SGN2015-00045 CITY OF TIGARD SIGN PERMIT
III 4
I Permit#: SGN2015-00045
COMMUNITY DEVELOPMENT Date Issued: 03/30/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102CB02000
Jurisdiction: Tigard
Name of Business: American RV Company
Business Address: 13320 SW PACIFIC HWY
Applicant/Agent: Ellsworth, Curt
Work Description: New wall sign (53 sq. ft.)on south facing facade.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 53"x 144"
Total Sign Area: 53
Wall Area: 544
Wall Face(Direction): South
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: alum composite
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $192.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
•
Approved By: a •
Permittee Signature: A,- • 7 ,2i
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IN City of f Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
��,�a 1, Sign Permit Application
SIGN LOCATION REQUIRED SUBMITTAL
Address: 13320 SW Pacific Hwy Suite#: ELEMENTS
City/state: Tigard,OR Zip:: 97224 t �t 11"
t} p ❑ 2 copies of elevations on 8V2"x 11
Tenant or business: American RV Company or 11"x 17"pages(Wall sign
elevations must include dimensions
PA v �pTT _ of sign and wall face and show the
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Property owner name: D �0.") location of sign on the wall.
Address: I e4 3$ $W PALiF lc 4-0y Freestanding sign elevations must
City/state:m /j 4L'4T/� oQ Zip: '7 7aG . be drawn to scale.)
Phone: CO 3- 02-I N2,-Email:e ??e fa/.✓Tied.ce„A ❑ 2 copies of site/plot plan,drawn
S'O Daavo to scale,on 8'/2"x 11"or 11"x 17"
of pages(not required for wall signs)
Sign contractor: North Pacific Sign&Design,Inc.
Address: 626 SE Hawthorne Blvd. ❑ List or diagram of all existing sign
dimensions and square footage
City/state: Pnrtlanrt C)R Zip: 97214 ❑ Application Fee
Phone: 503 234 4999 Email: curt @northpacificsign.net
CCB License #:69143 Expiration date: 6/17/15 NOTES:
Contact person:
Curt Ellsworth • Freestanding signs over 6 ft.in height
and walls signs of which any element
weighs 20 lbs.or more require a
building permit for construction.
SIGN DATA(Complete all items in this section) If any element of a wall sign weighs
70 lbs.or more,plans must he prepared
TYPE (Check all that apply) by a structural engineer.
lit New sign ❑ Freestanding ❑ Electrical • Building permits require 2 sets of
El Alteration to ❑ Freeway Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign ❑ Roof ❑ Other and 2 sets of engineering must he
Sign#: submitted with building permit
application.
Sign dimensions: 53"a((ih) x 144" (w) = 53 sq.ft. sign area
New sign: 53 sq.ft. + F;xdistmg sign atgea 105 sq.ft. = 158 Total FOR STAFF USE ONLY
Total sign area: 53 sq.ft./ 514 building face sq.ft.= 9.7 %of bldg face Case No.: SG N 0/0 15 GOe: 'f5
Height to top of sign: 110 ft. Projection from wall: 0 in. Related Case No.(s): SGN ao 15 0004i ti
Materials: 3mm aluminum composite 44 !ova .00
Fee:
Application accepted:
Is the sign under 20 lbs.? ❑ Yes Sr No By: CAC, Date: 3 .3V —lS
(Building Permit required if over 20 lbs)
Direction wall faces (circle one): N IrE W NE NW SE SW Application determined complete:
"C,/ Date: 3 "3u 'i S
Will the sign have illumination? ❑ Yes No By: GA
If yes,what type: ❑ Internal ❑ External i I:\CURPLN\Masters\Land Use Applications Rev.03/03/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2
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APPLICANTS
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.
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,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 or 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 required.
App) n 's signature Print name Date
.4• A6.' t Pe f+ ,0 r!1 p3�1/1-
� J
Owner's signature ' Print name Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
CITY OF TIGARL)
Approved
IX
Conditionally Approved. [ .1
For only the work as described in: ,, ,–
PERMIT NO. S6N0-0 is - oc.)(-4-
See Letter to: Follow---------[ 3
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Job Address: ao
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