SGN2013-00108 CITY OF TIGARD SIGN PERMIT
Perrmit #: SGN2013- 00
• COMMUNITY DEVELOPMENT Date Issued: 09/10/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S135DD00800
Jurisdiction: Tigard
•
Name of Business: Salvation Army
Business Address: 11847 SW' PACIFIC 'HWY
Applicant/Agent: Azeltine, Larry
Work Description: New 10 square foot sign on thewestern side of the structure.
Permanent: Freestanding: No Freeway: No.
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 40" x 36"
Total Sign Area: 10
Wall Area: 1380
Wall Face (Direction): West
Sign Height: ft.
Projection From Wall: in.
Illumination: Internal
Materials: Aluminum, Plex
•
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $178.00
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: /
Permittee Signature: � / , // ■ ���
City of Tigard
: — Si Permit Application
Sign pp
'CIGARD .
SialSERALLUEMBMIUMIS
Nstn of Deulopment% Projc,i $ ,, Q , /
Site /l �'/? 'S !� 1 `E• 71/11/1., FOR STAFF USE ONLY
Address/ Saw Add tea Permit No.: t ifNg, 8 - oc l'o f
Location
Approrved BV 3F
Suitc!iildg tt t1� %tity Scarce ,,, Ma C "/o— (,3
t 1(! p rna a . 9T a23 . Feel_
k je4/ /N ne C Receipt #:
Owner Milting Maras sane Nap /TL#•
'
.� N a 2...A wt Zoning:
(-icy/Slate 4 S t 7 "'me Allowable Total A. 2 �
35• MA._
x
Tenant or N"OL
Business tip (,� Wearies! Permit Required? ❑ l es ❑ No
Nome O ' ! Building Permit Required) ❑ Yes ❑ No
Sign d .Q S pe G I 1-�C aa. P,;m3
err. t. 6124 N'.Nr.oen',[and ['x Appl R.mudoc
Contractor
1 4 1 175 - Si Pcwall 141kr
r�tt/Swe itP 'I 'IV 7 c
G re5Jair1 0 V 3 - 3 20 Ve' REQUIRED SUBMITTAL ELEMENTS
Mope Coca Coat Board tjo run if kxp. ee (Note: applications will nat be accepted
j q 5.0 ? d 10/ 1 / 20/L) .ithont the required submittal dements)
prpppsed ❑ Ptxmarxat ❑ Freestanding ❑ Fnevay ❑ Cumpletcd Application Form
Sign ❑ Temporary ❑ Roof ❑ falaarottit. .amt fa ❑twat ❑ 2 copies of site/plot plan, drawn to scale
APPIr) (3 copies, if a building paint is :e quned)
size requirement 8', x 11 ", or 11" x 17"
ligiNew sign? ❑ Alter to existing siRtr? ❑ 2 copies of elevations, drawn co scale
Sign Dimension:, 10 t t < 3 c " (3 capreb, if a building permit is n gtdred)
Total Sign Area (sq ft). size requirement. Sits" x 11 ", to 24" x 36"
1 a .s �.6 ❑ Application Fee
Total Wall Area isq ft.) I = .3
�. �" F it
.2_ �.
(+eu au Met:. Wall facts (cattle one): NOTES:
item• we this
Boa) N l,. / NE NW SE SW • Wall signs do not need to be drawn to scale, but
Height to top of saga (feet): must Include dimensions of wall face and sign
Prolectmon From Wall (inches): placement.
Materials; f rod+ e - 4 I I j V ett ._ • Wall signs do not requite site /plot plans.
Will sign have illumination? Yes ❑ No • Freestanding signs over 6 ft. and walls signs of
Type. la Internal aExtcrnal which any clement weighs 20 lbs. ce more require a
Arc there my existing frecutaading or wall signs at this location, building permit.
including wall signs that overlap a tenant space.? St ION I t10 it,
Yea ❑ No S' r (6
If "yes", a bat or diagram of all sign dimensions and square
footage rarest also be submitted. (OVER FOR SIGNATURES)
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 -718 -2421 I www ttgard- or.gov I Page 1 AJ 2
1 o constaer an appucauon complete, you wit urea to sutmu na.t. w use . ■ v . _ _ v
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Peanittee" and shall provide financial assurance for work.
