SGN2012-00117 n CITY OF TIGAR SIGN PERMIT
IN S P Permit #: SGN2012 -00117
COMMUNITY DEVELOPMENT Date Issued: 07/19/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S135BA00102
Jurisdiction: TIGARD
Name of Business: Artistique Wow Brow
Business Address: 10246 SW WASHINGTON SQUARE RD
Applicant/Agent: Ott, Roger
Work Description: Installation of 1 permanent wall sign at 10246 Washington Square Road
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 23x1
Total Sign Area: 23
Wall Area: 406
Wall Face (Direction): South
Sign Height: 1 ft.
Projection From Wall: 3 in.
Illumination: No Illumination
Materials: CAB Molded Letters and
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $0.00
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: 7 4
U
Permittee Signature:
RECEIVED
JUL 19 2012
• City of Tigard CITY OF TIGARD
Sign Permit Application P LANNING/ENGINEERING
TIGARD
GENERAL INFORMATION
Name of Development/Project
GNL, f5'kn SCAlAecTt - GO
Address / Street Address Permit No.: FOR STAFF STAFF USE ONLY
W SL
Site 56/00 /c2 - 60 // 7
Location 1 C -1 b .3 v.\ QAshinf"`11v !
Approved By: ' Tat L)
Suite /Bldg. # /State Zip
(l to.4/ /J ell(ra3 Date: 7 -i y -012
Name Receipt #:
Property V \c 5 h 11 »" S'\ K � . Map /TL #: i 573
Owner Mailing Address 2 Suite Zoning: Al t) C--
0 g O O Sk3 Allowable Total Area: /�tr
City/State Zip Phone
/
I i � 012 1 ' 1 11 - J43 5 � 3 -63` nbc
N Electrical Permit Required? ❑ Yeso
Tenant or _ e
Business ( gtio\ U�-e- `"° �rp>✓J Building Permit Required? 0 Yes No
Name Rev. 7/1/12
J 0 k. It A -Y ` ^ s \ cmci � V is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
❑ Completed Application Form
Proposed N 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
apply) wall Other size requirement: 81/2" x 11 ", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
isi New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: 14 i f bX1 I 5)0 size requirement: 81/2" x 11 ", to 24" x 36"
NI Total Sign Area (sq. ft.): ..3 sit ft , ❑ $171.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) 1 El $54.00 Fee (Temporary sign, any type)
Sign Data ' �a 10 =
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N pS E 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): 'L" 3 „ must include dimensions of wall face and sign
'��" placement.
IVlaterials(Q �u,t �iK+1 ? 3r„N► ASH%. • 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 ®, No
(OVER FOR SIGNATURES)
If "yes ", a list or diagram of all sign dimensions and square
foota . e 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.
- TN / 24 2._
Applicant Signature Date
A 4 1 k - -7X
Signature of Owner /Agent Date
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 2 of 2
CITY OF TIGARD RECEIPT
j . 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TEGARD
Receipt Number: 187616 - 07/19/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00117 Sign Permit 100- 0000 -43115 $149.00
SGN2012 -00117 Sign Permit - LRP 100 - 0000 -43117 $22.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash JFLOYD 07/19/2012 $171.00
Payor:
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
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Approved I /'
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. I. , _ • Sir.i t anrC,A For only the work as described in:
Qh►t> t — , PERMIT NO. 5 - 0 0 117
iliac /loco Aoki See Letter to: Follow I 1
/ 0 T F(CJ4, C ro a trta Attach . I 1
Job Address; . _tAaq . t` - S
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SQUARE TOO
AT WASHINGTON SQUARE
Mall Address:
BUILDING A BUILDING B SQUARE TOO AT
WASHINGTON SQUARE
9585 S.W. Washington Square
Portland, OR 97223
TROSrT ELE RM. W - hone: (503) 63
hone :(503)63 -5612
‘,11 TEL R MAINT . ROOM j�
C/ P 639-8865
"��'I For Leasing
RED ROBIN ¢N COST PLUS A07 m' j Information Contact:
• 7774 SF N FED 5X KINKO'S m y m y Alesha Shemwell
<me 47,064 SF 5620 SF ° y n °m _ 803 KrIsN Hartley • ga„ ¢ m a AVAILABLE Specialty Leasing Manager
• 0 • Q < 24.1888E Macedch •
Z 7525 766d 8 0210
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Redmond. WA A 98055 2
Phone: (425) 869 -2640
• - Fax: (425) 867 -1577
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CITY OF TIGARD (/ % LAST UPDATED: 12-094/9 Approved e[ i BY: JA
Conditionally Approved I 1 BUILDING C �` MACERICH°
For only the work S N described rh /� 7
PERMIT NO. T 7 visit our web site at
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Job Addre� ��' `� � � Y , �' a ��.� SITE PLAN
By: Date:
NORTH
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Artistique WOW Browz