SGN2012-00076 CITY OF TIGARD SIGN PERMIT
11 ' Permit #: SGN2012 -00076
• COMMUNITY DEVELOPMENT Date Issued: 05/11/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S134BC00200
Jurisdiction: Tigard
Name of Business: Berry Farm Yogurt
Business Address: 12160 SW SCHOLLS FERRY RD 100
Applicant/Agent: Scannell, Greg
Work Description: Wall sign 20.5 sq ft
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 13'- 8 "x1' -6"
Total Sign Area: 20.5
Wall Area: 136.85
Wall Face (Direction): West
Sign Height: 8.5 ft.
Projection From Wall: 4 in.
Illumination:
Materials: acrylic /aluminum
Electrical Permit Required:
Building Permit Required:
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.
O
Approved By: A ,i,.41Ly /t I
IPF
Permittee Signature: ./�I�� /..
RECEVED
,ip ■ City of Tigard MAY 112012
Sign Permit Application CITY OF TIGARD
T► G A R D p �NNINGIENGIN EERING
GENERAL INFO
Name of Development/Project VI?
FOR STAFF USE ONLY
Site /
Address/ Street Address fa Permit Noy S 2,a/2-'44074
Location 12.1 C7c 5W ScliJ 115 >e
suite /Btdg. # city/Star. Zip Approved By
/0° I ' i Q 617223 Date:
)--/t, 7l Name Receipt #: /(� (/f j� G.O
Property r� - Veen Way Cc n+c r Li. C. Map /TL #: 1 s 7
j ' i O I9 6)
Owner nMailing Address Suite Zoning: C
520o 5 `, ' M c-Ue a A V Allowable Total Area: ibfC'
ttv /State Zip qn` Phone
Tenant or prf ad d U� // 1 2.21-0'178
Electrical Permit Required? 1:1 N o
Yes E
Name '
Business err iv ran, Y° 3 Li r 1--. Building Permit Required? ❑ Yes 0-No
Name Rev. 7/till
PA is \''..Ph \mastcra \hml use applicauonAs ge permit app-doe
Sign e et- 5 -� n Cow, pony, -
Contractor Mailing Ades Suite l
15205 SW 74i Avc-
City/State Zip Phone REQUIRED SUBMITTAL. ELEMENTS
15 Q,,• j Y7224 620-3200 (Note: applications will not be accepted
o Con - st Cont. Board License # Exp. Date without the required submittal elements)
" O I 2 // i 3 ❑ Completed Application Form
Proposed T� ent ❑ Freestanding ❑ Freeway ❑ 2 copies of site /plot plan, drawn to scale
sign Temporary ❑ Roof K ...c. (3 copies, if a building permit is required)
(Check all that ❑ wall ❑ 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 Dimens• t i , i y &; ∎) ,x ` to J i 1...... / i, 1 • size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): ❑ $165.00 Fee (Permanent sign, any size)
Total Wall Area (s2_ ft.) El $52.00 Fee (Temporary sign, any type)
Sign Data 136-85 = 1
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
Ccction) N S E CD NE NW SE SW
Height to top of sign (feet): j • Wall signs do not need to be drawn to scale, but
Projection From Wall (arches): must include dimensions of wall face and sign
placement.
Materials: U�y. it 1 rc. a I t. rn : n i....-vi • Wall signs do not require site /plot plans.
Will sign have illumination. Yes ❑ No • Freestanding signs over 6 ft. required a building
Type:
1st
External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes '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
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 "Peraitt e" 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 cub owner of the subject property are required.
9 A 2
Applicant Signature Date
i J i r��v -i,o p ft U .
Signature of Owner /Agent Date
q SGa:1ne.(f - S19y
Contact Person Naha 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
.�
CITY OF TIGARD RECEIPT
c g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 186686 - 05/11/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00076 Sign Permit 100 - 0000 -43115 $144.00
SGN2012 -00076 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 2034 HWATKINS 05/11/2012 $165.00
Payor: Scannell Development Inc
Total Payments: $165.00
Balance Due: $0.00
Page 1 of 1
SCALE: 3/4 = 1' -0" MA NU DEFACTURE SCRIPTIOAND N IN S O N OF TALL
WORK
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Standard Form of RETAIL LEASE Please Initial
Page 15
January 17, 2006
Landlord Tenant