SGN2011-00109 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2011 -00109
COMMUNITY DEVELOPMENT Date Issued: 09/30/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S126CA00100
Jurisdiction: Tigard
Name of Business: Tan Republic
Business Address: 9225 SW HALL BLVD H
Applicant/Agent: Cox, Chris
Work Description: Installation of one (1) permanent wall sign 36" x 187.25'
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 36" x 187.25'
Total Sign Area: 46.8
Wall Area: 588
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: Internal
Materials:
Electrical Permit Required: Yes
Building Permit Required: No
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: el141 ‘�
Permittee Signature: end-- /r - C( � 2
RECEIVED
SEP30 2011
•o City ofTigard CITY OFTIGARD
Sign Permit Application 1. DUILDING DIVISION
TIGARD L---
- -- - - - — - - - -- - -- - - -- - - - -- -- 7
GENERAL INFORMATION
<<-
Name of Development /Project a .�J rG1 j ,Pa, ✓J/% ')
�G�- �l�t/� FOR STAFF USE ONLY
Site Washington Square Regional / Tan Republic )
Address/ Street Address Permit No.: *q A ll - 0 01 .09
Location 9225 SW Hall Blvd 9
Approved By: l�
Suite /Bldg. # City /State Zip
Date: q ^ / //
Suite H Tigard Or 97223
Name Receipt #:
Property Washington Square Regional /-( L_ [� Map /TL #: ''/5 , CSI b O/ o D
Owner Mailing Address Suite Zoning.
Tigard Or 97223 Allowable Total Area: 6,0
City /State Zip Phone
Tigard Or 97223
Tenant or Na me Electrical Permit Required? Yes ❑ No
Business Tan Republic Building Permit Required? ❑ Yes 121 No
Name Rev. 7/1/11
is \curpin \masters \land use applications \sign permit app.doc
Sign Carlson Sign Compan / Chris Cox 1
Contractor M ailing Address Suite ' '
1605 NE Forbes RD
City /State Zip Phone REOUIRED SUBMITTAL ELEMENTS
Bend Or 97701 541.382.2182 (Note: applications will not be accepted
Oregon Const. Cont. Board license # Exp. Date without the required submittal elements)
64549 3/12 ❑ Completed Application Form
Proposed ❑ Freestanding ❑ ❑ 2 co of site /plot plan, drawn to scale
P � � Permanent Freestandin Freeway drawn
❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that ® Wall ❑ Other t >>
applv) size requirement: 8 /z x 11", or 11" x 17 > '
❑ 2 copies of elevations, drawn to scale
® New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: 36" x 187.25" size requirement: 81/2" x 11 ", to 2 36"
Total Sign Area (sq. ft.): 46 8, ❑ $165.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) 5 0� n III $52.00 Fee (Temporary sign, any type)
588' `7
(Complete all Direction Wall Faces (circle one):
items in this
MOTES:
section) N S IV \W NE NW SE SW
Height to top of sign (feet): /D ( • Wall signs do not need to be drawn to scale, but
�� must include dimensions of wall face and sign
Projection From Wall (inches): 1 placement.
Materials: pieo(p[Izsj o Wall signs do not require site /plot plans.
Will sign have illumination? Yes ❑ No • Freestanding signs over 6 ft. required a building
Type: Ij Internal External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
0 Yes 0 N
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 "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, 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.
Delores Stearns 9.263.1 1
Applicant Signature Date
Cris Cox 9.23.11
Signature of Owner /Agent Date
Chris Cox 541.382.2182
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
File Name:
TanRepublic /Tigard
187.25" Client: Jenna Bates
�' 8' Phone: 541 - 990 -0055
Site Address:
� LV �� � � " � �� 9225 SW Hdll Blvd.,
Suite H, Tigard
t9 Scale 3/8 = 1'
'4 7u Iyu � .,a, iii,
® a
,� � IU _L
�. ,,k 1 � Chris Cox
Date: 08/31/11
Side View Rev.
``' Rev.
:PditiO roved ... _ _ OF TIGA Rev.
n ally ' , / a nlr lrne w o . °6 � 9M - - - : ' . j / p g CLIENT APPROVAL
M NO. ,� T ied in: ' . . / @ 46.8 Square Feet Approves design,
size and spelling:
er t0: FOp d () � � Q ddrg A . . S E P 3 0 2 011
y' D' ' a .. j IT`� OF TIGIAR® Sign:
Date r
- (1) SET OF INTERNALLY ILLUMINATED CHANNEL LETTERS. J NI<!N i'!ENGINEERING Date:
- ILLUMINATED WITH WHITE SLOAN LED's. 42' - 0"
-SLIM RACEWAY PAINTED BLACK. ; ,„ Customer Is responsible to obtain
-EGL "HORIZON BLUE" NEON BORDER BEHIND RACEWAY. al l necess landlord approvals.
