SGN2015-00062 111111 CITY OF TIGARD SIGN PERMIT
" I . Permit#: SGN2015-00062
COMMUNITY DEVELOPMENT Date Issued: 05/12/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S112C600950
Jurisdiction: Tigard
Name of Business: Bonaventure Senior Living
Business Address: 15000 SW HALL BLVD
Applicant/Agent: Bosse,John
Work Description: One new 4.4 sq.ft.wall sign on west-facing wall.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 9"x 6'2"
Total Sign Area: 4
Wall Area:
Wall Face(Direction): West
Sign Height: 22 ft.
Projection From Wall: 6 in.
Illumination: Internal
Materials: Vinyl
Electrical Permit Required: Yes
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.
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Approved By: '�_�� /l..,G .
Permittee Signat
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City of Tigard
1111 I
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Sign Permit Application
SIGN LOCATION
15000 SW Hall Blvd REQUIRED SUBMITTAL
Address: Suite #: ELEMENTS
Tigard, OR 97224
City/state: Zip: 2 copies of elevations on 81/2"x 11"
Tenant or business: Bonaventure Senior Living or 11"x 17"pages (Wall sign
elevations must include dimensions
Property MWSH Tigard LLC of sign and wall face and show the
P tY owner name: location of sign on the wall.
Address: 3425 Boone Rd SE g sign Freestandin si elevations must
Salem, OR 9731'7 be drawn to scale.)
City/state: Zip:
503-566-5715 erouse@livebsl.com 2 copies of site/plot plan,drawn
Phone: Email:
to scale,on 8'/2"x 11"or 11"x 17"
Sign contractor:
Bonaventure Construction pages (not required for wall signs)
3425 Boon Rd SE Nfi List or diagram of all existing sign
Address: dimensions and square footage
Salem, OR 97317
City/state: Zip: Application Fee
503-566-5715
Phone: Email: Jbosse@livebsl.com
CCB License #: 186852 Expiration date: 5/30/2015 NOTES:
Contact person: John Bosse • 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 be prepared
TYPE (Check all that apply) by a structural engineer.
El New sign ® Freestanding ❑ Electrical • Building permits require 2 sets of
❑ 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 be
Sign #: submitted with building permit
application.
Sign dimensions: 9 (h) x 6' -2"(w) = 4.4 sq.ft. sign area
New sign: sq.ft. + Existing sign area sq.ft. = Total FOR STAFF IUSSEE/O�N�LY
Total sign area: sq.ft. / building face sq.ft.= %of bldg face Case No.:'/VOLIJI. --+ 6 o�
22' 7-1/2"
Height to top of sign: ft. Projection from wall: 6 in.
Related Ca No.(s):
Materials: vinyl 4/3
Fee: °C
Application accepted: ��02 f
Is the sign under 20 lbs.? L] Yes ❑ No By: L� Date: r//S
(Building Permit required if over 20 lbs)
Direction wall faces (circle one): N S E W 1 NE NW SE SW Application determined complete:
Will the sign have illumination? ] Yes ❑ No By: S' Date: S
If yes,what type: g] Internal ❑ External I:\CURPLN\Masters\Lend Use Applications Rev.o3/o3/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2
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.
Applicant's signature Print name Date
n�� Ville (4I .,,Itv.� Si'z(1 .1'
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