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SGN2011-00076
r CITY OF TIGARD SIGN PERMIT Permit #: SGN2011 -00076 COMMUNITY DEVELOPMENT Date Issued: 07/21/2011 TIG ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S102AD02900 Jurisdiction: TIGARD Name of Business: Ash Avenue Dog Park Business Address: 12780 SW ASH AVE Applicant/Agent: City of Tigard, Work Description: Placement of (1) one 8 s.f. permanent freestanding sign. Sign must be placed on private property and not in the public right of way or visual clearance areas. Permanent: Yes Freestanding: Yes Freeway: No Temporary: Wall: No Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 2'x4' Total Sign Area: 8 Wall Area: Wall Face (Direction): Sign Height: 4 ft. Projection From Wall: in. Illumination: No Illumination Materials: wood,plastic,steel frame Electrical Permit Required: Building Permit Required: Total Permit Fee: $165.00 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: . Ji � ��1 • '14 City of Tigard RECEVED .., _. ... Sign Permit Application JUL 2 0 2011 TIGARD 1 ( @r TIGArD P LANN1N /ENGINEERING GENERAL INFORMATION 2s i 0 Z A - O 02.40 Name of Development /Project /� {� FOR STAFF USE ONLY Site As N Aid. V4G �q.>2.41., Address / Street id ti O ..51.4 As 0 Permit No.: 5 it.' la 1 1 - Ooo 7 4 Location q 0 t 0 514 QsA rht to IN Si Approved By: / Suite /Bldg. # Cit■/State Zip 1 14P02.6 GAIL 1 p 7213 Date: / // Name Receipt #: / 2 .337i Map/TL#: : Zs O Z /g - U e---, Property C ■ OT 1 YIN P / /� Owner Mailing Addr ss t Suite Zoning: ' ( u - GU 1' i4 (3124 Sus 1( ��QQ // D 1J Allowable Total Area: City /State Zip Phone T, a.a.to o12. 9mt3 So3.718 Tenant or Name Electrical Permit Required? ❑ Yes Qe&o Business CiT`i OF 1 1 GA-n-� Building Permit Required? ❑ Yes Q�o Name Rev. 7/1 /1 : \curpin \ masters \land use wheat \sign permit app.doc Sign V 16 ( 4 ck) 4 eks Dep Contractor Mailing Address Suite I z goo sk.J 4sL 4 • City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS 1ICA4i Oa. 9 7 1 z3 (Note: applications will not be accepted Oregon co,ts Cont. Board License # Exp. Date without the required submittal elements) El Completed Application Form Proposed Nr Pcnnvwnt Y g ❑ Frccwav 7 R copies of site /plot plan, drawn to scale Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required) ' (Check all that ❑ Wall ❑ Other t » » » » apply) size requirement: 81/2" x 11", or 11" x 17 2 2 copies of elevations, drawn to scale ❑ New sign? 1211ter to existing sign? (3 copies, if a building perrnit is required) Sign Dimensions: Z • TA LA_ �} 1 tpE size requirement: 8'/2" x 11 ", to 24" x 36" x W Total Sign Area (sq. ft.): g 5 $165.00 Fee (Permanent sign, any size) Si Data Total Wall Area (s . ft.) r III $52.00 Fee (Temporary sign, any type) gn ' = g /4 (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W N \V SE SW Height to top of sign (feet): 4' • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): N/A must include dimensions of wall face and sign Materials: Wood P/041 541-61 f rII•w.e- Wacement. ♦ Wall signs do not require site /plot plans. Will sign have illumination? ❑ Yes [-No • Freestanding signs over 6 ft. required a building Type: ❑ Internal ❑ External permit. Are there any existing freestanding or wall signs at this location, . including wall signs that overlap