SGN2013-00113 CITY OF TIGARD SIGN PERMIT
• ' C Permit#: SGN2013-00113
COMMUNITY DEVELOPMENT Date Issued: 10/17/2013
;TIGAI.D' 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1S136DB02400
Jurisdiction: TIGARD
Name of Business:
Business Address: 11642 SW PACIFIC HWY 100
Applicant/Agent: CHAMPION, RON
Work Description: NEW WALL SIGN FACING WEST
Permanent: , Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 3 X 8
Total Sign Area: 24
Wall Area: 672
Wall Face(Direction): North
Sign Height: 14.5 ft.
Projection From Wall: 10 in.
Illumination: Internal
•
Materials: Plexiglass, metal
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $178.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: 111: (,Q,i
Permittee Signature: n orescr-+"
IN I City of Tigard RECE \/ED
al
Sign Permit Application SEP 2 3 I.011(11,t At
TIGAKD
. .. .......
1TY OF TIGARD
GENERAL INFORMATION PLANNING/ENGINEERING
Name of Development/Project
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: S6-/V,-d/S-Oo //3
Location t 1 642 5W PACIFic Hwy Approved By:
Suite/Bldg.# Cite/State Zip
TIUAe.D,oe 97223 Date: I°t �[ �
Name Fee: t 1 p
Property RON i (.OFIEV_TA CVMAMPION Receipt#: l 0. 51y�,(�
Owner Mailing Address Suite Map/TL#: k i5l J(('S CJO 2-40C,
1 (0449 LEI.I N GTc)1J Cr Zoning. C'&
(lay/State Zip 97034 Phone NSF( Allowable Total Area: 1511 v
LAKE. OSW ECCO, oe. 5o 3-997-I(Dot.
Tenant or Name
Business N 0 N E Electrical Permit Required? e ❑ No
Name Building Permit Required? 'es ❑ No
SYLVA N(A ELECTE.IC. LLO- Rev.6/24/2013
Sign L\CURPLN\Masters\I.and Use Applications\Sign Permit.doc
Contractor Mailing Address Suite
52$ SE 109TH
City/State Zip Phone
PomLAN D,oft. 972“, 5-)3- -79% REQUIRED SUBMITTAL ELEMENTS
Oregon cA on.Cont.Board License# Exp.Date (Note: applications will not be accepted
CCg#t 1114 G 7- 1-14 without the required submittal elements)
Proposed 2,1 Permanent ❑ Freestanding ❑ Freeway Er Completed Application Form
Sign ❑ Temporary ❑ Roof ❑ Electronic
(Check all that Wall ❑ other N[ A 2 copies of site/plot plan,drawn to scale
apply) (3 copies,if a building permit is required)
size requirement: 8'/a"x 11",or 11"x 17"
WINew sign? ❑ Alter to existing sign? 2 copies of elevations,drawn to scale
Sign Dimensions: 3'x 8 1 (3 copies,if a building permit is required)
Total Sign Area(sq. ft.): size requirement: 81/2"x 11", to 24"x 36"
Z4 SF Application Fee
Data Total Wall Area(sq.ft.)
Sign pp
X012 2,
(Complete all Direction Wall Faces(circle one): NOTES'
items in this
section) N S E elit, NE NW SE SW
�� — • Wall signs do not need to be drawn to scale, but
Height to top of sign(feet): 1I _(o must include dimensions of wall face and sign
Projection From Wall(inches): (d"
placement.
Materials: pLEXIVLAISS, METAL _ • Wall sign do not.equi r site/plot plans.
Will sign have illumination? !al Yes ❑ No s Freestanding signs over 6 ft. and walls signs of
Type: RI Internal ❑ External which any element weighs 20 lbs. or more require a
Arc there any e:cistingg fr•t c_lnding or wall signs at this location, building permit.
including wall signs that overlap a tenant space?
❑ Yes g No ___
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted. I (OVER FOR SIGNATURES)
c':.... ..c'T:.......J ! 1')1'IC CAI/ 71..11 DI.-,1 rr:—.....1 1113 (1'7•1'1? I C(1'l '710 '14'11 I ..,..—,4-:,......1 ,... ..,... 1 n._.„... / ..4 '7
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 gi:=cii is cor cct, that I am tlic
owner or authorized agent of the owner, and that plans submitted ate in cm p:lance with the City of Tigard.
SIC:NATURES ofe2rh owner of the?uh cct property are required.
A2 L___,./ 9 -23 -'3
Applicant Signature Date
, , — Acrr or-- au Na_ 9 - 23-13
Signature of Owner/Agent (SEE- APPRLA?L. LETtEK) Date
LlSf- SLA EE- SLATER_ 4Z.CHITECTOPE 30o - 817. 2737
Contact Person 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
CITY OF TIGARD RECEIPT
.1
C •, 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
,TIIGA'RD:
Receipt Number: 193571 - 10/17/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013-00113 Sign Permit-LRP 100-0000-43117 $23.00
SGN2013-00113 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 46977P AKOWACZ 10/17/2013 $178.00
Payor: Casey Bernard
Total Payments: $178.00
Balance Due: $0.00
■
Page 1 of 1
•
John Floyd
From: Lisa Slater <lisa @slaterarchitecture.com>
Sent: Monday, September 23, 2013 5:40 PM
To: John Floyd
Subject: FW: Tigard sign permits
John,
Here is the e-mail from the property owner giving permission for me to apply for the permit on their behalf. Please
attach this to the permit applications. Thank you.
Lisa Slater
Slater Architecture
360-817-2737
From: bobbi champion <bobbi champion(C/!.vahoo.com>
Date: September 23, 2013, 10:05:52 AM PDT
To: Casey Bernard <casevsbernarcl.c;vahoo.com>
Reply-To: bobbi champion <bobbi champion.?wahoo.com>
Permission is given Lisa Slater, of Slater Architects to apply the last two permits.
Thanks,
Bobbi
Wall Area =672 SF SIGN #1
(5Vong x 12' high)
4" ,aunt ern rill,,
fito fit J-r AMBURGERS �iit
t -''q) 1111._itli it:41 . ii- , .1
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NORTH ELEVATION
Existing Awning Sign : George's Giant Hamburgers (Awning area = 192 SF,Text area = 51 SF)
New sign: Amazing Auto detail (sign area =3'x8' = 24 SF)
SIGN 4%5 ONLY
Wall Area = 1,435 SF
S ►.:, '; SIGN #5 ,, .. 4 '4 i.r
S,GN #2 Li k #4
.':a_�r_. ' GEORGE lista�i
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/ 4 e. 0 IAN.
WEST ELEVATION
CITY OF TIGARD
New signs: (sign area = 3'x8' = 24 SF) Approved -• ~••
Typical of 4, this side conditionally Approved..... ..•••--••• I 1
For only the who es�rib in:
PERMIT NO.
See Letter to: Follow--------....I I
Att.ch •--a _
Job Address: ��
[;y; AIA ► ! I 40 • - nte: 0ISM