SGN2016-00061 CITY OF TIGARD SIGN PERMIT
g Permit#: SGN2016-00061
COMMUNITY DEVELOPMENT
Date Issued: 05/26/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1S135BA00102
Jurisdiction: Tigard
Name of Business: Pier 1 Imports
Business Address: 10154 SW WASHINGTON SQUARE RD
Applicant/Agent: Newton, Darcy
Work Description: One(1)new 28.43-square-foot sign on northwest-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: 4.5'x 2.6'
Total Sign Area: 28.43
Wall Area: 2832
Wall Face(Direction): Northwest
Sign Height: 15 ft.
Projection From Wall: 1 in.
Illumination: Internal
Materials: Aluminum
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: Not Present
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.
GNATURES of each owner of the subject property required.
3pTA),a0A-
Lsn L t. 1S01) s iaoi
plicant's signature Print name Date
ee s/ Karen L Maynard 5/20/16
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
RECEIVED
City of Tigard MAY 2 6 2016
COMMUNITY DEVELOPMENT DEPARTMENT
= CITY OF TIGARD
TIGARDSign Permit Application PLANNING/ENGINEERING
SIGN LOCATION Q1Dc�
, Sguwut REQUIRED SUBMITTAL
Address: 1M1-1 Si3u1•hwsi.`5c ltSuite#: ELEMENTS
City/state: c1(y)•13.- r O()1 n Zip: Q -4:)•'Y J 1c/2 copies of elevations on 8W'x 11"
Tenant or business: V i ex '-t-- -..ri-036-S or 11"x 17"pages(Wall sign
elevations must include dimensions
`�(e C � f3(J4-4- of sign and wall face and show the
Property owner name: ► 1l i ,
p t}' \ _ � location of sign on the wall-
Address: 1 I I N • l YY\ �VV� Freestanding sign elevations must
City/state: c)h e ci- i !r Zip: be drawn to scale.)
Phone(}� '3`lk-1-(pq I 1 Email: OCcopies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
-Cay- , mCAy nci.0 d.. Iao.SL(i�.(.cr 1 l pages(not required for wall signs)
Sign contractor: pla. vyy-sa c, i i�.5, Et. 1PCft) Nt,(1-hw `�r l
G _ ��_ y 7u lien(*_,
I ,or diagram of all existing sign
Address: ensions and square footage
City/state: PO(-V-lC\ 1 O\ Zip: Q 7a OLD "Application Fcc
,t1
Phone:5(2)--11-1'W ': iN(,lr��P. (0-!Y1`x1.>1 1`�J�.(r1(17
CCB License#: (D0)L1'1')•\ Expiration date: c a� NOTES:
Contact person: (n L ,V e W 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
D Freestanding ❑ Electrical • Building permits require 2 sets of
Wall construction drawings and,if sign is
I❑ Alteration to ❑ Freeway freestanding,2 copies of site/plot plan
existing sign CIRoof I III Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
n
Sign dimensions:Li_ �%1I (h) x �;) o.,- (w) _ :� t-I,7) sq.ft. sign area
z
New sign: �./�sq ft. + Existing si area sq.ft. _ d'k'9-1I'otal I I>lt\` I Igi� t ,I (>N I )
Total sign are��_i t./ face sq.ft. = _L%of bldg face Case No.: V`/i/ll��/�'aV
Height to top of sign: /S ft. Projection from wall: in. Related Case Nis):
Materials: \U (I\\\J'�i'(1 Fee: �-•f'/C7 -
Application accepted:
Is the sign under 20 lbs.? VrYes ❑ No By: 1---- Date: '�Z72 (7
(Building Permit required if over 20 lbs.)
Application determined complete:
Direction wall faces (circle one): N S L W NE(N-W) SE SW } n d
By: Lf Date: ''j�� (`y
Will the sign have illumination? Yeses ❑ No
If yes,what type: Internal ❑ External ! I:\cURPLN\MasterALand Use AORkations Rev 03/03/2015
City of Tigard • 13125 SW 1 fall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
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