SGN2013-00058 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2013 -00058
COMMUNITY DEVELOPMENT Date Issued: 05/02/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S136DB02400
Jurisdiction: TIGARD
Name of Business: None
Business Address: 11642 SW PACIFIC HWY 100
• Applicant/Agent: Champion, Roberta
Work Description: New wall sign, 3' x 8', on the west side of the building. Located at 11642 SW Pacific
Hwy.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 3' x 8'
Total Sign Area: 24
Wall Area: 1435
Wall Face(Direction): West
Sign Height: 13.5 ft.
Projection From Wall: 10 in.
Illumination: Internal
Materials: Metal
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $171.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: `..L 4 , 44—
Permittee Signature: MA pr
L.
•
REC
APR 2 9 2013
• City of Tigard CITY OF TIGARO
Sign Permit Application PLANNING /ENGINEERING
TIGARD
Stbt4*3
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site ����y�
Address/ Street Address Permit No.: c5 ) c/�w V 2O13 00a )
Location !t G4 2. SW PAW Ic HWY
Approved By: KY---
Suite/Bldg. # City/State Zip
100 1IGAK.0, OIZ )72Z3 Date: 4 'Lei II
Name Receipt #: 1 1 I Iles
Property RONALD i ROBEI?TA CHAMPION Map /n#: 1SI3loDPO24W0
Owner Mailing Address Suite Zoning: C --67
1 (0 44 9 LEN ti (iTlt CT. Allowable Total Area: 2.15
Cit Zip 97034 Phone CASE,/
LAKE. oswEclo 6z _ 503 - 997 - I Go8 Electrical Permit Required? [Yes 0 No
Tenant or Name
Business NONE Building Permit Required? [Yes ❑ No
Name Rev. 7/1/12
Sign
\curpin\ masters \land use applications \sign permit app.doc
SYLVAN I A C LECT► . IC. LLC
Contractor Mailing Address Suite
5 328 sE to9T"
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
r'l 2TL AN D. O R 97 2.G6 933- 353.7 'SG (Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date
without the required submittal elements)
CC B 1$ 162`] 14 <0 7' I -14- E{ Completed Application Form
Proposed S, Permanent ❑ Freestanding ❑ Freeway Ii'A copies of site /plot plan, drawn to scale
Sign i Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that Wall ❑ Other
apply) size requirement: 8 x 11 ", or 11" x 17"
121 2 copies of elevations, drawn to scale
X New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: '
' X 8 t size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): Z„¢ SF E $171.00 Fee (Permanent sign, any size)
S' Data Total Wall Area (sq. ft.) = 2 El $54.00 Fee (Temporary sign, any type)
1,435 5F '°
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E 0 NE NW SE SW
Height to top of sign (feet): 13'-Co" • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 10 t1 must include dimensions of wall face and sign
Materials: PLE X C) LArS3 M ETAI. • Wall signs.
t 1 ♦ Wall signs do not require site /plot plans.
Will sign have illumination? mr Yes ❑ No • Freestanding signs over 6 ft. required a building
Type: g Internal 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 "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.
K2,A,X7
40,
zz.
Appli.:. t Signature Date
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
1 14 CITY OF TIGARD RECEIPT
s 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 191166 - 04/29/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00058 Sign Permit - LRP 100 -0000 -43117 $22.00
SGN2013 -00058 Sign Permit 100 - 0000 -43115 $149.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 22583P CCAINES 04/29/2013 $171.00
Payor: Roberta Champion
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
Wall Area = 672 SF SIGN #1
(56' long x 12' high)
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NORTH ELEVATION
Existing Awning Sign : George's Giant Hamburgers (sign area = 192 SF)
New sign: Amazing Auto detail (sign area = 3'x8' = 24 SF)
C TY sir i tt,;AHD
Approved [x1
conditionally Approved ...... .»..._--- -_.- -- [ 1 �'�� 3 O�`�
For only the work as described ink
PERMIT NO ,N2°I) - - CXX)— f-' 4
See Letter to: Follow--------- [ 3
Attach - --- _. I 1
Job Address: U' • t _A"' 0_424.11-6—
Wall Area = 1,435 SF
OAS t • .4 n,`,.
SIGN #3 SIGN #5
' SIGN #2 SIGN #4
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ova CFSt...4
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"71,011.1mmieruipammummoomniummemer ,-
WEST ELEVATION
New signs: (sign area = 3'x8' = 24 SF)
Typical of 4, this side