SGN2014-00034 1 1 CITY OF TIGARD SIGN PERMIT
► =
COMMUNITY DEVELOPMENT a Issued:
Permit d: SG10/201 00034
TIGARD Date Issued: 04/10/2014
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101AA06400
Jurisdiction: Tigard
Name of Business: Selectron Technologies
Business Address: 12323 SW 66TH AVE
Applicant/Agent:
Work Description: Install new 3'5"x 3'1"aluminum, non-illuminated wall sign. Eight identical signs,two on
each of four building faces.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 3'5"x 3'1"
Total Sign Area: 10.54
Wall Area: 2220
Wall Face(Direction): East
Sign Height: 17.1 ft.
Projection From Wall: 0.25 in.
Illumination: No Illumination
Materials: Aluminum
Electrical Permit Required: No
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: il . . L/. A� 7
Permittee Signature: ___1_ ��
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CITY OF TIGARD RECEIPT
I C . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 195543 - 04/10/2014
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2014-00034 Sign Permit-LRP 100-0000-43117 $23.00
SGN2014-00034 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 1453 TLEHRBACH 04/10/2014 $178.00
Payor: Ramsay Signs Inc. Permit Account
Total Payments: $178.00
Balance Due: $0.00
Page 1 of 1
lir-
• City of Tigard
Sign Permit Application
TIGARD
GENERAL INFORMATION
Name of Development/Project� / FOR STAFF USE ONLY
Site `=e.'e - Dv. /GChhologies �y�si2(�
Address/ Street Address 1 Permit No.: 7 201 q — J�J—1
Location C'LS2"S SW (,,(et`" Ave
Approved y
Suite/Bldg.# City/State Zip
Date: ` '( (O 1 4( 1
Name Receipt#: SS t'I 3
Property Map/TL#: 23\O 1 AAO6 L
Owner Mailing Address Suite Zoning: G-6
Allowable Total Area: 1 5°/e3
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes Er No
Business Building Permit Required? ❑ Yes 2 No
elec. �GLf7nn�p�iei
Name / Rev.7/1/12
Sign kkvis\curpin\masters\land use applicat ions\sign permit app.doc
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Contractor Mailing Add ss ��..1J Suite
II J4 7 Le"At.
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
A(t/aidt OR 41'W(p (Note: applications will not be accepted
Oregon Const.Cont Board License# Exp.Date without the required submittal elements)
(O 1 L(- `-- 71 Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway B 2 capita of site/plot plan,drawn to scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies,if a building permit is required)
(Check all that Iql Wall 0 Other
apply) Kx size requirement: 81/2" x 11",or 11"x 17"
2 copies of elevations, drawn to scale
jE New sign? ❑ Alter to existing sign? (3 copies,if a building permit is required)
Sign Dimensions: ■ t r size requirement: 8t/2"x 11",to 24"x 36"
„
-5. x3-/m
Total Sign Area(sq.ft.): J� 5,J/ [5i, $171.00 Fee (Permanent sign, any size)
Total Wall Area(sq.ft.) / 7 0 Fee (Temporary sign,any type)
Sign Data ZZ. f :y %
(Complete all Direction Wall Faces(circle one):
items in this NOTES:
section) N S el W NE NW SE SW
Height to top of sign(feet): /7 /" • Wall signs do not need to be drawn to scale, but
Projection From Wall(inches): jay" must include dimensions of wall face and sign
Materials: placement.
Jursi.~t�" �{ • Wall signs do not require site/plot plans.
tl
Will sign have illumination? ❑ Yes 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?
❑ Yes ❑ No
If"yes".,a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
foot. .e 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 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.
SIGNATURES of each owner of the subject property are required.
Applicant Signature Date
d d
Signature of Owner/Agent Date
vrp-S • -7/1 5.f
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
CB J Manufacture &install eight(8) 1/4"thick routed acrylic letters/logo.
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Specifications: 3M# 3630-49 burgundy
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1/4" thick routed black acrylic logo ,
I I white flex faces
Logo: 1/4"thick black acrylic with applied burgundy/white graphics
Quantity:
eight(8)
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5 Copyright 2013, Ramsay Signs,Inc. Page#: 3 of 5
Client Date: 2.4.14 Clien 1_'.� avef+Date Revisions .•�r mesapIar�s,a neE.ela�mepape yetnam=sy5lgn=,In<.�.
a �. 173 Grounding and Bonding Statement for each permarsn0y oog nal work ores design teen.
9160 SE 74th Avenue l connected sign the fotowingstatemeMOegtpvalert'This sign TheyaasuCmMeooyourcompanyta MSObWposeotyou Design# 14-161 R3
Selectron Technologies Prsign Mana er: ✓ ,' 2.16.14 mwm revised logo J is mended to beInstatedd the accordance with the consdaatlono wnene opurcusethesepansortoWchase
Portland,Oregon 97206 . requirements of Article 600 of the National Electrical Code
plans
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12323 SW 66th Avenue Ed Mercer ;�A► 3.11.14 mwm revised copy/sizes and/or other applicable local codes This mclldes proper
503.777.4555-800.613.4555 La Approv. + i ate
Tigard,Oregon 97223 3.12.14 mwm logos vector grounding and boding of the sign'should be either directly eor a apse� anyone r Obbef than
ff "� marked on the sign or label attached to the sign,included in the stpnstmeartddb one emeoaiaeherein,iscapmssiyfomwan.
Fax 503.7/7.0220 Design: •" E 7 grounding
instructions,or provided on a separate sheet or tag
ramsaysigns.com mwm 1 l ®Selectron \ f shipped with the sign. I NMI duI such e»ol:Awn occurs.Ramsay Sgns Inc
y PPe 19 expects to ne reimbursed tsx of total protect vawe in
Established 1911 ov 1 nca f Qvi CC X N O L O 4 I E S, I N Selectron -� ompensaoon for tlmeand eeonemaibdin creatlnq arose plain•Writ