SGN2013-00109 •
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CITY OF TIGARD SIGN PERMIT
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.,. Permit #: - SGN2013 -00109
COMMUNITY DEVELOPMENT Date Issued: 09/10/2013
TLGA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S135DD00800
Jurisdiction: Tigard
Name of Business: Salvation Army
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Business Address: 11847 SW PACIFIC HWY
Applicant/Agent: Azeltine, Larry •
Work Description: New 10 square foot wall sign on southern facade.
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Permanent: Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 36" x 40"
Total Sign Area: 10
Wall Area: 1380
Wall Face (Direction): South
Sign Height: . ft. •
Projection From -Wall:
Illumination: Internal •
•: ": :Materials: Alum, Plex
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Electrical Permit.Required: Yes
Building Permit Required:
Total Permit Fee: $178.00
Conditions:
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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:
Permittee Signature: Ng� _ // /,Allk
City of Tigard
Si Permit Application
Sign pp
T it; ARE) - -
GENERAL _INFORMATION
Ne m' DevelopmcnuAoilai
Site //Sri/7 S g _ /Q # W � FOR STAFF USE ONLY
s nad�.. C:!'�l P ermit No.: .� 1 /3 cb /s
Location Approved Br.
Suitc'TMR # - aty,'suite zip � -/0 -/.3
/ 1 N0A + / 23 Ds`c
t Feel
_.
Property
�.Qd /N these Receipt #:
Owner Nw G t Mtn% state �fap /TI.#: .
- 24.43 Zoning:
Lin /Stan 4'Z7 Phune Allowable Total Ares:
p,a w4 39# Th.
Tenant or Nemt.
Business 5 046 pm At tituf ?ciao iemor Electrical Permit Required? p% cs ❑ No
Namt: Building Permit Required ❑ Yes ❑ No
• r . I • - ' c.x C Rev. ti� 7A: V i
Si xPttvVMUtei,tautd tax nrrr•cadoni s Sign P..mrtdoe
Contractor Modio6.nJdraro Suite
i 7s si Powaii 14. t tf r
Uy /seam uF g7°
G reS{lcm V73-320 .311r
re oe
O Coast cast Bau r; *t # )'.ap. m (Note: appiicatlon I
s will no be accepted
I q 5-o ? 0 10 / ,i, without the required submittal elements)
proposed ❑ pi t ❑ Frecaoe.iing ❑ Fr y ❑ Completed Application Form
Sign ❑ r..p"rar7 ❑ Roof ❑ Hiacttonk ❑ 2 copies of site/plot plan, drawn to scale
ap that iss was _ ❑ _ _ c' - "` (3 coi+ica, if a building permit is :squired)
size requirement 8:!:" x 11", or 1 x 17"
iNew sign? ❑ Alter 10 existing sign?
❑ 2 copies oleic-nouns, drawn co scale
Sign Dimensions:, / 0 I t x 3 ( c r (3 copies, if a building permit is required)
Total Sign Area (sq ft ). size requirement. 8'h" x 11", to 24" x 36" 1 o .s -� VP)
❑ Application Foe
Total Wall Ares (sq ft.) I -
Sign Data i w �'
(comidem a Direction Wall I', cs (circle one): 1\10TES:
item,' m dm e.
on) N S L . _ t � ... , NE NW SE SW
H e i g h t u ' m l } s i g n (feet): • Wall signs s do not need to be drawn to scale, but
must Include dimensions of wall face and sign
Protection From Wall (inches): placement.
Materials; fi obg et, -4 A) ii, _ • Wall signs do not require site /plot plans.
Will sign have illtiminanon9 Yes 0 No • Freestanding signs over 6 ft. and walla signs of
Type. 'a Internal > xt iruil which any dement weighs 20 lbs. or more require a
Arc there any Basting freestanding or wall aims at this loc uion, building permit.
including wall signs that overlap a tenant space? $ 1�N 1 p• 9 t ( �
• % Yes ❑ No sl# /4
If "yes", s list or diagram of all sign dimensions and s
footage mat also be submitted. (OVER FOR SIGNATURES)
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 -718 -2421 1 www tigard- or.gov f Page 1 of 2
1 o consiaer an application complete, you wiu neea to submit ru..L. vi wv ,
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permitter" 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 owners) 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.
M
SIGNATURES of each owner of the subject property are required.
