SGN2013-00068 CITY OF TIGARD SIGN PERMIT
71 A
Permit #: SGN2013 -00068
• COMMUNITY DEVELOPMENT Date Issued: 05/14/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112AD00700
Jurisdiction: Tigard
Name of Business: PIONEER WATERPROOFING
Business Address: 14830 SW 72ND AVE
Applicant/Agent: CRAWFORD, MIKE
Work Description: New freestanding monument sign at 14830 SW 72nd Ave measuring 50 inches high and
112 inches wide (46.67 SQUARE FEET), with a measurable sign area of 39 inches high
by 72 inches wide (19.5 square feet).
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions:
Total Sign Area: 19.5
Wall Area:
Wall Face (Direction):
Sign Height: 5 ft.
Projection From Wall: in.
Illumination: External
Materials: BRICK, STONE
Electrical Permit Required: Yes
Building Permit Required:
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: '/ / ''e-' -g--------------
Permittee Signatur•.
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PERMIT NO.
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Attach ._..
Job Addres
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1 14 CITY OF TIGARD RECEIPT
S : 1 3125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 191378 - 05/14/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00068 Sign Permit - LRP 100- 0000 -43117 $22.00
5GN2013 -00068 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 4148 JFLOYD 05/14/2013 $171.00
Payor: Pioneer Waterproofing Company
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
P h a • City of Tigard
Sign Permit Application
TIGARD
. . .. ..
GENERAL INFORMATION
Name of Development / Project
/' P FOR STAFF USE ONLY
Site 'i sale WIK -� (o • ( (, /'
Address / Street Address t U /t/OWS ` 6 �(� �ermit No.: J
Location I q s) -7 A \pproved By: /"
Suite/ Bldg. # c: in, Sine '^ Zip
/ 14/4 V A 9 I z (f Date: r /y -/,3
Nairn Receipt #:
Property CQAwAG• La. Map /TL #:
Owner Mailing.\ddiess O Suite Zoning:
14030 j0 SkJ 7Tit' p✓{�. 740 >4id !
Allowable Total Area:
City /State Zip �/ Phimc
1147/4(10,0d• ' ' 7 Z 7 $ 2 '" Electrical Permit Required? Yes ❑ No
Tenant or Name
Business ?':1ONF .r ie w4 Building Permit Required? El Yes El No
N. min - '��,�—_- Rev. 7/1/12
/!�.Y is \cucpin \ masters \land use applications \ sign permit app.doc
Sign ?;(0-4 OP PIO /'t 1
Contractor Mailing Address Suite
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Conxt. Cont. Board License # lisp. Date without the required submittal elements)
❑ Completed Application Form
Proposed P ermanen t � Freestanding ❑ d Free, .n ❑ 2 copies of site /plot plan, drawn to scale
Sign ❑ Temporary ❑ Roof ❑ Election„` 3 co ies if a building
(Check all that ❑ Wall El Other ( p ' permit is required)
apply) size requirement: 81/2" 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 Dimensions: I , Z t � � N size requirement: 8t /" x 11", to 24" x 36"
Total Sign Area (sq. ft.): ti--, 5 1 -P. ❑ $171.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $54.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) & Q E W NE NW SE SW
Height to top of sign (feet): 5- • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Materials: b S -rape . • Wall signs do not require site /plot plans.
Will sign have illumination? ® Yes ❑ No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal 10 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)
foots a must also be submitted.
City of Tigard 13125 SW Flail Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 1 oft
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 "Pennittee" 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.
�
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Applicant Signature Date
. , i _____. : " 6 - 1 .
s- 11110
Signature of Owner /Agent Date
6I C'4 S - 0 3 -73Z - 7010
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 Paget oft