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SGN2013-00038 CITY OF TIGARD SIGN PERMIT 111 i . Permit #: SGN2013 -00038 COMMUNITY DEVELOPMENT Date Issued: 03/25/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S101 DA00105 Jurisdiction: Tigard Name of Business: Extended Stay Hotel Business Address: 13009 SW 68TH PKWY A Applicant/Agent: Gibson, Garrett Work Description: 3X10' freestanding monument sign replacement using same footings Permanent: Yes Freestanding: Yes Freeway: No Temporary: Wall: No Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 3X10' Total Sign Area: 30 Wall Area: Wall Face (Direction): Sign Height: 3 ft. Projection From Wall: in. Illumination: Internal Materials: 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: gi /" Permittee Signature• a � _ I IN • City of Tigard Sign Permit Application TIGARD GENERAL INFORMATION Name of Development /Project 1 ) l / 1 FOR STAFF USE ONLY L Site Gx ec S'-c-y gle-/ y� b Address/ Street Address 1 r� Permit No.: SG N 2O \'5 — 0003c/ Location 100 q Sw q ( tr"- P\2—,u ,' Lj Suite /Bld # City /State j� Q Zip Approved y l4/a , N 1ZZ3 Date: 3 ZS 13 Name 9 Receipt #:. 1q072-0 Property EX-I-e,.ce.cA. JrC S POie (5 Map /TL #: 1,5 1019A3010 S Owner Mailing Address /I Suite �� Zoning: .� 1.5 Z Al, 5 (p w- lf //ouj C /ed. ,0 /&i Allowable Total Area: City/State f� Zip a 11 Phone ChVlb 11 , /(/ / 2oZ" Electrical Permit Required? igt Yes ❑ No Tenant or Nmie Business e et/ X S4-. Holt / Building Permit Required? 11 Yes ❑ No Name Rev. 7/1/12 � is \curpin \ masters \land use applications \ sign permit app.doc " t`— Sign -u`""■- �i,5 tn..5 Contractor Mailing Address 1 Suite 11 (p C - 7 / / ( r a t e Zip Phone REQUIRED SUBMITTAL ELEMENTS A t of Q 7 (, 565: 4555. (Note: applications will not be accepted Oregon Const Cont. Board frcense # Exp. Date without the required submittal elements) t0 ZZ i1 Z 5 0 Completed Application Form Proposed P ❑ Permanent Freestanding ❑ Freeway ❑ 2 copies of site /plot plan, drawn to scale Sign ❑ Temporary Roof ❑ Electronic (Check all that (3 copies, if a building permit is required) apply) ID Wall El Other size requirement: 81/2" x 11", or 11" x 17" ❑ 2 copies of elevations, drawn to scale ❑ New sign? a Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions: 2 ` x lc size requirement: 81/2" x 11", to 24" x 36" Total Sign Area (sq. ft.): 3 O ❑ $ 171.00 Fee (Permanent sign, any size) S' Data Total Wall Area (sq. ft.) _ o ❑ $54.00 Fee (Temporary sign, any type) '' . NAB (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W 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): /WA must include dimensions of wall face and sign placement. Materials: ,4„,...;.,,,,,, • Wall signs do not require site /plot plans. Will sign have W umination? Yes 11 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? es No If "yes ", a list or di g ram 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 "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. /z z - Applicant Signature Date Signature of Owner /Agent Date 4 We ,Z( - 563 -� 1 q 555 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 � 1111 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 190724 - 03/25/2013 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2013 -00038 Sign Permit - LRP 100 - 0000 -43117 $22.00 SGN2013 -00038 Sign Permit 100- 0000 -43115 $149.00 Total: $171.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 3625 HWATKINS 03/25/2013 $171.00 Payor: Ramsay Signs, Inc - Garrett Gibson Total Payments: $171.00 Balance Due: $0.00 Page 1 of 1 EXTENDED STAY HOTELS Date: January 12, 2012 To Whom It May Concern: ,r I hereby authorize '45-A.(1, � and their representative(s) to act as agents on our behalf to apply for sign permit(s), sign variance(s), and to perform any sign installation work at the below address: Extended Stay America CCCI C:- „, Sincerely, Property Manager Name / Title: David Kellam - Director Of Exterior Sign Systems & Special Projects Property Manager Street Address: 11525 North Community House Road, # 100 Property Manager City /State /Zip: Charlotte, North Carolina 28277 Property Manager Phone: (980) 342 -1626 Property Manager Signature: ExlendedSlayAmerica Homestead Studio Suites StudioPlUS Deluxe Studios PHOTO EDITS 1 O93439.JPG 1 = .4 Y'! 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