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' / /fir ,- 2 ^ / 1
Ap. cant Signatu . Date
P s/-1-8-)3
S' w ' f of Own er /Agent Date
Ir • ntact ' ers • • Name Phone No.
V..,
City of 'I igard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 - 639 -4171 I www.tigard- or.gov I Page 2 of 2
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--e,;-:- City of Tigard
!' Sign Permit Application
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! � f�r _ .1 i. � .. "2. -3 �: `�- '..:._.�d•T: vi1«::-.: rwrIINR4° f-": �l-: �ti. o: �. W:s�.if."+f.:'r.r.�..:-.,.:,¢. =:w' .�:T:-�LG�.'^.La'�J4+if
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GENERAL INFORMATION
Name o f Devcloprncnr /Projcrt
/i t5 S Lei 7 CMc �#1.4/1, #1.4/1, FOR STAFF USE ONLY
Site
Address/ Sneer Address Permit No.:
Location
Approved By:
Suite /Bldg it (:in /State Lip
i +Z
p.�
-ni 4 / / r ._-3 Date:____
Name Fee:
Property Receipt #:
• Owner Mailing Address Sete \lap /TI. #: _
Zoning:
City/Bute Zip Phone Allowable Total Area:
Tenant or Name
Business 6 1a 1 0 4 (PM 1 . 1) - • _7i; . . , Electrical Permit Required? ❑ Yes ❑ No
Sign 'n/� 1
Name / �,o Building Permit Required? El 1 es ❑ N
t./ •t/ 5 pe{..-� I i._ / // LL C Rct. 6/24/ 21113
1;'.Cl'fi Pl \ \.\laucrs`.Lmd l'w apphcannnc•Sien prmiit...c
Contractor Mailing Address Scans
y7sst POE4)C / 14 k y
City/State lip ci TQ 5,2 Phone
G1 re5/,a O R tj C73 3 ,'iQ -3�S - REQUIRED SUBMITTAL ELEMENTS
Oregon Const. Coot. board license st i'..p . Date (Note: applications will not be accepted
' C �D 0 !of I 20/ without the required submittal elements)
Proposed ❑ Permanent ❑ Freesta ` ❑ Freeway ❑ Completed Application Form
Sign ❑ Temporary ❑ Roof ❑ Electronic
(Check all that .,,Wall El Other El 2 copies of site /plot plan, drawn to scale
apply) (3 copies, if a building permit is required)
size requirement: 8 x 11 ", or 11" x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: / 0 / i > .. 'r (3 copies, if a building permit is required)
Total Sign Area (sq. ft.): !S (— ,..5 (3
/ Gt size requirement: 8 /2" x l 1 ", to 4" x T. C- I 0 • ' ❑ Application Fcc
Total Wall Area (sq. ft.)
Sign Data 12 VC'
( Complete at Direction Wall Faces (circle one): NOTES:
items n this
secuun) N W� NE NW SE SW �E6/� • Wall signs do not need to be drawn to scale, but
Height to top of sign (feet): must include dimensions of wall face and sign
Projection From Wall (inches): placement.
Alatcrials: `P • il l • Wall signs do not require site /plot plans.
Will sign have illuminations Ycs ❑ No • Freestanding signs over 6 ft. and walls signs of
Type: '- Internal D] External which any element weighs 20 lbs. or more require a
Arc there any existing freestanding or wall signs at this location, building permit.
including wall signs that overlap a tenant space? 1q R:1 I ay 9 1.67
,
Ycs ❑ No ` :7 H O FP
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted. (OVER FOR SIGNATURES)
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
Electrical Permit Application – City of Tigard
Page 2 – Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined ... $75.00 Description I Qty. I Fee 1 Total 1 •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133 56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34
Wind generation systems in excess of 25 kva: _
❑ Burglar Alarm 25.01 to 50 kva 301 04 2
❑ Garage Door Opener* 50 01 to 100 kva 552.26 2
>100 kva (fee in accordance with 552.26 2
OAR 918- 309 -0040)
❑ Heating, Ventilation and Air Conditioning
Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7,42 3
❑ Vacuum Systems* >lOO kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
O ther: Each additional inspection is 66 25! hr 1
charged at an hourly (I hr min)
Inspections for which no fee is 90.00 / hr
specifically listed (V: hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
• Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918- 309 -0000) Plan review, if required (25% of permit fee):
State surcharge 112% of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
❑ A udio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
n D ata Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
- Other
Total number of commercial systems: —
*No licenses are required. Licenses are required
for all other installations
I .\Building \Permes\ELC Permit ADD ELR_ERE doc Rev 05/2 I r2013
Collectibles
)). ��d
gW�1l Antiques
,--• h Designer Clothes
: _ Art
0 Boutique Store Furniture
�' n.
