SGN2013-00100 ,l
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n CITY OF TIGARD SIGN PERMIT
Z r Permit #: SGN2013 -00100
COMMUNITY DEVELOPMENT Date Issued: 08/20/2013
T.IGAIiD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S102AC00700
Jurisdiction: Tigard
Name of Business: Fishfield
Business Address:. 12540 SW MAIN ST 120
Applicant/Agent: Payne, Hal •
Work Description: Wall sign for fish and tackle business.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic:: No
Billboard: No Balloon: No
Banner: No A- Beard: No
'Sign Dimensions: 2.16' x 10.66'
Total Sign Area: 23.12
Wall Area: 1776 s
Wall Face (Direction): Southeast
Sign Height: , ft.
Projection_ From Wall: 5 in
Illumination:, Internal
Materials: Alum /Acrylic
Electrical Permit Required: No
Building Permit Required: No
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: (� ��c,(�, Q .
Permittee Signature:
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City of Tigard
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Sign Permit Application
TIGARD
GENERAL INFORMATION ( 6 rU L ?
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Name of Development/Project FOR STAFF USE ONLY
Site r &Lid
Address/ Street Address Permit No.: „SG N .a C) 13 - 0 01
Location / 5 11-0 S W (\k- N i Sr -
Approved By: C - Ca.; ,, t .)
Suite /Bldg. # City/State f� Zip
L@IL 112-2 Date: 8 -ao -1
Name ,�-�` Fee: 6 177 .0
Property ,Dt� ui-"Cr v (-Co L W Receipt #: 1.9 a 3 37
Owner Mailing Address Suite Map /TL#: a S I o a A C 0 0 . 7 0
1.1(1 owl{- - -t-1 Zoning I4 l.l_ - C.13 1D
City/State
f c 1 (
„ � I- C1� ‘54?, - a - Allowable Total Area: 1 S / o
Tenant or Name (�!
Business j ie• e ) Electrical Permit Required? Yes 0 No
Name v` �� Building Permit Required? ❑ Yes in
Sign lJ is rat`( 5ro //��' „��, y� - t,>a J ( Rev. 6/24/2013
I : \CURPIN\Masters \lmd Use Applications\Sign Pernat.doc
Contractor Mailing Address Suite
1 <4512uff (. S Pete
City/State Zip Phone
l esOsis0p,- '7703; Sa3 -63q 6S (s REQUIRED SUB MITTAL EL EMENTS
Oregon Cooat. Cont. Board License # Exp. Date (Note: applications will nal be accepted
b6 4. r I j t without the required submittal elements)
Proposed l rermanent 1:1 Freestanding ! ❑ Freeway ❑ Completed Application Form
(Check Sign 0 Temporary Roof an that El El F El copies of site /plot plan, drawn to scale
apply) ❑ other r (3 copies, if a building permit is required)
size requirement 81/2” x 11 ", or 11" x 17"
j ac New sign? 0 Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: i • I _ '�` t (3 copies, if a building permit is re
2. _ )..._,1 X ( b .. C7 /C 7 6 V ( p � i required)
size requitement
Total Sign Area (sq. ft.): t: 8' " x 11 ", to 24" x 36"
�3� a i _ Pe, 6 hs
Application Fee
Total Wall Area (sq. ft.) '/
Sign Data 1 it° = %I. 4
Direction W a l l Faces (circle one): NOTES:
items in this non) N S E W NE NW -SE SW
Height to top of sign (feet): - • Wall signs do not need to be drawn to scale, but
must include dimensions of wall face and sign
Projection From Wall (mches): 1 /2'` placement.
Materials: ?...'(u e., 1 VL • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes .To • Freestanding signs over 6 ft. and walls signs of
Type: 0 Internal ❑ External which any element weighs 20 lbs. or more require a
Are there any existing freestanding or wall signs at this location, building permit.
including wall signs that overlap a tenant space?
❑ Yes kNo
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 I of 2
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APPLICANTS:
To consider an application complete, you Will need to submit ALL of the REOUIREED SLB??°rAL ELV'I'S 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
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BY SIGNING BELOW, THE APPLICANT(S) SHALL. CERTIFY THAT:
• If the application is granted, the applicant will exercise die-.tights 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.
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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.
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SIGNATURES of each owner of the subject property are required.
BS::J
App S
p �t c,A.. ct4.&1 Gr i p c 7 � z c c
x � .... � s i+SSI's .e : 43 Rr ..: " - . ' :: : J 2--2 ell 3 •
' Si g nature of Owner /Agent Date
PPS = " I .t (Q3 C1P5Co
Contact Person Name - . - _ . Phone No.
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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
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= CITY OF TIGARD RECEIPT
g ~, 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 192737 - 08/20/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00100 Sign Permit - LRP 100- 000.0- 43117 $23.00
SGN2013 -00100 Sign Permit 100- 0000 -43115 $155.00
Total: $178.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 008610 TLEHRBACH 08/20/2013 $178.00
Payor: Li Lin Gao .
Total Payments: $17.8.00 •
Balance Due: $0.00
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Page 1 of 1
June 17, 2013
New pin mounted letter signaae, 23 sf (approx. 2-2"x10"-13")
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SOUTHEAST ELEVATION New pin mounted letter signage, 6 sf (approx. 9"x7'-6)
Font: Times New Roman Bold Italic or similar
` ( ..1--.---N-) 67, CITY OF TIGARD
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Approved . EA :
Conditionally Approved I j
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rA-- For only the work as described in:
E-2- EA-E.,6NC PERmIT NO. SGN a 0 )-oo
see Letter to: Follow [ i
Attach
Job Address: LA 5 40 S INI Mai 1 ik°
FISH FIELD SIGNAGE
deals A R C H I T E C T U R E INC
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