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SGN2012-00074 CITY OF TIGARD SIGN PERMIT Permit #: SGN2012 -00074 COMMUNITY DEVELOPMENT Date Issued: S —/0 ' /a. TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S135BD01200 Jurisdiction: Tigard Name of Business: Vern Fonk Business Address: 9804 SW SHADY LN Applicant/Agent: Berry Neon, Work Description: New wall sign for insurance office. Permanent: Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: Yes Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 30" x 224" Total Sign Area: 46.6 Wall Area: 464 Wall Face (Direction): West Sign Height: ft. Projection From Wall: in. Illumination: Internal Materials: vinyl /lexan 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: C.I ' 1 _ Permittee Signature: 1 City of Tigard Sign Permit Application TIGARL? : , <. • taywy q ea44°n' ?•ow,,v, mmmoamri• 5- S m m „mrYi m ;, M Y .E1t. ,,,A`.' 3 r °P'a. a^ 0 ., a N ,,,,,. r'"”` `'" =r.=e GENERAL INFORMATION N e of Development /Project /� J1 , T t //�� A' b �J I K /� FOR STAFF USE ONLY G Y Site 41 ` vV Ngix � i� , Address/ Street Address Permit No .: /� 5 C ' aZ O € - 0 c 7 f Location li ca L { Sl1.dt i :1 t ail_ 1 J Approved By:-' Suite /Bldg. # Ci State �J ip k�-�' 7 X73 Date: S -10- / � o " G1 Name _ Receipt #: i 2 0 (O 8 Property lJJJit '\- r Ad Map /TL #: 1 S 135 13 D - la uv Owner Mailing Address Suite Zoning: M U1!._ q V L I C t 0 4 ' " / 0 Allowable Total Area: I S % City/State Zip Phone t( ( J°` te al bit- (7 72-7 3 Electrical Permit Required? cz Yes ❑ No Tenant or Name Business VPt iit Ut..- Building Permit Required? ❑ Yes K -No Name Rev. 7/1/11 ` ` j� V-� ( /� is \curpin \masters \land use applications \ sign permit app.doc Sign ,tAt1 A r eta. -- -- — Contractor Mailing IAA C .-' p .e.,,--Aue, City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS 1 � f t t ,� 0 `L Cl * r� , % 3., (177 (Note: applications will not be accepted g on without the required submittal elements) on e oust. Cont. Board License # Exp. Date 6/- 1 ❑ Completed Application Form Proposed ❑ permanent ❑ Freestanding ❑ 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 Other apply) +�! size requirement: 81/2" 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: 3 F ✓ ;2yr size requirement: 8'/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): , / v i ID $165.00 Fee (Permanent sign, any size) Wa Total Area (sq. ft.) a, ❑ $52.00 Fee (Temporary sign, any type) Sign Data 7/ Li , _ � (Complete all Direc In Wall Fa (circle one): items in this NOTES: section) 1 S E j NE NW SE SW . Height to top of sign (feet): 1 • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. Materials: <+Q; • Wall signs do not require site /plot plans. Will sign have illumination? .Yes ❑ No • Freestanding signs over 6 ft. required a building Type: 40' Internal ❑ External permit. Are there any existing freestanding or wall signs at this location, including wall signs that oyerlap a tenant space? ra Yes [No ((//�� (OVER FOR SIGNATURES) If "yes ", a list or diagram of all sign dimensions and square 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. SIGNATURES of each owner of the subject property are required. s/ be__ p licant Signature Date Signature of Owner /Agent Date ¶ ck—!eJI zS - 77e, ef35 -_ Contact Person Name Phone No. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 I www.tigard- or.gov I Page 2 of 2 „.... mi\r„..— . Vc�i ' r — ,aw P l ' .. { ce ,,, , ,,,,,,.... A ___ .. r" ....--- : .• IL).....w... ,. ,, vAA AN i--. ., . l 14 ., .. • 1 .„, .,. 1 Z BERRY NEON S I G N S Y S T E M S Trade Sk 7 Rood • Permit Co ordinotor Everett, WA 98203 (425)776 - 8835. (800)488 -243 Fox (425)7744221 new permits ®berrynebnsigns.com • ,. N I IL, 1 • • q 1 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 ;. : „;0 503.639.4171 cTIG Receipt Number: 186668 - 05/10/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00074 Sign Permit 100- 0000 - 43115 $144.00 SG N2012-00074 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, 36563 CCAINES 0 . 