SGN2016-00007 ® CITY OF TIGARD SIGN PERMIT
Permitd: SG13/201 00007
COMMUNITY DEVELOPMENT
Date Issued: 01/13/2016
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110AB00200
Jurisdiction: Tigard
Name of Business: Bowsers Bath
Business Address: 14315 SW PACIFIC HWY
Applicant/Agent: Kolve, Gerald
Work Description: Replace existing sign 25.67 sq.ft.for Bowsers Bath.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 22 x14
Total Sign Area: 25.67
Wall Area: 513
Wall Face(Direction): South
Sign Height: 20 ft.
Projection From Wall: in.
Illumination:
a
Materials: Aluminum and Acrylic
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $197.00
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: / l o h (3 i to 4�L,Qi(O(.�
Permittee Signature: �GiC�
RECEIVED
City of Tigard JAN 131016
COMMUNITY DEVELOPMENT DEPARTMENT
= CITY Ur"ft'GAnC
Sign Permit Application PLANNING/ENGINEERING
SIGN LOCATION REQUIRED SUBMITTAL
Address: IV, TSt.1 lee C/-XL 14W Suite #: ELEMENTS
Ci /state r k /�J� zip.-City/state: � 2 copies of elevations on 8'/2"x 11"
Tenant or business: or 11"x 17"pages(Wall sign
elevations must include dimensions
Property owner name: y}��rl A.� !�� folgD &� /k of sign and wall face and show the
` /telocation of sign on the wall.
Address: b G J Freestanding sign elevations must
City/state: �71/� Olt Zip: be drawn to scale.)
Phone �Q bzt �: ��/��),�/���j(/o �y 1,��Y, 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
Sign contractor:
pages(not required for wall signs)
List or diagram of all existing sign
Address:
City/state: gip: dimensions and square footage
�Application Fee 1 � 7
Phone' Email: 1
CCB License#: Expiration date: NOTES:
Contact person: Freestanding signs over 6 ft.in height
and walls signs of which any element
weighs 20 lbs.or more require a
SIGN DATA(Complete all items in this section) building permit for construction.
If any element of a wall sign weighs
70 lbs.or more,plans must be prepared
EkZTYPE (Check all that apply) by a structural engineer.
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: (h) x / (w) = Z 5•m7 sq.ft. sign area
New sign: sq.ft. + Existing sign area sq.ft. = Total FOR STAFF I SE •
NLY
Total sign area: 25•&7sq.ft./ 513 building face sq.ft.= 5 %of bldg face S 6.NZO) ( _
Case No.:
Height to top of sign: Z0 ft.Projection from wall: O in.
Related Case No.(s):
Materials QJLcYt+.t h c�rw s f jC�u�L- p)
Fee:4 1 7
Application accepted:
Is the sign under 20 lbs.? ❑ Yes No /�
(Building Permit required if over 20 lbs) By. ' " ' P Date: 3 1
Direction wall faces (circle one): NS E W NE NW SE SW Applicationdeterminedcomplete:
Will the sign have illumination? �p'�es ❑ No
By VVI 1 Date: L / 13
If yes,what type: Q' Internal ❑ External 1ACURPUNIWasterAland Use Applications Rev.03/03/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigud-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
Owner's signature by' �u>= Print name LLC Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigird-or.gov 503-718-2421 • Page 2 of 2
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