* When the owner and the apphcant 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 apphcants 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.
I.
SIGNATURES of each owner of the subject property are required.
f
Ap • cant Signatu . Date
/
P es-1-qr) G S- s,•„ e xof Owner /Agent Date
/
v''intact ' ers • a Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 - 639 -4171 I www.tigard -or.gov I Page 2 of 2
5 . M
'- ;' -x% '' ° City of Tigard
up
'' Sig
n Permit Application
s
F' �: wRtFwws-- ,= �.�;...v�:.r. ._ ,.-- .¢;- �:��:_: r�ay... �..:c;:s:::�.�.�:a:.::a�c� - '.a; :.�:cs:.�:::.: r,-• n.;• v. nx. mu-> ..= s..- .+,:±.'sr,:rf4_5.s'.S.w
GENERAL INFORMATION
Name of Derclnp,ncnr /Proicrt
n /' FOR STAFF USE ONLY
Site // n / S r Ct 1 c- # 4 L/
Address/ Street address Permit No.:
Location approved By:
' Suitc /Ilidl; a (Inv /State AEI, �y,�/+�+►
/ ?Wane C� R. / / O�ot.3 Date:_
Name Fee:
Receipt #:
Property
Owner Mailing Address SUM: flap /TI.#:
Zoning:
City/State Zip Phone Allowahle Total Area:
Tenant or Name
Business 5-4 /1) WAG( y + � q1,44 Electrical Permit Required? ❑ Yes ❑ No
Name I I / � - Building Permit Required? ❑ yes No
Sign
D4-.13 4..B .5 D eci 4 f tits L,LC Rcv 6;_
I- \Cl'lll'I \ \\lastcrs \land l''sc Applications \Sion Prrmit.d,K
Contractor Mailing Address / Suite
yy7ssf Pawc1/ tJI/ y ,
City /State Zip Cj p
T D O 0 Phone
. G rl°Shanl/ Og Sd3 3Ao -VS 3 REQUIRED SUBMITTAL ELEMENTS
• Oregon Cons,. Cont. board license a Lisp. Date (Note: applications will no be accepted
I q o 57 O 1 D II / 20/1.-) without the required submittal elements)
Proposed 0 Permanent ❑ Frcestattdn / ❑ Freeway ❑ Completed Application Form
Sign ❑ Temporary ❑ Roof ❑ Electronic
(Check all that Vl'all ❑ Other E] 2 copies of site /plot plan, drawn to scale
app �` (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: / ' /' (3 copies, if a building permit is rcquircd)
0 `� ( ' n size rcquircmcnt: 8'/2" x 1 1 ", to 24" x 36" •
Total Sign Area (sq. ft.): 1 0 ,S ( ��
(— ❑ Application Fcc
Total Wall Area (sq. ft.)
Sign Data ( VC _
(Complete all Direction Wall Faces (circle one): NOTES:
Item., in this S
section) N E, �' NE NW SE SW
• 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.
Materials: .pi 0S 'f'i C_ A 11,141 • Wall signs do not require site /plot plans.
Will sign have illuminations Yes ❑ No I • Freestanding signs over 6 ft. and walls signs of
Type: Internal External I which any element weighs 20 lbs. or more require a
Arc there any existing freestanding or wall signs at this location, It building permit.
including wall signs that overlap a tenant space? 1q vi N l aY 9 (67
x Yes ❑ No Sl- HO I f i
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 I 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 1 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
❑ A udio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25 01 to 50 kva 301 2
❑ Garage Door Opener* 5001 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 . 4 2 3
❑ Vacuum Systems* >100 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 I'br which no fce 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 (12% of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ H VAC •
❑ lnstrumentaticn
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
`f--'- Other Sii_y T1
Total number of commercial systems: _
*No licenses are required. Licenses are required
for all other installations
I tBuilding∎Pe mits\ELC_PermitApp_ELR ERE doe Rev 05/21201
— - – — —
Collectibles
- - A69 A Antiques
�-. h AL Designer Clothes
Sc: � �tiqu e Store __�. ; .
