SGN2011-00052 irp � , 4 CITY OF TIGARD SIGN PERMIT
I I Permit #: SGN2011 -00052
COMMUNITY DEVELOPMENT Date Issued: 05/03/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112DD00300
Jurisdiction: Tigard
Name of Business: 76 /My Goods
Business Address: 15900 SW 72ND AVE
Applicant/Agent: Sign Development Inc.,
Work Description: Installation of (1) one 28.95 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: 40 "x104'- 1/4"
Total Sign Area: 28.95
Wall Area: 1008
Wall Face (Direction): West
Sign Height: 14 ft.
Projection From Wall: 6 in.
Illumination: Internal
Materials: Aluminum - Plastic
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $164.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved B
Pp By: Y , K.. , (2.... .,_,.., 4_. ........ )
Permittee Signature: 011_,
SIGN PERMIT APPLICA IVED
Er City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, O 9 •
. `0S A, Phone: 503.639.4171 Fax: 503.598.1960
Ar'R 2 8 2011
CITY OF TIGARD
GENERAL INFORMATION e /) `#L PLANNING /ENGINEE<RING
Name of Deve pment /Project
/ FOR STAFF USE ONLY
,n
Site ' 7* /1/l t ( aie.D$
Address/ Street Ad Tess 70 41N9. /vim Permit No.: .5 *I 2 -0 1 i - 000S 2-
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Location , ' ' ' , —wi' - f• Approved By:
Suite /Bldg. # City/State Zip
77,Z, i - . Ox 9z � Date: // ///
Name �J / 7 Receipt #: I 2 Z. 3 2.4,
Property
P e 4 r Map /TL #: 2 ' s I/ 2 - D D b0 ?j CO
Owner Mailing Address Suite Zoning: . L—
—Sl�N e 45 � J� 5 O Allowable Total Area: I J U
City/State Zip Phone
�e V� Electrical Permit Required? ('Yes ❑ No
Tenant or Name
Business 7/p / ,wy 6'00 x Building Permit Required? zgigVes A No
Rev. 3/3/2011
Name
V/ &xi' � U6�,/yJ� % //(/e, is \curpin \ masters \land use applications \sign permit app.doc
Sign cJ
E -Mail:
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit /.. � ,7�
L � ,S'' (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if u ��
pLO 14 9/78 9pep gild 5535 ❑ Completed Application Form
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed �ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary Wall El Electronic
(Check all that e ther ❑ Billboard ❑ Balloon ill 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
0 New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: ,, i �� '
X & *711f I ❑ $164.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): �� 9� ' ❑ $52.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 7257 �D NOTES:
(Complete all Direction Wall Faces (circle one):
items in this • Wall signs do not need to be drawn to scale, but
section) N S E W NE NW SE SW
must include dimensions of wall face and sign ,
Height to top of sign (feet): /4i placement.
Projection From Wall (inches): '/ • Wall signs do not require site /plot plans.
Materials: /ke y/ /,Ua/Y1 — .4e7/G • Freestanding signs over 6 ft. require a building
Will sign have illumination? 2"—Yes El No permit.
Type: Zinternal la External
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space ?,c,eet 57,/ND /e4
)ZYes ❑ No S /6W ✓� f
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
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.
BY SIGNING BELOW, 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.
� 4/
��� 49- 7(
Applicant's Signature if / Date
2 4. 1 n //
/ r
Signature of Owner /Agent Date
of-/Al G /A dIUK v 45b1/7.21(
Contact Person Name Phone No.
A.
104 1/4" 62 '/2"
W'j) N ( j 0 00 B
ne ighbofiood ��t
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store ' \
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SCALE: 1/4" = 1' -0"
CITY OF TIRD
Approved ---- ----._ I
For only the wo as de scr GA ib e71 ---
d in:
PERMIT NO. A/ , pl/_ D.PP T
See Letter to: Fo . [ 1
104 1/4" Job Add ,,S. Attach.. ____ _ _ ___ __. [. l
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B y: ./
— Date:f /Z. //
' co" T-8 DAYLIGHT LAMPS 62 t /2"
b ou" ! o uAiLtGHT LASS CUSTOMER APPROVAL
v
SIGNATURE DATE
1 (ONE) EACH 1 (ONE) EACH
NEW SIGN CABINETS: NEW SIGN CABINETS: CI)
CABINET CONSTRUCTION: ALUMINUM EXTRUDED CABINET 6" DEEP / 1 N" RETAINERS / PAINTED WHITE CABINET CONSTRUCTION: ALUMINUM EXTRUDED CABINET 6" DEEP / 1 %" RETAINERS / PAINTED WHITE
ILLUMINATION / ELECTRICAL: RELIANT TB FLOIJRESCENT DAYLIGHT (12" O.C.) ILLUMINATION/ ELECTRICAL: RELIANT TBFLOURESCENT DAYLIGHT (12" 15900 SW Upper Boones Ferry Road
INTERNAL ILLUMINATION, INTERNAL FRANCE BALLASTS (OR EQUAL), UL LABEL INTERNAL ILLUMINATION, INTERNAL FRANCE BALLASTS (OR EQUAL), UL LABEL
AND VISIBLE DISCONNECT SWITCH ALL ELECTRICAL COMPONENTS TO BE UL LISTED AND VISIBLE DISCONNECT SWITCH ALL ELECTRICAL COMPONENTS TO BE UL LISTED Tigard , OR 97224
AND APPROVED AND APPROVED
FACE MATERIALS: MOLDED HIGH IMPACT CLEAR ACRYLIC FACES FACE MATERIALS: MOLDED HIGH IMPACT CLEAR ACRYLIC FACES
WITH TRANSLUCENT 3M VINYL SECOND SURFACE DECORATION WITH TRANSLUCENT 3M VINYL SECOND SURFACE DECORATION
GENERAL NOTE: ALL SIGNAGE TO BE MANUFACTURED AND INSTALLED ACCORDING TO GENERAL NOTE: ALL SIGNAGE TO BE MANUFACTURED AND INSTALLED ACCORDING TO
LOCAL AND NATIONAL BUILDING AND ELECTRICAL CODES LOCAL AND NATIONAL BUILDING AND ELECTRICAL CODES
Sign Development Inc.
Upland, CA 91 786 (909) 920 -5535
4 OF 4 NO. 17510 Rev: 04.01.11 04.27.11
Date: 02.04.11
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O MY GOODS S/F SIGN CABINET. O GOOD 2 GO! FRIED FOODS S/F SIGN CABINET. EXISTING C -STORE
INTERNALLY ILLUMINATED CABINET. INTERNALLY ILLUMINATED CABINET.
SEE DETAILS - PAGE 4 OF 4 SEE DETAILS - PAGE 4 OF 4 1
55' -4" 16'-8"
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. __ CUSTOMER APPROVAL
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SIGNATURE DATE
F iik . .....1
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15 SW Upper Boones Ferry Road
r fa _ . ■ = Tigard, OR 97224 it
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- 1 Sign Development Inc.
STOREFRONT
BUILDING ELEVATION PROPOSED "my goods" IMAGE Upland, CA 91 786 (909) 920 -5535
3 OF 4 NO. 17510 Rev: 04.01.11 04.27.11
Date: 02.04.11
CITY OF TIGARD RECEIPT
•1
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 182326 - 04/28/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00052 Sign Permit 1003100 -43115 $143.00
SGN2011 -00052 Sign Permit - LRP 1003100 -43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 818271 KPEERMAN 04/28/2011 $164.00
Payor: John Slingluff - Martin Bros.
Total Payments: $164.00
Balance Due: $0.00
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