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SGN2012-00101 CITY OF TIGARD SIGN PERMIT X .. Permit #: SGN2012 -00101 COMMUNITY DEVELOPMENT Date Issued: 05/31/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S1260000300 Jurisdiction: Tigard Name of Business: Jos A Bank Business Address: 9611 SW WASHINGTON SQUARE RD L03 Applicant/Agent: Brown, David Work Description: Awning sign Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 8" X 108" Total Sign Area: 6 Wall Area: 3800 Wall Face (Direction): South Sign Height: 7.5 ft. Projection From Wall: 48 in. Illumination: No Illumination Materials: Fabric/metal Electrical Permit Required: No Building Permit Required: Yes Total Permit Fee: $165.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. Approved By: obift - / f Permittee Signature: ,� iZA/A / I !p . City of Tigard Sign Permit Application TIGARD GENERAL INFORMATION Name of Develo ment / FOR STAFF USE ONLY /� Site ,DSeph - 1,1k C Address/ Street Address / // Permit No.: -- :: ls7 PO/ Location 9 6/ 1 S Gri �/Q5I7,h, / y hL Approved B PP By: Suite /Bldg. # City/State Zip � , /� y El l-9 a Date: [[ / / � / - 7 Q Name Receipt #: 1 ' b _ `7 / / Property Map /TL #: I51 (P 9() 11031 Owner Mailing Address Suite Zoning: /11 U `J �j Allowable Total Area: 17 "'D City/State Zip Phone Tenant or Name Electrical Permit Required? 10 Yes No Business TO 5 /5 z5/94/t_ Building Permit Required? Yes ❑ No Name Rev. 7/1/11 is ,�/ /) /`fir \curpin \masters \land use applications \sign permit app.doc Sign /!r/ '/7/119 Cool p'v Contractor Mailing Address I Suite 2.32$ 7f 5 City /State Zip Phone 5-c. 3 REQUIRED SUBMITTAL ELEMENTS </cal e, C ! / o .7 a- o (Note: applications will not be accepted Oregon Con Cont. Board License # Exp. Date without the required submittal elements) 9 / ? ? - 7/1q / 2o 3 Completed Application Form Proposed P ermanent ❑ Freestanding ❑ Freeway Er copies of site /plot plan, drawn to scale Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required) (Check all that J2 -"W ❑ Other t " 11" 17" apply) size requirement: 8 /2 x 11' , or 11 x 17 f 2 copies of elevations, drawn to scale a sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions: 9 ,. x 9 , o e 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) 3 8 - ©IS (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N 0 E W NE NW SE SW Height to top of sign (feet): 7 e " • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): g must include dimensions of wall face and sign placement. Materials: 1 b,- rc /,41 Al 1""#'5 • Wall signs do not require site /plot plans. Will sign have illumination? ❑ Yes ,2 • 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? ZkYes ❑ 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 of2 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. -1e; - 2_ 1 - 1 2_ Applicant Signature Date C/ I Z Signature of Owner gent Date o/ /1—Ur;e-s7 s-1) `1I0 •93-4 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 l C II ITY OF TIGARD RECEIPT It 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 186979 - 05/31/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00101 Sign Permit 100 - 0000 -43115 $144.00 SGN2012 -00101 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 1174 HWATKINS 05/31/2012 $165.00 Payor: The Awning Company - David A Brown Total Payments: $165.00 Balance Due: $0.00 Page 1 of 1 QTY ( iii-o" TS. A. SANK CLOT THEK5 41i 4'-0" 4'-0" n 8" COPY HEAT TRANSFERRED GRAPHICS ON 60" FOREST GREEN SUNBRELL VINYL COLOR USED: 751 -10 WHITE ,_0410 , L Graphics Approval Job Name: JOS A BANK Job Number: A5C4988 The Awning Company ['APPROVED ['APPROVED W/ CHANGES El NEW PROOF Customer: Revision: (503) 910 -9540 Fax 364 -2229 Approved Date bate: 5 -10 -2012 r s iN ,....V i Z 4 101 /_, !Y �Y a h A �Y° Aw NF 1Y o °._ _ _ t► - — 3 S T Cc.R3 if /J 4 q� �owH,h �p9�y NI 3?)3 -cj /O -964 $1 _ SAS /N Cis �+ 9 68 I ' ;s /. S4' - II. - I 141 - 3 -4)5 /7 er,Aeg / Q ; e pp CITY OF TIGARD Approved Conditionally Approved [ ] For only the w rk as desoribe: PERMIT NO. See Letter to: [ Job ich _5.442.012 - - kuNtor . \t) 1‹. 324 I '