Art
. Furniture
i3',5 , L __ Lamps •
•
. 1....7., �'� � Books
• a ,� -r ��., 4. ... i Ia�.F ..1r1 h a:., 1-., t -MA. , . .. Designer Shoes
°:.1`"
'4 Watches
1..V 'M.,.-.as. w S- - ..
.., ...,. , . .2 •E`!h 'e- •.
90' . Jewelry
7. Boutique Store
Awning Color )4 ■ ::�`�� .,. 1 —
Mahogany 4667 -0000 i ! _� G ' • `
s ir, .--:: ems- '; ` .,; '"A' 1- i •
. . aor......./ io Vinyl Color , '`te 2 t x ° , � � � r� �°» ,� f � _ - — • .
N
Deep Mahogany a L S, rr t i s ® BoutiqueStore ' 4tv
Brown 225-19 4:i .. ± -. - -.' " ai ,,-^a ,.
MANUFACTURE AND INSTALL ,.. -. r — {> i
three (5) awning covers, front & left, right side, - - r - • ' - x- O . .. -
7" brown vinyl strip with white vinyl copy running along front and side windows ""
THIS DESIGN AND ENGINEERING IS TO REMAIN THE EXCLUSIVE PROPERTY OF ELECTRONIC DISPLAY SYS - LLC UNTIL ACCEPTED AND APPROVED BY PURCHASE.
THE USE OF THIS DESIGN, FOR ANY PURPOSE WHATSOEVER, WITHOUT WRITTEN APPROVAL OF AN OFFICER OF E - - • I C DISPLAY SYSTEMS LLC IS PROHIBITED BY LAW. -
, ORo:3584
+ i `� •l FeM:lc503.s092- 23332.800 JOB LOCA PRAWN BY: Ryan Peterson
11847 5W Pacific Hwy
REVISION: CLIENT APPROVAL DATE
, ) 9126 SW RIDDER RD. TlgerYl, OR P.O, Box 2376
PP
1V11•onUII,, OR 97070 FILE NAME:Sa IyD Bout.ic�ue \Sa yBouCiqucAwnfng2
SIG C 0 M P A Y www,ad•nw.com DALES APPROVAL DATE ACCOUNT MANAGER: Larry A2eltIne LANDLORD APPROVAL DATE
,
Page 4 of 5 •.A Z--
• • • � ' _ ` .. D &B Specialties LLC Tl�i. drawl), 4475 SE Powell Valley Rd. u, D &B Spc •
.Gresham, OR 97080
., 503- 320 -3888
,,,,,,,,',.1.1.,,,,'''....."."r -s'...' .' " WY v ;a* �2 . � • ;2 v V - , , ..s ''r iz • ...
,, 7' V, '`.. "3,v- .x -� `3a. I -� ': .8" �` ° r i ' "°qtr" a .'f .
G(�'�4 P„ •) ;Sass+ _ n r f �,. •
i7. 4- 's lj , t / - t's 4,0010.2.r 'r r.,';'
r e
x., $ +� � 41, � T ` '- ,,, . .... T /' y ., , , ., iii
1 a F
4 ,-:'-',"'..! , .. , T , '' 1, ' :
� R "N + __ 4f , + � ti 4 E k. 4 " : k � „S ,4x- of c _ ° yr - „,,'. , . ' „ ' .
'rcf�. .".-ii:,... , ” .. r 'f.` �f.' - t r• M t« ra: N. ? : , }y' ...,, + 'A+q`,F"Ni�M: " � + ° J ?+ •4=7Y 't '�i y tea, � q.+�}
Y' ,' *S - >; f,* t t r nP: -.g5 5- F 4, ' n ,� , ,ii.. , J :*i'
f 3t`e , i s .- J' :- 4^ '-_ ^ : 'a�: f . ;� R4M.4, :.,1• "' c ..{ r, a., ...7.
n� 7 ..„ y, Ffi,•`�' ' 7 „._ .. 4 , . 2.i t ' F " , ,,i -nl.. .•,,:.,;p•,r, •§`L}`°3 `''�ILx�,"z, ... :J ;'_ � :.T,� j,, _ .� i.4.
