SGN2011-00127 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2011 -00127
COMMUNITY DEVELOPMENT Date Issued: 12/21/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S134BC00200 •
Jurisdiction: Tigard
Name of Business: Game Haven
Business Address: 12186 SW SCHOLLS FERRY RD
Applicant/Agent: Lee, Jennah
Work Description: Installation of (1) one 14.25 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: 18" x 114"
Total Sign Area: 14.25
Wall Area: 288
Wall Face (Direction): South
Sign Height: 12 ft.
Projection From Wall: 12 in.
Illumination: External
Materials: Aluminum
•
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: ic
Permittee Signature: Conk,
1 1
C -
- .
wA.,awl,a , SIGN PERMIT APPLICATIONc 6 Lo„
CITY OF TIGARD /3/25s Iv ., Tigard, OR 97223 (503) 639 -4171 FAX.' (503) 684 -GIW OF P IGARD
rt # oC/
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
l
Site G t Wl2 1 G,V-21t,
Address/ Street Address Permit No.: £4 4/L•oit t v O ( 2.
Location III g ( o 1S W c�to1E f L1�V Rd Expiration Date:
• Suite /Bldg. # City /State Z p Q /r
i G�,lMrd 0 ( 6 1 3'2.2.3 Receipt #: �/(l�' f
Name '' /y141> Approved By: I f FL 12 ?4
Property OtV10k Cl tt t-Il `�l Sri. MV Ir Date: ° Z/� /i 1
Owner Mailin Addre te (� Map/TL #: Ls/ 3 y 46C v C L pa
• 52-00 q W MAc h,ll I 0 Zoning: C' CPi
City /State Zip Phone
,
` Poi Ah �' ?
c{ 0 {- 6 131 r01_2aT_04/g Electrical Permit Required? ❑ Yes . ❑ No
Tenant or Name
Er lit Permit Required? ❑ Yes ❑ No
Business a AVA 4 - AU2tn.
Name Rev. 30- Jul-01 is \curpin \masters \revised \sign permit app.doc
Sign *ale ex j t _,.� -
Contractor Mailing Adds • Suite REQUIRED.SUBMITTAL ELEMENTS
(Prior to permit ..
• POLO �-u (Note: applications will not be acce
issuance, a b lD ed
copy of all City /State Zip • Phone without the required submittal elements)
licenses are rr II
required if ?iSt1-ltukc( 0 Q 13-2-66 2C3 —'i -fo 6 ❑ Completed Application Form
expired in the Oregon Const. Cont. Boa d Exp. Date
City of Tigard's License # rr'' �7 / ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) i Cb Ci ); (9 Z / ZO i 1,1 / ( 3 copies, if a building i,
1 g permit is required)
Pro Proposed size requirement: 8 x 11 ", or 11" x 17"
p ❑ Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary wall El Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other . Billboard ❑ Balloon (3 co•'-� tiding permit is required)
apply) size -quirement 8 x 11 °, to 24" x 36"
New sign? ❑ Alter to existing sign? ,S $ r : 6 • e e ' ermanent sign, any size)
Sign Dimensions: I, �/
I A 7(0 ❑ $15.00 Fee (Temporary sign, any type)
Z '1 / 4 Total Sign Area (sq. ft.): t
(a .3 3 S I NOTES:
Data Total Wall Area (sq. ft �A1 u • Wall signs do not need to be drawn to scale,
Sign Sign Data
all o� o -` S but must include dimensions of wall face and
Direction Wall Faces (circle one): sign placement.
items in this
section) N SO W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): (,2-1 building permit.
Projection From Wall (inches): I ,," • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: - the issuance of the permit, THE PERMIT WILL
F U tnn tv�lxt BECOME NULL AND VOID.
Will sign have illumination? n Yes ❑ No
Type: ❑ Internal p External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? Visa ❑ MasterCard
i ❑ Yes ❑ No
Credit card number / /
Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. S.
Cardholder signature Amount
(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.
DATED this 5 <
day of t, �02.A.A4L -04- . , 20
ig; of Owner /Age'
S"3 G
Contact Person Name Phone No.
3
0
t('-N GL6014-101\L
G icivnae , -- ' - , -- i - cuv.e.2A..J
I I G ism) c-he:.1( - -ilocut
lC- -ct 1 oi clr2.23
if 4 2).
I S Gr1N 'L
:.R LSICTN#1i
1Z'
I
� /
z� < 22
ou,TN- tiJAlL ect.sT W A-1, L,
Z1,0 if • CITY OF TIGARD
C�t 2 0 . Approved
Conditionally A pproved [ I
i [ 1
For only the wok as described in:
•
PERMIT NO. 4�� / /...( 4
See Letter to: Follow_______.— [ l
Attach . [ ]
Job Addr s : Z 4 ,Sr,J1c. M
ley. Date: / �
Sign #1 South wall 114 "w x 18 "h x 5d
(GAME ti
HA!:
. . :
. . . .
Sign #2 East Wall 76 "w x 12 "h x 5d
•
�GA111E HAVEn)
• . . ,
_ ,_ _
:..„„ , Mount details: Raceway
— HPVEfl l orypl \ . r . roc
GO
11111 Drawing & description .3,I6• .. a
Two (2) Custom cigar- shaped cabinet signs
- ;, s _ r i .v 4 - Sign #1 dimensions: 18 "x114 "x5"
LED Dm I bled
Sign #2 dimensions: 12 "x76 "x5"
il
- .. ; _ - White plexiglass face with translucent red color I _ 0
- for {GAME HAVEN} as shown..;;
- Black trim and black return.
L lights insert. �--
Mount:. Raceway paint to match with wall color.
lI ttiski;Lapproxima e ,
U L approved. SILICONE', TO KEEP WATER TIGHT ON WALL HOLES
Artico Lite Inc Location: 12186 SW Scholls Ferry Rd, Tigard, oR 97223
Tel 503-253-9406 File name: Drawn by: Designer
e°' Aimmins, ,/ J Fax 503-253-9407 Landlord approval: Date:
www.articolite.com Customer approval: Date:
8621 SE Powell Blvd., Portland, OR 97266 Customer name: Dallah Reese
The designs(s) shown on this drawing is proprietary to Artico Lite, Inc. and may not be reproduced or utilized In any manners without
specific written permission from Artico Lite, Inc. Acceptance of this print will be construed as your agreement to these conditions.
CITY OF TIGARD RECEIPT .
✓: 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 184934 - 12/20/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 =00127 Sign Permit 100 - 0000 -43115 $144.00
SGN2011 -00127 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 07257G KPEERMAN `12/20/2011 $165.00
Payor: ARTICO LITE INC /JENNAH LEE
Total Payments: $165.00
Balance Due: $0.00
•
Page of