SGN2014-00154 71 CITY OF TIGARD SIGN PERMIT
' Permit#: SGN2014-00154
COMMUNITY DEVELOPMENT Date Issued: 12/03/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102CC00500
Jurisdiction: Tigard
Name of Business: Home Turf Sports Bar
Business Address: 13500 SW PACIFIC HWY 34
Applicant/Agent: Elliott,Jeri
Work Description: One A-Frame Temporary sign 2 x 4 feet each side,total 16 square feet.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: Yes
Sign Dimensions: 2 x4 feet
Total Sign Area: 16
Wall Area:
Wall Face(Direction):
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: plastic
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $61.00
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.
1
Approved By: Wei i
Permittee Signature: , - i� ��Ilsi%
illii City of Tigard
Sign Permit Application
TIGARD OMMI•
GENERAL INFORMATION
Na a of Developmrnt Project
�-!�,r�� ` 1/J FOR STAFF USE ONLY
Site ► t r t 4 li- -t ` �-1 S �
Address/ Street Address
Permit No.: 5 N 2O/( - D t 7S{
Location I 7 O a ll) tP � 4
Approved By: C--- ---72-13
Suite/Bldg.#
124State /ZipQ ./l C3 [ 7 Date: 1�' _ f`l
N[ Fee: 4- C�
Property \J"6l ��" Receipt#:
Owner Mailing Address Suite Map/TL#: Z' 5 1 02- e-�.D PS d O
Cr,/ s A � / 6
Zoning: C'`G
Ci State /.i hone Allowable Total Area: '2-'1 Tenant or N c
Business Electrical Permit Required? ❑ Yes BT o
Name Building Permit Required? ❑ Yes ■o
Rev.10/21/2013
Sign 1:\CURPLN\Masters\Land Use Applications\Sign Permit.doc
Contractor Mailing Address Suite
City/State Zip Phone
REQUIRED SUBMITTAL ELEMENTS
Oregon Const.Cont_Board License# Exp.Date
❑ Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of elevations on 8'/2"x 11"or 11"x 17"
Sign Temporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
(Check all that ❑ Wall ❑ Other
apply) ❑ 2 copies of site/plot plan,drawn to scale, on
81/2"x 11"or 11"x 17"pages (required for
7New sign? ❑ Alter to existing sign? freestanding signs only)A Sign Dimensions: 1-1-0.4 Thu ❑ Application Fee
Total Sign Area(sq. ft.): Z• , ` ' NOTES:
Total Wall Area(sq. ft.)
�7 • Applications will not be accepted without,all required
Sign Data U 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 E W NE NW SE SW
Height to top of sign(feet): • 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): permit from the Building Division for construction. If
Materials: any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination? ❑ Yes ❑ 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 ID 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 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,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.
SIGNATURES of each owner of the subject property are required.
Ap lican Signature Date
Signature of Owner/Agent Date
( er ( l/ , 0 Di,onsA 61-3 " 773 - -
Owner/Agent's Name (Please Print) Title Phone Number
City of Tigard I 13125 SW Hall Blvd., Tigard,OR 97223 I 503-718-2421 www.tigard-or.gov I Page 2 of 2