a tenant space? ❑ Yes [./No If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES) footage must also be submitted. City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 718 -2421 1 www.tigard - or.gov 1 Page 1 of 2 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 "Pennittee" 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, and 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 and 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 owner of the subject property are required. App . it Sigi. tune Date Sign. , re o wnei /Agent Date DE CO - tg-- 5a 71 Zy G G Contact Person Name • Phone No. • City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 1 www.tigard- or.gov 1 Page 2 of 2 CITY OF TIGAR IP Ar p,vv�u [V] Cc edition Iy Approv — �� , � .r �� PER" R n I e w� as d ibed [ 1 �' ..G es` ' ■ y \ ! �° ,R� ~� !°- J Stripping Areo S e ®. ! - 0 �o ��s .t ~ / v. , ,� I I ��, 1 Aspho /t St aging Areo Letter to: F ,r, . (y� Follow . _ . _._ _ [ ] -�v:�. er �, 4'" -� , J I I �� � JoL q ttach _ [ ] Extg. SS Line , ay ,� t i •'; 6" Engineered Wood ddr- :: 2 7 p 5‘..Z Aj� Ave. r +# , , / �. - ° . PP 1 O frig � Fiber (215 C Y) By. : 7/24/// o Point of Connection ►u . :r ' ° _ `' I < r j lN' !r• r � N N a ¢a; D Instoll C/eonout `® _ :�o ° _.......L__ V / � �,�� 2 0/ -0 e _ ° f j J ��1 Clean Agg.: Instoll Trash Water Meter 7,....._ ///"'��� Existing °� `� .' `/ .fir / ` ~ -..� �;Q , ✓` //, � Nonwoven Choirs -Link Receptacle and Bock di ronstruct " �-L / `e ,., ` v w Bo s Flow Device . •; ; °°- �., — . ,.- �'° � �,-- �✓Ci Geotextile Fabric Fence / 9 Conc. Slob. See \ �,r I „�. � Q ! : ? (8,700 SP) Boxes Section if s � —' r��l - r �1 a ,.. ,.,!?�4 Do Pork Section . � Construct 5' Wider 0 Toll Block • t ei�j�i ■ �/ �r N. S. N / A P rkin I Concrete Wolk: Vinyl- Coated � + ■� '';: r 4 Conc. AD o g Stoll T \ a Detail Choirs -Link Fence -=-=' 0 `' (1,200 SF) 1 -` ` Scoring Per %;03 C L iii. " ' ", . - `• = 2 of 0 ■ ■ ■■■■ � : \ • ► ompaik 1• l • 11 Fi - s 4C'i�� � � , :� ■ ■ aka I ii ..- � `� r� •� •4 P 1C , .. . „' C/eon A a -� � a/ -r it l r \ ` z■ R ock Sy •9l/ �C.0 G > = qg.: .�� b # 41% F City to F , ' .- ,x LNonwoven Geotextile Fabric d, r — ©_ �r ■41 Install 7 - a , ,a- 'tie a r Dog Pork D C L }` ( °- Ouonity ;ncluded in Dog Ilk -mg �� C t 0. y � S ign ,, a i C I Pork Sect ion) .. . G5 ! � , �' � �� 1 - � ` � ,• , Slob /Wolk Section O ;: 1 `� � ■ y� - Mointenonce \ �e i. °' ', lit-?C -C=I N.T.S. f0 Wide � stop 2 �� 444, + e1 41 S � �- I : � „c„, Access it .. 8 > � ' Toll. 4 de ` -"A 1 � i ' 1, ., ,I I �t • ` Abbreviations: (Double Gate) g Gates / cs \ " ! t ► e Sr ��• �!1� 1 q 'mil f +� , A - A re ate Install • = ' ' W !�' (a�r`e +n'� ` l ; 1 on• _ o e ?O • .�lj '��'�t 4.��, :rI =LL Conc. Concrete Combinotio ' " ' ti - k ck ". �' • ' I e� „ �l A y Ex Existing Air Drinking/0.g ,■ 'ri' I I _ Lineal Feet i. It,- s • 4fe a - , w., , � , on • Shru • Fountain " , nd • " n� , �r � ;y� ,l �e ee a e , �' =L U c, }: — Sanitary . Instoll Fe c,n Remain. Ci \ Assembly - 1 Copper 4. �'t ine � r �� � ;, �s o i I -: ` - Right RW Rig Y to Trim hr Tubin to (28 LF) �, afln L ,, :10 � � ! � +►.. ' =. L - Shrub fr ] �. ♦ e :tire GS Extg. Ground Shot £/ev Fountain . . " � ` As ha lt• - � �_ �. —� ^ �d # � e � !LI�C 'c,- , � Line Prior to co r Sto •a t. �" 0 � " " - � i ♦ tie a LI _ g P � ;�, f� �, `��ee y � I__- TC Ext Top Curb Elev - -, t Droin with- Go/v. teel 9': ga; ',( 4 ; 5? ; ^ • � 1 sl�fL AC Extg. A ph / e Restoration Install °' Grote. - Instoll IO Areo v ' \� Surface s o t £l v ��pp a I_ r 7'' Hydrant 4 " _ PVC .3034 to Ex, t �' :`:" . , fip , ;.., � r ° , s� �°� . 