /Agent
6 6, 10 37. S 6 5
Contact Person Name Phone No.
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PACTRUST BUSINESS CENT
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TO TBC I II A PACTRUST PROPERTY
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,. 1 Date:
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Approved a!�
A aved _.........[Vi July 27 2010
Cor�ditio i f
For onlyte } w or ka s d e s c r i b e d in: ..._ __.. [ "`°'
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T N0. A Client:
_ FERN See Letter to: Follow..._. [ 1 48 „ The Stash
J Ad: i j.: j / ' L�" i
Tea Company
B': r _ �I D v
29"
Contact:
v Megan Rolerkite
Location:
' , . 16655 SW 72nd •
i ` Suite 200
Tit .' µ ' 4 - Tigard OR 97223
T - Scale: 72" 59" S T ` ' p S 11 1 18„
( DO
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STASH TEA COMPANYI8" SIGN AGE
G R O U P
227" 15812 Upper Boones Ferry
Lake Oswego OR 97035
P: 503 - 639 -5656
These plans are the exclusive property of Distinct Signage Group and the result of the original work of Its employees. They are submitted to your company for the sole purpose of your F: 503 - 624 -8706
consideration of whether to purchase these plans or to purchase from Distinct Signage Group a sign manufactured according to these plans. Distribution or exhibition of these plans to
anyone other than employees of your company, or use of these plans to construct a similar sign Is expressly forbidden. In the event exhibition occurs, Distinct Signage Group expects to www. DistinctSign.com
be reimbursed $500 for time and effort in creating these plans. The respect of our creativity and time is appreciated by those who have worked on your behalf.
• k' CITY OF TIGARD RECEIPT
j f - 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
: 1Gt1RD.
Receipt Number: 179364 - 09/03/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00142 Sign Permit 1003100 -43115 $143.00
SGN2010 -00142 Sign Permit - LRP 1003100 -43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1290 KPEERMAN 09/03/2010 $164.00
Payor: Guided Path Ventures, Inc. DBA: Distinct Signage Group
Total Payments: $164.00
Balance Due: $0.00
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