SGN2011-00128 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2011 -00128
COMMUNITY DEVELOPMENT Date Issued: 12/21/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112DA00700
Jurisdiction: TIGARD
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Name of Business: Northwest Engineering Service Inc .
Business Address: 7000 SW REDWOOD LN
Applicant/Agent: Wirick, Sue
Work Description: Installation of one (1) permanent wall sign 28" x 195"
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 28" x 195"
Total Sign Area: 37.92
Wall Area: 2092.5
Wall Face (Direction): North
Sign Height: 17 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: Acrylic Expanded PVC
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $165.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By:
Permittee Signature:
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RECEIVED
I II City of Tigard DEC 2 ^ 2011
Sign Permit Application `''w "' TIGARD
TIGARD � �P �L4� ,► "'`'�.:�:FI:P!!vC
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GENERAL INFORMATION
Name of Development /Project
NCKJI" i sti OST 67U6-lit.JEE.0 // FOR STAFF USE ONLY
Site .$a72V1Cz✓, $ .iC
Address/ Street Address Permit No.: -5011-0,(-049( SB' •
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Location 7000 12 Ejwoo D Li4-itl6 ' J
Approved By: 4 / ��/
Suite /Bldg. # City /State Zip
TIG D 9-7 2-2 Date: 1.-).14111
Name Receipt #: IS It q 35
Property plc' tX2'T• Map /TL#: ...,,S 1 1N OR 00 '7�
Owner Mailing Address / Sw Suite Zoning. i P
Z CCOVA4 Pkvwy- ,43O0 Allowable Total Area: 6 670
City /State Zip Phone 50
Raferrziqi3O e 7 224 (a —6300 Electrical Permit Required? ❑Yes ❑ No
Tenant or Name
Business N eA1G/.tJ.E12/K1G' ZI2VC• Building Permit Required? ❑ Yes ❑ No
Name ��^ Rev. 7/1/11
1S77�Gt $«_ . /`� -�.� i• \cutpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address / 58/2 SWrt/ Suite
ti ppEFe_ Gocx►F-s PERrey
City /State Zip Phone 60 3 REOUIRED SUBMITTAL ELEMENTS
011E 05t z 97035 ( 5 (, 5 (o (Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
i$ 6)& 1 5/ // 3 IR Completed Application Form
Proposed ❑ Permanent Freestanding Freewa ❑ ng ❑ Freeway 'l 2 copies of site /plot plan, drawn to scale
Sign all that ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
apply) Wall ❑ other size requirement 8 x 11 ", or 11" x 17"
gj 2 copies of elevations, drawn to scale
• (2) New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: 8 /, x i S +. size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): -g $165.00 Fee (Permanent sign, any size)
Sign Data
Total Wall Area (sq. ft.) ❑ $52.00 Fee (Temporary sign, any type)
' 234 ,c_ c 'C = 2 012,5 t _— °A
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) (") S E W NE NW SE SW -
Height to top of sign (feet): j7 1 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): S/g /1 must include dimensions of wall face and sign
Materials: placement.
AV __t-. lc Expo..." i�VC'i • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes 0 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 rgt No
If "yes ", a list or diagram of all sign dimensions and square
(OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard- or.gov I 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.
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SIGNATURES of each owner of the subject property are required.
z� ) /a — / I
Applicant Signature Date
Signature of qtr /Agent Date
D is +4 rv c� —
6 O 3 . , 5 ( .0
Contact Person Name Phone No.
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City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard - or.gov I Page 2 of 2
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_ 11 : � 1 1. �rz r I , . 'i '� '� � :- . , :�. - SIGNAGE
1 195" I G' R 0. Ui ;; P
- - 15812 Upper Boones Ferry
Lake Oswego OR 97035
These plans are,the exclusive property of Distinct SI na a Group and :the result of the original work of Its employees. They are submitted to your company for the sole purpose of your p g g s v v Pa v v P 503 =639 -565 ' ,,,
consideration; of whether to Purchase these plans or to purchase from Distinct Signage Group a sign manufactured according to these pians. Distribution or exhibition of these plans to
F: 503- 624 =8206 r ..'.1.
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
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. Www DistinctSign Com - 1,
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A Rten=11JEIT PROPERTY
CITY OF TIGARD RECEIPT
a
� g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 184935 - 12/20/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00128 Sign Permit 100- 0000 -43115 $144.00
SGN2011 -00128 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 1713 STREAT 12/20/2011 $165.00
Payor: Guided Path Ventures
Total Payments: $165.00
Balance Due: $0.00
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