{ .k y, �!' �;.�• � :;= •. , •' *��.. to z`t L'h �`• "+i.�5':,u,..3 ?'''�^ ; .�' , �,kvrY�?5,��ai . ;. � ,� r
. .
. .. .. ; , zi .. v "r }:5 rp C �' `" ; Y o r . :y •':s � ..,�1 2�� '1T. , c A1,;_. 0 ;..,f 't L n f� Y
Y'2i s.v r 1 i "i, - _ a z "- •F� ,�: 'Rri�,;V:. � tt ` a'".. n `_"'S`f, <:
. , ._ . ,��" --� � a•' $' "r�c.Ki �_j. }.,; y ,l, _ ±� ''-.' Y? t ' i, : ' ,. Y�;F , �' s.• - a` 9 q z
, . .. .
• :
.. .• l -�- ,.' `�E 1-.L�ty '`� �,e�"! e r .."�' ` „ yr _ �'� d' .ri � �E fi T v - .� 1 ` � t"^T`'1' ss "'+� -S' [�_ `� ^:a . • . .. . . . 7. \�ru ? ..��.. r .. .,:.
_
�y+:r. ,,p Y •d'az IdFfP• r t •
,d1 k ii--nn F rt a ; '.w -
_ y i ' v z Z , 4 „, 'ro". E s y+g' y' ii'$ Na r�+ �: y i • 4
"'}• 4 , ' , . _-- 4 7.5 . .,..
`'4t v ` i�F .�� _ _ 1 :1:'-..' , y .r\.:I ;. „ r:y h `•C.r_ iF' r O ;It:, ` i r A / ” : £ j � . • _ -- ;.. r:7.r"7 _ +y y.,. Vt ;tee ,: 1 �. 'iiF i'°'7. a '.C:...., {! u. '. ` a ,.a
6 E /CtL G(1 6- , V . ,• . .
dh_ %,uc iul(ic'S LI 111 LInr .
}
. •� /9/��1f' / •657.5
' r tr. d 5 t- K 4
• --ry 4. si7Q lit c, 0 .
•
, rii kiteni-es i & . 414
8/2 /2013
1
D &B Specialties LLC Thi.► chewing iN prnprietuo. v
4475 SE Powell Valley Rd. to 1)113 Sprtiulti.'.► LLC•
Gresham, OR 97080 .
503- 320 -3888
m
L e 0 1 3 j a o Building
- 4‘..c - 7,m`
Z 36.1 inches
D
>m o f 'a 3
'O
l a
i
, i'll .,
318 "x3 "lags
» 1 7E1 I a
and lag shields
SAO into concrete
A 0:3 4 total on each
U
A R sign
c
t - ° o Power supply
....4 ,X v
*mom=
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
dh_.1pt =ut=n•.'u hi,. r , •nt=
.
1
7 ",l / ,9%�(
' --
N.
CITY OF TIGARD
Approved [ )
Conditionally Approved 1 I
For only the work as
r PERMIT NO.iV� /
� � See Letter to: Follow f 1
Job Addre Attach
By: Date: 170 -/
p
P.
i , ' V \ *- c
■
1
Ica, 0: 0 f
. #,„,/,,,,,, )
°�
gin=' +, .. , ,
' . i' CITY OF TIGARD RECEIPT
i C, ,' ,. q
' it 13125 SW Hall Blvd., Tigard OR 97223
_ 503.639.4171.
TI G A RD
Receipt Number: 193030 - 09/10/2013
•
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00108 Sign Permit - LRP 100 - 0000 -43117 $23.00
SGN2013- 00,108 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
, Total Payments: $178.00
Balance Due: $0.00
r+
r,
.iP
.
1
Page 1 of 1