'x �� , ,� .:.:, . . Dog Pork Areo (13. 0 ® a '� ` 020 SF) y , Service Line k . • `'m ' ' { .:g'i- r:4,, . ;`s { *t ► q t� \ ``:; -,: ,`' Ex, AC eo: 850 SF - - - Amenit �' - - ;x .�.•:,;� •;ssu �,� 6 � 'st. /Staging Ar 4, A / ,• B w ,o= t, . - ` d. ®.. E Y ��I� yt / r / Cross Areo: 8 170 SF o 1 • - � + � ;i � 4 ; : Ben t o• ti : f, y x I Bench w.. Bock• - ;� p GS I f� �� Provided b Ci OD ` � by Ben to, be 6 •\ , C { ., 1 Notes: 3 Q Bench w/ Bock. � cs -� - - " - ' o tlli 0 4-? , #,I `.,,,,, ; y xa „ , ci 1.: \� a Bench to be N Gross Areo - 2 C 4 IIII� r Provided . ti'' G t ' r O i U Concrete Sob and Wo/k Per Install 24 l b t.fi 22e . Pr Y.,, Y `; - ;:� i, C 1. ncr I g� ( ` , o Provided by City S trip - Depth.- - - -_;- r,.,,, Sun, Shelter' t o - = ,`- 7 �L� City Det o,l No f02 - Long) PVC Tube a -. l' be. In stolled b % � > , r 14::, : "' 1 ,� 1 ; c U - 2. St Areo AC Removal Y -..]/�� F /J_ ° ` Others" - ®� " , ' • -, ;,# , �� � O �.- i / Vat -A -Port of this y '',.1 j - - - - - y J� - _ V - _ _ . . k., t .. � ,. £ .,... i ;,, _ B S .�R " - i . p,:. . -- \ , / �� o t 's Change YV p l�_ r■� Order " 22 %® d ; - ‘>`,- �� 3. Ko to make final m Loft__ i`` ; 10' `' T'" �'' • 0 0 � ii Plumbing Connection, lnsto /l E PUB LIC I - �+� I J bly mple e = - - - i_io�:'4 • ��� A A O • ®10 II � 2 Fountain Assembly C Fo t s Complete. Z W WORKS O 27 • c r y t • �; • —` � ■ Fountain to be Provided by City. Q 3 �•• • : ' • >�� • rash Receptocles to be ;e 4. T YARD CO 1 . ; a Kiosk for F/ ers & • r r. Building • 0 : •. � ■. . Prov by City and /nstolled "° Donation Box to be Shelter Slob. See Won g ' . •.•: '� ��e on 4"x4" Treoted Posts by -,-,, Existing '. . w• . • T - •r Installed by City Section �� Kodiok. Property Line Approved Equal Remoinin• Boulders to be ` 5. Bench Structures to be N o to be Planted by " P/oced along Edge of ». Assembled by City and Provided o s Kodiok 4 "x4 Pressure Treoted Bldg Woll. Coordinate with • • • �! to Kodiok for /nstol/otion. e o Lumber along Fence. L=180'.± City prior to placement Approved Equol u *w 6. City to Install "No R To be Instolled by City to be Plonted by ■.���■ Smoking /No Food" Signs on ,. Kodiok !■■■ Perimeter Fence. 3 ' , , t'� 7. Hydrant Amenity and 24" g Provided by City. Amenity to be a W /Vote; 0 CI. r DIM ON ON � . W o Dog Pork Loyout Revised on Morch 10, 2011 Per City Comments ` PUBLIC WORKS pip FIGURE 1" = 20' ; j '• 13125 SW. HALL BLVD. FIG-1 0 . 503-866-5784 ° 3 µ FAX: 303- 6 ?f -O�s? FILE NO 20 10 20 . f WWW.TIGARD-014.60V DOG PARK LAYOUT N,\ 6..X.... n CITY OF TIGARD RECEIPT 1111 f 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 183371 - 07/20/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2011 -00076 Sign Permit 100 - 0000 -43115 $144.00 SGN2011 -00076 Sign Permit - LRP 100 - 0000 -43117 $21.00 Total: $165.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 001775 KPEERMAN 07/20/2011 $165.00 Payor: KIM MCMILLAN Total Payments: $165.00 Balance Due: $0.00 Page 1 of 1