SGN2012-00061 'A CITY OF TIGARD SIGN PERMIT
I : Permit #: SGN2012 -00061
COMMUNITY DEVELOPMENT Date Issued: 04/04/2012
Ti'Q' RD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2421 Parcel: 2S114AA00100
Jurisdiction: TIGARD
Name of Business: Tigard Tualatin Aquatic Center
Business Address: 8680 SW DURHAM RD SWIM
Applicant/Agent: Irvin, Keith
Work Description: Installation of one (1) permanent wall sign 2' 9" x 8' 6"
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 2' 9" x 8'6"
Total Sign Area: 23
Wall Area: 100
Wall Face (Direction): West
Sign Height: 12 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $165.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: `
Permittee Signature: trek—
71
City of Tigard
Sign Permit Application
TIGARD g PP
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GENERAL INFORMATION
Name of Development /Project
-- vi 30,c-b R vo.- , c FOR STAFF USE ONLY
Site TI TJ C. ..z. N.1 r sa r /� A,1 ) nn� /
Address/ Street Address Permit No.: ) Q' .W 1 -0004/
/
Location Y( �) a ,-, a Cry
Approved By: //'---
Suite /Bldg. # City /State Zip
1 i �c� &;')._ `�i -- )7_22k-
Date: 3 / 301 / Y
Name Receipt #: l g'(. 1 T
Property Map /TL #: A$ I I Li 14A 1O a�
Owner Mailing Address Suite Zoning: J S' I P
Allowable Total Area: 1
City /State Zip Phone
Tenant or Name
Electrical Permit Required? 'Yes ❑
Business 1 1 S c ..?0,0\,e. ' 7) \ Building Permit Required? ❑Yes No
Name Rev. 7/1/11
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Sign k<aNcSd■ S:SN t, L+
Contractor Mailing Address Suite
60 01_3 1
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
`p - 1 l l (Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
C I ZS L 3-k-17-- ❑ Completed Application Form
❑ Permanent ❑ Freestanding
Proposed El Freeway ❑ 2 copies of site /plot plan, drawn to scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that wan El Other '
apply) size requirement: 8 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 D ensi x .3 tt size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): , czf ❑ $165.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) _ Rio ❑ $52.00 Fee (Temporary sign, any type)
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(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E D NE NW SE SW
Height to top of sign (feet): l"Z • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): tt must include dimensions of wall face and sign
placement.
Materials: A l u tr , U rt., • Wall signs do not require site /plot plans.
Will sign have illumination? IN Yes ❑ No • Freestanding signs over 6 ft. required a building
Type: lir Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes 115 No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tioarri I 11175 RW Tull Rluri Tioarrl rip Irryn I cA'2_71 2_1A')1 I ......... t:.......1 ...... I a,.,._ I ,.11
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.
Applicant Signature Date
Signature of Owner /Agent Date
'SKf2 .v Q-1
Contact Person 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
MANUFACTURE AND INSTALL ONE (1) HALO ILLUMINATED LOGO & ONE (1) INTERNALLY ILLUMINATED WORD UNIT sate. v"= 1'
sign #1 7
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Sloan brand
ALUMN TUBE SPACERS
LED lighting
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aluminum returns DI�ONNECT SW TCH IN
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paint white (
a (' _ ∎I GTO WIRE
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white trim cap
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° �„ copy TIGARD PUBLIC POOL -1 IN CONDUIT
THRU WALL
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3m# 3630 -36 blue •
3m# 3630 -337 light blue r
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TIGARD PUBLIC Pool Conditionally Approved halo lhted with whit! sloanLED
For only the work as described in: paint
4y PERMIT NO. 5 '410431v (3'if I _ _ —
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SCALE IS APPROXIMATE v
page I of 2
Tigard Public Pool FINAL 9.20.11 A roved B Date:
® officeilax: 503.864.4339 Client: Location /Address: Date: pp Y
sm r Narthwestsignsystems.com
1' MW tigard FINAL Notes: K &K Approval_
DIVISION OF KU INC. Design #: Designer: Estimate File Name: This original artwork n protected under federal Cnpltight Laws. Make no reproduction of this
13545 SE Ash Rd. P.O. Bee 3271 10/2/11 REVISEDOPTIONS 10/18/11 REVISED COPY 11/3/11 CHANGE WORD UNIT design without peanusion from CBE Signs 8 lifts. Colors on this print do not accurately maich
1 1/24/11 REVISED, 1 /9/12 COPY CHANGES /OPTIONS, 12/11- 1/B/12- 2/1/12 Account M specified Min OF ALL KINDS Dayton. OR 97I14) Revfsion(s): 6r
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A te.
CITY OF TIGARD RECEIPT
T l .', 13125 SW Hall Blvd., Tigard OR 97223 ii
503.639.4171
TIGARD:
Receipt Number: 186146 - 03/30/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00061 Sign Permit 100 - 0000 -43115 $144.00
SGN2012 -00061 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 03152C STREAT 03/30/2012 $165.00
Payor: Keith Irvin
Total Payments: $165.00
Balance Due: $0.00
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