SGN2012-00064 6 ., CITY OF TIGARD SIGN PERMIT
Permit #: SGN2012 -00064
COMMUNITY DEVELOPMENT Date Issued: 04/06/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S126CA01000
Jurisdiction: TIGARD
Name of Business: Sports Clip
Business Address: 9009 SW HALL BLVD 115
Applicant/Agent: Azeltine, Larry
Work Description: Installation of one (1) permanent wall sign (Blade sign). 18" x 3'
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 18" x 3'
Total Sign Area: 4.5
Wall Area: 351
Wall Face (Direction): East
Sign Height: 11 ft.
Projection From Wall: 41 in.
Illumination: No Illumination
Materials: Metal
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: J d - ( lL
Permittee Signature: !Iw
•1 City of Tigard
e
Sign Permit Application
GENERAL INFORMATION
Name of Development /Project `
,
� ) J p FOR STAFF USE ONLY
Site 7' t/ ����!! ^
Address/ Stree Address 9,070y u pg Bl0� t / PLJ Permit No.: S JO Ian— DOO(o
Location J
Approved By: ZT■h'
Suite/Bldg. # � City � /State zip
Date: ' / /
1 / / l74A9 O2 P.111 C �/ Q
Name Receipt #: I b I -` D
Property Map /Ti. #: 1st ..-gyp 4 &*/ OD&
Owner Mailing Address Suite Zoning �/(, N.e/ 1
Allowable Total Area: l S 1 D
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes 6.
Business ���� ' Building Permit Required? ❑ Yes No
\ :im �� c . � 7 .'7 41/ Rev. 7 /1/11
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Sign
Contractor Mailing Address Suite
City /State � Zip Phone REQUIRED SUBMITTAL ELEMENTS
4d b #40 970 7 " L (Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
7 y -- /W ❑ Completed Application Form
Proposed 0 P ermanent Fteestandin ❑ g 1:1 Freeway I I 2 copies of site /plot plan, drawn to scale
Sign ❑ Temporary ❑ Roof ❑ Electronic
(Check all that (3 copies, if a building permit is required)
wall apply) size ❑ other size requirement: 81/2" x 11 ", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
ig New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: / g- /1 x 3 / size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): .V/ $ 44 ❑ $165.00 Fee (Permanent sign, any size)
S' Data
Total Wall ea (sq. ft.) ❑ $52.00 Fee (Temporary sign, any type)
Sign .66 .66 o o
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N ` \ % W NE NW SE SW
Height to top of sign (feet): // ' • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 1/ // must include dimensions of wall face and sign
Materials: m ,e 4--* placement.
• 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 X 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
I . 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.
/tl'> S GNATURES of each owner of the subject property are required. -
,- /,
Applicant S atu Date
Signature of Owner /Agent Date
oCT-/z14 g /74.6 ert ?/ )/9/
Contact Pers6n Name Phone No.
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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Wall -Mount Blade Signs & Brackets CITY OF TIGARD
Scale: I " = -0" Approved . I
Conditionally Approved [ 1
For only the work de 'bed `
ALUMINUM BRACKETS PAINTED MATTHEWS BRUSHED ALUMINUM PERMIT NO. SGIv. 'O00 6 y
Yz" WHITE SINTRA LETTERS MOUNTED TO BACKGROUND See Letter to: Follow [ 1
w/ LORDS ADHESIVE A7 ach 1 I
APPLIED VINYL: #3630 -33 RED & BLACK Job Address: ^ ' p -
PANELS PAINTED WHITE w /BLACK BORDER AND RETURNS By: TA4 # Date: `l" 9
SPORTCLIPS ORl 07 fles;o DescnpUOe Dimension are approximate & may change due to construction
aDaRT® 9009 SW HALL BLVD SALES APPROVAL factors or exact field conditions. Color shown areas close as
•:. S IGN COMPANY SUITE #115 printing will allow; always follow written specifications.
• PO PARKER SQUARE
T IGARD OR 9722 3 CUSTOMER APPROVAL ALL RIGHTS RESERVED: This design has been created for you in
SUITE 205
FLOWER MOUND, TEXAS 75028 connection with a project being planned for you by ADART. It may
T.800.675.6353 DATE_ 11/7/11 NOT be shown to may anyone outside your Organization. and NOT
F.46.9.3.2.1915 DESIGNER. TJV y y g y
LANDLORD APPROVAL be reproduced any p
FILENAME. 11- 0761r1 p otlucetl in an manner withou prior consent.
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 186190 - 04/03/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00064 Sign Permit 100 - 0000 -43115 $144.00
SGN2012 -00064 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 3702 STREAT 04/03/2012 $165.00
Payor: Integrity Signs
Total Payments: $165.00
Balance Due: $0.00
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