Unless otherwise noted, all
4.„,.,, .. y 4.,..7:4k x municipal permits related to
e i j, 4,, , a installation are by customer. I r Vi Wa
`� y t�'� K ' ,
. � P x "f IMPORTANT NOTICE
A � � D
'. j a r * J 'x a ' J' SS:. s THE ABOVE DESIGN AND AR1 WORR
N Pn{ { {' f `S. t . , t . a T rtf, 1 L J{ ABOVE IS THE INTELLECTUAL PROPERTY
r r t IJ •,, . - •.. I i
l t L5 '.;,,.7 I' hTl T I Ax I It. J� 7. r ( { ,,�R . n . _ OF CARLSON SIGN COMPANY AND IS
OFFERED TO YOU FOR APPROVAL OF A
V s. 1 , ' t 9 'pre: )1 PROJECT CUSTOM DESIGNED, PLANNED
l '',..,(,,,141,1,.f ! O i P i" T 1 S 4 �1 �i ;4 } j ! Et SUHVJTTED FOR YOUR APPROVAL.
. ,.,. "' '"• • - { 0 7.114,-, } Y: ,,- 3 , � J '? P ., •' K^ R YOU HEREBY AGREE TO NOT CONVEY,
Y 'e'f ri+ l � � I � rT. Y A , }, � ', � + � A t 'T 7 ^! � �£ DISCUSS, DISPLAY, MODIFY OR
, a - - 7' d t R �' 11 . g k � ?' f fi C 1 ! J 11" I , J q J l 4 ,:`t r ' F 5 r;'1 d, * . ,� pLAGIARIZE OUR DESIGN IN ANY WAY,
S pecifications: � t } i tt l � JS� t E •� � � '4..%",-',.---'' . 1 y l 1 1 t t.. 4 • Y 1 SHAPE OR FORM TO AN COMPANY OR
T AN r � Ti i . 4 } -- TT` '' ' i t INDIVIDUAL BEFORE
ROPOSED PROJECT NOT FINANCIALLY INVOLVED
'+'x ' �— , � u x �*- } �`T' T I f'�"'Tr'0'r' y.t� }r'TC �. Z }J h
t 'St ..,a.. Z'^'.?$ T� r yl 115_ IY �T��� -'�� IN THE P
� \/ ." USING THIS ARTWORK IN ANY MANNER,
" I .f ��'"� ^. � I =U � L I C .� � !'� } � Y . , ^' -}� YOU AGREE TO OBTAIN THE EXPRESS
�� Rte' ux K
Faces: 3/16" White Plexiglass• 1 �' T . � F .n WRITTEN PERMISSION OF CARLSON SIGN
} T av,
i n �" t I COMPANY. FAILURE TO OBTAIN SUCH
R eturns: 5 Deep Painted Black. � PERAUSSIDN IS ° VIGLATIDN DF
COPYRIGHT LAWS SUBJECT TO SPECIFIC
4 4 S ' h. W FINANCIAL AND CRIAVNAL PENALTIES.
Trimcap• 1" Black. , , , .� . , , ,, t .- . r I . 1 ) , ,.. '1 r
t �t
•
Illumination: Sloan White LED's. 7 ; // ww,>
�,..2 -,. a��n �„ a.,n . s ,. „ -�� -+• � , ,t'_ (CARLSON SIGN
xa.
r - a 1 ` � 1605 NE Forbes Rd.
r r — y �---- — `-- -- ---- # Bend, Oregon 97701
` r° , T . t ° ' , .. ' PH (541) 382-2182
-
> '' FAX (541) 382 -2196
si n.
File Name:
TanRepublic /Tigard
187.25" Client: Jenna Bates
5"11-8,-1 Phone: 541 - 990 -0055
Site Address:
A PT: . I�r - • SIR .�_ Scale: 3/8" = 1'
1=1;Z , u ll ® Drawing By:
In � , r a R'd.I a m^� , .- .,,I C Chris COX
Date: 08/31/11
Side View Rev.
Rev.
CITY OF TIGARD Rev.
A pp rov e ..............
