SGN2013-00016 CITY OF TIGARD SIGN PERMIT
I >! Permit #: SGN2013 -00016 • COMMUNITY DEVELOPMENT Date Issued: 02/04/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S101AB01606
Jurisdiction: Tigard
Name of Business: Mission Increase Foundation
Business Address: 7357 SW Beveland ST, STE# 200
Applicant/Agent: McKearnan, Pete
Work Description: Install 16 square foot monument sign
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 47 inches by 49 inches
Total Sign Area: 16
Wall Area:
Wall Face (Direction):
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: External
Materials: Carved Cedar
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $171.00
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.w� 61— UCLA e-�--
Permittee Signature:; ��_�� -7 ,, , e -ri
v /..-
71 CITY OF TIGARD RECEIPT
a . 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 190107 - 02/04/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00016 Sign Permit 100 - 0000 -43115 $149.00
SGN2013 -00016 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
Credit Card 514041 CCAINES 02/04/2013 $171.00
Payor: Peter L McKearnan
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
1, City of Tigard RECEIVED
Sign Permit Application
TIGARD JAN 30 2013
GENERAL INFORMATION et 40 � C i 6 , W a 114/ 16N010i'aNGle co 94
Name of Development/Project
Site 11 l a tJ I N Ll-E ASS fouluptifloiJ FOR STAFF USE ONLY
Address/ street Addtew . Permit No.: 5 Gi A 3 — Do0 /6
Location 7 357 v€1 avid .S e e+ C) 564.)
Bute /Bldg. # City/State ZiP Approved B .
200 TGM10 q 72-13 Date: /f 3 0 10 2 0 / 3
Name Receipt #: 1"
Property 11551 b t iv c(Litts G Fov JO. Map /TL#: .2 5/0/ 04
Owner Mailing Addnru Su ite Zoning: MV t
7)57 5W &✓{ Lid ¶ 2-00 Allowable Total Area: 3 z lir
Otty/Stave Zip Ph°°e 63/ .
Tt (,' /}(�O t1Q. 2Z 3 5 0.3 - ; Electrical Permit Required? IYes No
Tenant or Name
Business M 15 5 I, o N IQ (AE A SE F o 1/ ni 0, Building Permit Required? ❑ Yes a <0
Name (, Q Rev. 7/1/12
Sign
rick M a 5 5I `" �I •v u/ 0' 1 K� \cutk \masters \land use applications \ sign permit app.dac
Contractor Mpg Aadtess Suite
5932 56. 111 Ki.
y(e ff O /State ZiP Phone REQUIRED SUBMITTAL ELEMENTS
g ?ORT t_kI fb Or. 177_66 h 3 - 2 32 —oL33 (Note: applications will j be accepted
/ 9 t� C�c . Board License # . Doe without the required submittal elements)
6 c� 7 6 41 is-113 [ 5- mpleted Application Form
Proposed Peuoa°ent ® Freestanding ❑ Freeway 2 copies of site /plot plan, drawn to scale
Sign 0 Temporary ❑ Roof ❑ Ek (3 copies, if a building permit is required)
(Check all that
aPPly) El was ❑ °�" size requirement 8'/2" x 11 ", or 11" x 17"
t 2 copies of elevations, drawn to scale
(. New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions:. , 7 A 7 ra size requirement 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):I6 It n ❑ $171.00 Fee (Permanent sign, any size)
Sign Data Total Walla (sq. ft) I _ ❑ X54.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items is this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): 51, 'l • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Materials: placement.
G F p �� • 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 14 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 "Penmittee" 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.
�l ��tile R.� 2 2o/3
Applicant Signature Date
y EV(3
Signature of Owner/ t Dat
Pg7 L, /v1 ck NA-N, S - 23 - o Z 3
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
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PROPOSED GROUND DISPLAY
MIS SI
I NCB.EASL
rOUNDATIO"
ar
One 36' x 38' x 2' carved cedar sign.
Letters and 'M' are carved and gilded 22 kt gold leaf
Background is recessed and painted 383U green.
Carved scrolls in 7737U lighter green.
PT post wrapped in cedar and painted 363U green
SIGNWORKS 2012