SGN2016-00062 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2016-00062
COMMUNITY DEVELOPMENT Date Issued: 05/31/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110AB00200
Jurisdiction: Tigard
Name of Business: Ham Radio Outlet
Business Address: 14405 SW PACIFIC HWY
Applicant/Agent: Kolve, Gerald
Work Description: One(1)new 40.63-square-foot sign on east-facing wall. Single element 20 lbs. or
greater with internal illumination.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 1.83'x 22.2'
Total Sign Area: 40.63
Wall Area: 1000
Wall Face(Direction): East
Sign Height: 19 ft.
Projection From Wall: 11 in.
Illumination: Internal
Materials: Aluminum, 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:
Permittee Signature:
. • RECEIVED
City of Tigard MAY 31 2016
COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF TIGARD
TIGARD Sign Permit Application PLANNING/ENGINEERING
SIGN LOCATION .
Address: I yLiOS`SW Pat/Az Olay REQUIRED SUBMITTAL
Suite#: ELEMENTS
City/state: ---Ti!J. (-r-r1 , 0 g- Zip: 7 7 Z 24 X 2 copies of elevations on 81/2"x 11"
Tenant or business: H a-m Cho O d(A.,-1-6+ or 11"x 17"pages(Wall sign
} elevations must include dimensions
Property owner name: 131.&.1( MOl,t_l1{-Q 1 YZ ► oes-)Y11Qy1S L-(x. of sign and wall face and show the
1location of sign on the wall.
Address: 1"I -2 Su-.) PC's-G L 14 V43 Freestanding sign elevations must
City state: --if fj&..at DY1-- Zip: c 7 2-2-4 be drawn to scale.)
Phone:S1>"4210-8-080 Email: J C oc.) _(, 5 6 'lSn,cam Iliik copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
Se l r'Y /�w � Ge_r `of' v cJ I lt� pages(not required for wall signs)
Sign contractor: l( tJn
1_,1st or diagram of all existing sign
Address: dimensions and square footage
City/state: Zip: Application Fee
Phone: Email:
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
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 ❑ Electrical • Building permits require 2 sets of
0 Alteration to El Freeway Ei Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign CIRoof 0 Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
f r
Sign dimensions: I•" (h) x '�(w) = ).b3sq.ft. sign area
New sign: sq.ft. + Existing sign area sq.ft. = Total FOR STAFF USE ONLY
Total sign area: 4/0'63sq.ft./ 1400 building face sq.ft. _ q %of bldg face St5A/ O/(e- O06(0
VW:
Case No.:
Height to top of sign:_ 1 i�.Projection from wall: I 1 in.
`` Related Case o.(sp):,_
Materials: A I L.tert�ntkrn i a c rhe (;L Fee: 41-/
�,,/ Application accepted:
Is the sign under 20 lbs.? I=1 Yes Ly' NoBy: L—S' Date: 37/1(
(Building Permit required if over 20 lbs.)
Application determined complete:
Direction wall faces (circle one): N S 6 W NE NW SE SW �/
By: Ls Date: S 13i/Il
Will the sign have illumination? Er Yes 0 No e
If yes,what type: [Internal ❑ External I:\CURPLM\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
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.
SIGNATUREnS of each owner of the subject property required.
c 54.c -�e- , � \--k aotik 1 c l o `)v t Q?c - - E l43
Applicant's signature ' Print name Date
5-31-\ So
O er'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
14405 SW Pacific Hwy
CITY OF TIGARD
Tigard, OR 97224 Approvedi
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14405 SW Pacific Hwy` CITY OF TIGARD
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Approved by Planging
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