O+IjIuurI . u . y . _ . � 1 CLIENT APPROVAL
For anly the workas . APProyed descrlbed �---- - - - - -" .1 l RECEVE0 S uare Feet ; q Approves design,
P ERMIT NO. S Ep size and spelling:
S ee Letter to: Follow.
Attach . . ..... ...... .......... [ ) �U 1
Job Addr' :: ....................... ( ) Sign:
By: .4. , F / ' Date: . - / - CIT \' lflT TIGARD
-(1) SET OF INTERNALLY ILLUMINATED CHANNEL LETTERS.
- ILLUMINATED WITH WHITE SLOAN LED's. 42' - 0" RLA'NNII\ icliNEERI G Date:
-SLIM RACEWAY PAINTED BLACK. G PERMISSION IS A VIOLATION Ott';' all landlordapp approvals
f+ . Unless otherwise noted, all
-EGL "HORIZON BLUE" NEON BORDER BEHIND RACEWAY. + , municipal permits related to
W , installation are by customer.
L 1 1 fi ri � � 4 v G1 ��}-'' . 4� ay' ' IMPORTANT NOTICE
r r,Jl e5 Y} Nt te,,, THE ABOVE DESIGN AND ARTWORK
' G l t ' F 4 � 4 l 3 i.� 6 f �fl - ABOVE 0 THE INTELLECTUAL PROPERTY
p } � { I rv44 Y ,...=, A F �t ! SL f d OFFERED TO YOU FOR APPROVAL OF A
` OF CARLSON SIGN COMPANY AND IS •
C ,.. lT: A , 7 ,, y \0 ,„. t Y° t 'F11; '
��' ' �`` t f 1� � I
,. PROJECT CUSTOM DESIGNED, PLANNED
r ., E' , � 3 B 1 ;7,j-if, ,......,,.,,0 t 1, l 'i � f .i ! .I I r „:5,11,,,.... - y Ar ([ S UBwTTED FOR YWR APPROVAL.
. .. . < < _ < . �. , S ,4 A ; ! ", G t -C. , !P ' • t '` YOu HEREBY AGREE TO NOT CONVEY,
' p t3 � � " " ry 4 � "k � , t L, . DISCUSS, DISPLAY, MODIFY OR
Specifications F i }. � _ _ , + � f , i ., - I£` `ti , , 1 `1`t * 7 �I 5i11 y � y �NI , Nyx tS. PLAGIARIZE FORM TO DEIGN IN A NANYOR
• T � ��rTTY''''� r r - t { 1 l 4- + 1i � ,, w 1 �� qgp 1 INDIVIDUAL NOT FINANCIALLY INVOLVED
. rJ � 1 TIc N V t "'j. F '' 1 t l' CLEkt �7 t . IN THE PROPOSED PROJER. BEFORE
y 4 B L_ 1 '°*'J y+ \± 6�f�r7 USING THIS ARTWORK IN ANY MANNER,
Faces: 3/16" White Plexiglass• S e4 ��� / PERMISSION THE LSON
.a. WRITTEN PERMISSION OF CARLSON SIGN
)�� rt ' : „ COMPANY. FAILURE TO OBTAIN SUCH
Returns: 5" Deep Painted Black.
/� Y iiI -^
p �� '�� ! . ....., O
• r �` ' -' .ice { �"} ...........� +y.�.n�.+ "t�Y.�+an �I. . COPYRIGHT LAWS SUBJECT TO OF
SPECIFIC
T rimca 1 Black. a� . - , l � FINANCIAL AND CRIMINAL PENALTIES
�. '� M,
Illumination: Sloan White LED's. .A ` ; / 4' '1 D �,
,m �. -n.� «� .., -.r _,� <, -. .. �,a � - .' � rn�" r-1 °' ni , �e. .` ; .. (CARL�SO SIGN)
1' J
:e ._=• `) _" 1605 NE Forbes Rd.
PH (541) 382 -2182
FAX (541) 382 -2196
; r ' CITY OF TIGARD RECEIPT
ilhi
_' s ,. I 13125 SW Hall Blvd , Tigard OR 97223
*" 503 639.4171
'.. 7+ 21-r. r
Receipt Number: 184087 - 09/30/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00109 Sign Permit 100 - 0000 -43115 $144.00
SGN2011 -00109 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
Check 7674 STREAT 09/30/2011 $165.00
Payor: Carlson Sign
Total Payments: $165.00
Balance Due: $0 00
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