SGN2016-00050 CITY OF TIGARD SIGN PERMIT
114 S . Permit#: SGN2016-00050
COMMUNITY DEVELOPMENT Date Issued: 05/03/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101 DB01000
Jurisdiction: Tigard
Name of Business: Adeo In Home Care
Business Address: 7080 SW FIR LP 110
Applicant/Agent: Ramer, David
Work Description: One(1) 16-square-foot freestanding sign that is less than 6 feet tall.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 4'x 4'
Total Sign Area: 16
Wall Area: 0
Wall Face(Direction):
Sign Height: 5.6 ft.
Projection From Wall: 0 in.
Illumination: No Illumination
Materials: Western Red Cedar
Electrical Permit Required: No
Building Permit Required: No
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:
Permittee Signature: ��—, t(/ re ? J
'PiCity of Tigard RECEIVED
C ! COMMUNITY DEVELOPMENT DEPARTMENT MAY 0 3 2016
: Sign Permit Application
w, `vt* CITY OF TIGARD
PLANNIU4O/0NOI1dCCntP O
SIGN LOCATION
REQUIRED SUBMITTAL
Address: 700-0 Svv =r t,viP 7 iIv Suite #: t 1O ELEMENTS
City/state: in%5c44-E,( , az— Zip: 17'7-1.717
2 copies of elevations on 81/2"x 11"
Tenant or business: itibitto -1.---. o.rvt Cef-,rr. or 11"x 17"pages(Wall sign
elevations must include dimensions
Property owner name: Q('-r of sign and wall face and show the
location of sign on the wall.
Address: Q 0 nj V?c 7.Cl Freestanding sign elevations must
City/state: 0-.11 o dh.s-'h-. , aZ--- Zip: ' 73 70 �e drawn to scale.)
Phone: 9-ii-/ # e-(ali*Email: ® 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11" x 17"
Ramer Enter rises - Mf Onl - No Install ages (not required for wall signs)
Sign contractor: p g. y
20773 SW Trails End Drive List or diagram of all existing sign
Address: imensions and square footage
City/state: Sherwood, Oregon Zip: 97140 (fid Application Fee
Phone:503.867.6251 Email:ramer.enterprises@frontier.com
CCB License #: NSA Expiration date: N/A NOTES:
• Freestanding signs over 6 ft. in height
Contact person: David Ramer
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.
® New sign
® Freestanding D Electrical • Building permits require 2 sets of
0 Alteration to El Freeway ❑ Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign 0 Roof 0 Other and 2 sets of engineering must be
Sign #: submitted with building permit
application.
Sign dimensions: 48" (h) x 48" (w) = 16 sc1.ft. sign area
New sign: sq.ft. + Existing sign area sq.ft. = Total FOR STAFF USE ONLY
Total sign area: sy.ft. / building face sq.ft. = %of bldg face /��0QCi/e._ /+vogo
Case No.: i " c-C� (...L l/
Height to top of sign: ft. Projection from wall: in.
Related Case No.():
Materials: Western Red Cedar /9-9--
Fee:
Application accepted:
Is the sign under 20 lbs.? IC Yes ❑ No
By: Ls :
S
Date
(Building Permit required if over 20 lbs.)
Direction wall faces (circle one): N S E W NE NW SE SW Application determined complete:
Will the sign have illumination? ❑ Yes No By: LS Date: 3/ e
If yes,what type: ❑ Internal External \CURPLN\Masters\Land Use Applications Rev.03/03/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-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.
*\Vhcn 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.
n CSL( 3 " ) te
Applicant's signature Print name Date
Tkv)4 • Re)4. S\Aroer • LAVA Va.CY.Q,
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
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