SGN2014-00087 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2014-00087
COMMUNITY DEVELOPMENT Date Issued: 07/15/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101AC00800
Jurisdiction: TIGARD
Name of Business: The Adrienne
Business Address: 7148 SW GONZAGA ST
Applicant/Agent: Storm, Reid
Work Description: New wall sign, approximately 25 square feet, located on the west facing wall at 7148 SW
Gonzaga Street.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 2'x 12.5'
Total Sign Area: 25
Wall Area: 3344
Wall Face(Direction): West
Sign Height: 13 ft.
Projection From Wall: 0 in.
Illumination: No Illumination
Materials: Aluminum
Electrical Permit Required: No
Building Permit Required: Yes
Total Permit Fee: $192.00
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: ?MLA 0' I" •
Permittee Signature:
s, # .1--- RECEIVED
City of Tigard JUN 2 6 2014
^ 1. CITY OF TIGARD
Sign Permit Application PLANNING/ENGINEERING
TIGARD
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site TV.e... A,166arte..
Address/ Street Address Permit No.:.7VN2GLI"occ£31
Location it Mt St.) 60 tLZO. Sty ee i Approved By:
- 4'I*-)114 kg'
Suite/Bldg.# City/State Zip
T,gacd, oR q 7 Zz 3 Date: l,t 13/,�,�{
Name Fee: 19-'
Property Receipt#: I g CO V 2
Owner Mailing Address Suite Map/TL#: 2-S10 I A-Lo0 8.90
Zoning: M Li
City-/State Zip Phone �O/Q
Allowable Total Area:
Tenant or Name
Business The. A 1 t 1 G n11.e_. Electrical Permit Required? ❑ Yes g No
Name Building Permit Required? IX Yes ❑ No
Util.nCO VUl 2.t' J:c 1 1 Rev.10/21/21)13
I:\CURPLN\Masters\Land Use Applications\Sign Permit.doc
Contractor Mailing Address Suite ---
z‘oo NE Aatesen a 50
City/State Zip Phone
36.0
+gc,cA, O R '11z23 ‘13 4117S REQUIRED SUBMITTAL ELEMENTS
Oregon Const.Cont.Board License# Exp.Date
G31 5 1 1/7//4 ❑ Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of elevations on 81/2"x 11"or 11"x 17"
Sign ❑ Temporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
',Check all that [S1 Wall
apply) ❑ Other ❑ 2 copies of site/plot plan,drawn to scale,on
81/2"x 11"or 11"x 17"pages (required for
New sign? ❑ Alter to existing sign? freestanding signs only)
Sign Dimensions: Z X I Z.S ❑ Application Fee
Total Sign Area(sq.ft.): 25 4. NOTES:
• Applications will not be accepted without all required
Si Data Total Wall Area(sq.ft.)
gn 3311(1 -__Z submittal elements.
(Complete all Direction Wall Faces(circle one): • Wall sign elevations must include dimensions of sign
items in this and wall face and show the location of sign on the wall.
section) N S EC) NE NW SE SW
Height to top of sign(feet): l3 • Freestanding signs over 6 ft. in height and walls signs
of which any element weighs 20 lbs. or more require a
Projection From Wall (inches): ///A permit from the Building Division for construction. If
Materials: AI Lull (I tun any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination? ❑ Yes 1S,No plans must be prepared by a structural engineer.
Type: ❑ Internal ❑ External • When a Building permit is required, 2 additional
Are there any existing freestanding or wall signs at this location, copies of elevations and, if sign is freestanding,
including wall signs that overlap a tenant space? site/plot plan must be submitted with application.
❑ Yes VI No
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
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,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 below 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.
GNATURES of each owner of the subject property are required.
12/7":/
g//y
Applicant Signature Date
gAi
Signature of Owner/Agent Date
R�1�L
StO r 101 /l /zcI�
Owner/Agent's Name (Please Print) Title Phone Number
City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97223 503-718-2421 www.tigard-or.gov Page 2 of 2
3"
1/4" 12.5'I12'-6")
H 35" �
I 109 9/16" H
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= 1 J Furnish and install two sets of non-illuminated
_ \\,..‘ / O flat cut out letters on angle bracket
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` - . / j D - I "the Adrienne"FCO script letters to be routed from 114"thick
`` / _ 1 i fai / / ` / Brushed aluminum with a 3 return bottom
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/_ 2 Horizontal portion and 3"return painted to match the canopy
Canopy 2 % color-TBD
Verify all mounting conditions
1 Flat Cut Out Letters-Canopy Mounted
Stole:1/2" = r-o"
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O0 WEST ELEVATION PERMIT NO. `12O1y {-
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This document is protected under the federal c opvri:ht law 0 2014
' PAGE
Name The Adrienne canopy signs.cdr located ' Initial upon agreement Date `' ',r•' l7 Members A liutions:
The Adrienne 0 ��._ �;�(li � �.�
Design 14-0654 Designer GorrettMoltimoe 'i-k•, '• •:. fill• �� A L
Client _ 1148 SW Gonzoga Street l�.t:,+'�' ,( )
Date 4.30.14 Rev Date -�s 's^' �IsI CONCH. .....�........�....
Tigard Oregon t"-"'- '''o. Vancouver 1
F:.
VSG Rep Jeff Mickel Rev no. Landlord y]223 El a. ..••'; •I• sign Group' -Creative Signage Solutions Based on Quality and Social Responsibllit■.-
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SW GONZAGA STREET
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