5110/2012 $165.00 Payor: Berry Neon Company, Inc. Total Payments: $165.00 Balance $0.00 • • • • • • Page 1 of 1 lreograptuc lntormatlon Systems - Washington County, Oregon http: / /washims.co.washington.or.us/ GIS /index.cfin ?id= 20 &sid= 3 &IDV... co Miell'i . "(74 . Geographic Information Systems y 1 .. . ,,, D ` Navigation: Washington County » GIS » Reports: Permit Project & Activity 1S135BD01200 I Parcel Report 1S135BD01200 General Information , interactive maps Parcel Report for Taxlot: 1S135BD01200 map gallery } data catalog �l\ s, �u+t contacts D 1.•555 10655 \� other gis links m \ gis introduction m \� f l requently asked questions � S Property Search 1 ' "' 15943 ,2- 9735 IED property / taxlot 3 � f 9785 97359725 tax maps ` - 10775 s1M SHADY uJ Survey Search — '�_ I f Land Services t 1�5 5 9760 97 ' 9 10845 Building Services 10620 9 " 1051516531 1-- ~� A ' I 1079513799 I 9452 o 1991510925 1(+910 10645 W 169'10 4 1046/ F 1 ----� t 1164 11¢ 0 214ft 1J4 3 9555 11625 General Property Information Map & Taxlot ID #: 1S135BD01200 Real Property Account #: R273279 Site Address: 9800 SW SHADY LN. TIGARD OR, 97223 City/State/Zip: Legal: Sub Reports: District Overlay Information • Assessment & Taxation Information Scanned Tax Maps Permits & Projects Interactive Mapping: InterMap Other Resources: Link to External Sites: Virtual Earth Viewer Google Maps Street Viewer © 2000 - 2012 Washington County. All rights reserved. Links to external sites do not constitute endorsements by Washington County. By visiting this and other Washington County web pages, you expressly agree to be bound by the terms and conditions of the site. For questions regarding information privacy, liability, accessibility, and public records policies, please review the statements document. This page maintained by Washington County Technology Services. Need assistance with this page? email us 1 of 1 5/4/2012 10:30 AN CONSTRUCTION & MOUNTING DETAIL Minimum 2 on 6'on center 3/8 "all thread thru bolted with 2 "x 2" L -Iron back if metal studs or Minimum 2 on 6'on center 3/8 " rated expansion bolts onto concrete or Minimum 2 on 6' on center 3/8 " lag bolt thru L -Iron to wood structural member or Minimum 2 on 6'on center 3/8 "x 6 "toggle bolts 11 VAR I 11VM ' 111111 "IIIII 'IIIL Raceway Flat Wall Routed Face backed with polycarbonate 7400 Hardeson Rd Everett, WA 98203 (425) 776.8835 BERRY NEON Fax (425) 774.8221 S I G N S Y S T E M S newpermits @benyneonsigns.co r E 224" (18'_ 8 ") 30" INSURANCE ( b') V E R N F 0 N K 4101111 5 0 3 . 62 0 . 0 2 3 0 0.,,, __ _______ — "VERN FONK "= 18 1/2" COPY;"INSURANCE "= 10 1/8" COPY; PHONE NUMBER = 6 1/2" COPY ONE OF IWO S/F INTERNALLY ILLUMINATED SIGNS /( C ( Ni ALL #230 -33 RED & #230 -12 BLACK VINYL ON WHITE LEXAN FACES / J AS SHOWN = SIGN FRAME PAINTED SATIN BLACK V ea ( 1' 14 ._. - - 4 71i =i3s . — - 4 : ,r - VERN FO INSURANCE ,� �- RTLAND ` ?503.620.02301 • �: x VERN FONK INSURANCE w it' ' ,j UEL CO c g 503.620.02301 � ,- ili f •s • 1,...,41.5.---;-:: ''��`n!2 t,:.-4: vii,....-1-0: _4:- .- i __ r ; , _ a ''''' ..,--* - - --: , .-:-.Z-;i:.-).- ,.. _. . ., , . s.�w.na�a Fspcs , saoee� l i ,.. v ,...... >: _ .. .. ■ I � } ,_ .fi *�a >. t . • ' '. 'i• '�'ti'1'al E .:... Jug J J e�.� i' � N''''. f K . NORTH PHOTO ELEVATION SCALE: ±1 /8 "= 1'- 0" WEST PHOTO ELEVATION SCALE: ± 1/8 "= 1'- 0" ALSO SHOWN: DOOR GLASS VINYL CITY OF TIGARD Approved [ I Conditionally Approved [ I For only the work as described o i : 7 4 PERMIT NO. Co See Letter to: Follow [ I Job Address: AVOW-Y-0 . . 4 . h � el - (, I By: C • Ca:t fifro Date: S .1 'i- © Job Name: VERN FONK INSURANCE Scale: 1 "= 1' 0" (OR AS NOTED) Designer: MARTYJOHNSON Rev. © Berry Neon Sign Systems, Inc. All Rights Reserved ❑ APPROVED AS IS ❑ APPROVED W/ CHANGES AS MARKED Site Address: 9804 SW SHADY LN TIGARD OREGON Date: 4 / 25 / 2012 Unauthorized use, reproduction, and or display shall render the infringer CLIENT APPROVAL: BERRY Sales Rep: RON JACOBS Design No. 042512VERNFONK File Name: VERNTIG3.SCV liable for up to $ 150,000 in Statutory Damages, plus attorneys fees and costs, SIGNATURE SIGN SYSTEMS NOTE: If this file has been mailed or faxed it may be out of scale. NOTE: This Color Drawing is a simulation of the proposed colors and should be verified with actual materials. for each infringement, under the U.S. Copyright Act [17 U.S.C. 412 a 504] DATE APPROVED: Office /Deliveries: 7400 Hardeson Road, Everett, WA 98203 e (425) 776-8835 5 ) (800) 488 - 2430 51 Fax: (425) 774-8221 51 E -Mail: info@Berryneonsigns.com