f � ` � - Lamps
• ..,•, ,li , i Books
�Gy'` <. Designer Shoes
,u� �ti " t ,,.....-•• , �dlt'r�iF- ::3•"�t z v' '�t' -- --- - _. r. � rn�r•E,^}F'4r ,- +� "` — '�`; - �
: ..:.r,-. r - -. . ; 0 e -- Watches
9'0 �— Jewelry
7 .
t3uutiqu %: Store
Awning Color ) ... _ —
Mahogany 4667 -0000 .,
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{ _ . . l . i-
: 5 r. -� ), M t� � A..1. i ce. ,/T J i /, V
Vinyl Color :1-.:....,..11.,L'.% '� >.. , � � `r'�� ` sir f y ' l � J �� -
° 'e kszr ;"" `� .' z y ,* PJ. BL uf'.que Store ` i,! r
Deep Mahogany
Y. � T
Brown 225 -19 ' 5 -'�! 1� ' �' r •
I ' • - - - ' VA ' r.
ig • rat! 0
MANUFACTURE AND INSTALL I ,." ; - . l
three (3) awning covers, front & left, right Side, ♦ f-- 'T , 4.� " g •
7" brown vinyl strip with white vinyl copy running along front and side windows
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THIS DESIGN AND ENGINEERING IS TO REMAIN THE EXCLUSIVE PROPERTY OF ELECTRONIC DISPLAY SYSTEMS LLC UNTIL ACCEPTED AND APPROVED BY PURCHASE.
THE USE OF THIS DESIGN, FOR ANY PURPOSE WHATSOEVER, WITHOUT WRITTEN APPROVAL OF AN OFFICER OF ELECTRONIC DISPLAY SYSTEMS LLC IS PROHIBITED BY LAW
OTHCO:503- 582.8400 JOB LOCATION: 1
- - - _ -- —
Faa:503 9223337 I 7 I DRAWN BY: Ryan Peterson
a 11847 SW Mac Hwy I
9126 SW RIDDER RD
Tigard, OR I 1 REVISION: CLIENT APPROVAL DATE
a o 97070 FILE NAME:Sa11y5 boutique Sally6outiclucAwnIng2 11
SIG C O M P A Y o' , I SALES APPROVAL DATE ACCOUNT MANAGER: La Azcltine l 1 LANDI ORD APPROVAL DATE
D &B Specialties LLC Thin drawing is jH f)/U ielur1•
4475 SE Powell Valley Rd. I„ D&13 Spt'e iullie.% LLC
Gresham, OR 97080 _
503- 320 -3888
g -
C t 7. 7 \ \
Building
36.1 inches
• •
ko iQ 318 " x3 "lags
V ; I, • 3 g and lag shields
• Y z z m ,/ into concrete
m e ›.1— o N 4 total on each
.2J a'
° _ ac m r V sign
1
at l
QUUa -,m o
o Power supply
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Illuminated Salvation Army shield (4 total) to be installed onto building.
1 onto west elevation, 2 onto south elevation and 1 onto east elevation, LED wire
LED illumination, enclosure constructed out of .04 coated aluminum
Face to be white plex with red vinyl graphics and 1" trimcap
Weight of each display to be 20 pounds
120v lamp power requirement for each display
All components to be UL recognized
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CITY OF TIGARD
n Approved ...................................
Conditionally Approved ..... .......... � )
For only the work . [ )
PERMIT NO as described in:
� See Letter to: Follow--........
Job Address: Attach ....................... i
•f )
B y:
Date:
— —
4.
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it,
, ______
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CITY 'OF TIGARD RECEIPT
c g . r 13125 SW Hall Blvd., Tigard OR 97223
. 503.639.4171
TIGARD
Receipt Number: 193031 - 09/10/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00109 Sign Permit - LRP 100 - 0000 -43117 $23.00
SGN2013 -00109 Sign Permit 100 - 0000 -43115 $155.00
Total: $178.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 4135 DADAMSKI 09/10/2013 $178.00
Payor° Larry E Azeltine & Norma Azeltine s
Total Payments: $178.00
Balance Due: , $0.00 ,
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