SGN2013-00073 A CITY OF TIGARD SIGN PERMIT
z 3 ,. Permit#: SGN2013-00073
• COMMUNITY DEVELOPMENT Date Issued: 06/03/2013
TIGARD, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102AB03100
Jurisdiction: Tigard
Name of Business: Sherrie's Jewelry Box
Business Address: 12425 SW MAIN ST
Applicant/Agent: Schilling-Devaney, Sherrie
Work Description: Install a new wall sign on south facing wall. (84'x 48").
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 84"x 48"
Total Sign Area: 28
Wall Area: 335
Wall Face(Direction): South
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials:
Electrical Permit Required: No
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: aQ ., Ca.A. .,ta -
Permittee Signature: Q_ C_12pkt C G..tL-C/-
•
RECE1EU--
JUN 0 U.�2013
CITY OF TIGARD
• City Of Tigard PLANNING/ENGINEERING
Sign Permit Application
TIIGARD
GENERAL INFORMATION
Name of Development/Pi-meet FOR STAFF USE ONLY
Site Jbe,vri e S Jtwa VI.r &V
Address/ Street Address Y Permit No.: S C N oil 0l 3 — 00073
Location 1-4-4,4. %CO 1Yc1 � i-
SuiteiBldl; # +I ii state tip 1pproved By:
l ,c(. ,v-r' o Cl�-Z7�J Date:— �D '3 13 —
NamLe ` O Receipt#: IQ) I(P (7
Property 6'I,e Gvf [0.i/ t/) Map/1L#: a S/.I�O O . Pt f3 — 0 31 0 a
:
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Owner Mailing Address Suite Zoning: D Allowable Total Area: 15 0!0
(:ir//SState Zip 'tine
)LKOAAA r�ICO `�K Electrical Permit Required? ❑ Yes pll No
Tenant or Name
Business J,3 E. Skew elti Building Permit Required? ❑ Yes ❑ No
Na Rev 7/1/12
I' i r.\eurpin\masters\land lice appl,rannns'•.atin,pertmt Appal'.
1
Sign S-1 V1.'
Contractor Mailing Address Sum
jog A S.-
ogaS.' s,ti PG VC ,b,u +It..A
City/State tip dine REQUIRED SUBMITTAL ELEMENTS
Gt.✓A oil yo22'3 503 xyy --2g1- (Note: applications will not be accepted
(h gon Const.Cont.Board License# 14.bate without the required submittal elements)
❑ Completed Application Form
Proposed Permanent I recstandmk 1'recua,
❑ ❑ ❑ 2 copies of site/plot plan,drawn to scale
Sign ❑ Tempi'rar ❑ Roil ❑ I:Iectnmu
(3 copies,if a building permit is required)
(Check all that 2rWa11 ❑ t>ther t ,
appl)) size requirement: 8!z'x 11",or 11"x 1 7,e
❑ 2 copies of elevations,drawn to scale
[r New sign? ❑ Alter to existing sign? (3 copies,if a building permit is required)
Sign Dimensions: . r,, ys o size requirement: 8t1/2z"x 11",to 24"x 36"
Total Sign Area(sq. ft.): , [r $1?1.(H)Fee (Permanent sign,any size)
—1 s.,e
Total Wall Area I(sq. ft.) 111 $54.00 Fee (Temporary sign,any type)
Sign Data 33.f s-/. . 45,1f
((:>■nplete all Direction' 'all Faces(circle one):
items in this NOTES:
section) N S E W NE NW SE -
Height to top of sign(feet): • 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.
• Wall signs do not require site/plot plans.
Will sign have illumination? ❑ Yes la-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?
gYes ❑ 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 1 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.
SI, ATURES of each owner of the subject property are required.
,��vu,� ��� 4 _3.0 (,)/ 23
Signature Date
Signature of Owncr/Agent Date
ji4A))" , . 5<3U 2 - 01VV
•
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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CITY OF TIGARD .Y
Approved ^ `^ [
SHERRIE'S JEWELRY
conditionally Approved.
SOUTHWEST WALL For only the wol as described in:
pERMITNO. `>`,-,1 "'2(3 ' — oQc) 73
° = 1 -0 See Letter to:Follow
SCALE:
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Job Address:A ° -'1 S Ste► �;n i
13yr Date: (.0 _l_ 1'
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I OM JEWELRY & REPAIR
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COLORS SHOWN ARE APPROXIMATE.THIS DESIGN AND ENGINEERING IS SUBMITTED SOLELY AS PART OF OUR PROPOSAL AND IS TO REMAIN PROPERTY OF FASTSIGNS'TIGARD AND ANY OTHER USE HEREOF IS PROHIBITED AND SUBIECTTO DESIGN AND USE CHANGES.
FA 5T51GN5® 1152 223 HWy.
Tigard.SW OR 9 977223
PHONE 503.244.8813
More than fast. More than signs: FAX 503.244.7753
CITY OF TIGARD RECEIPT
9 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
T;I G ARD
Receipt Number: 191617 - 06/03/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013-00073 Sign Permit-LRP 100-0000-43117 $22.00
SGN2013-00073 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 14178 CCAINES 06/03/2013 $171.00
Payor: Sherries Jewelry Box, Sherrie L. Schilling-Devaney
Total Payments: $171.00
Balance Due: $0.00
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