SGN2017-00009 rpti CITY OF TIGARD SIGN PERMIT
i I Permit#: SGN2017-00009
COMMUNITY DEVELOPMENT Date Issued: 01/05/2017
T I G A i C) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S112AD01100
Jurisdiction: Tigard
Name of Business: Mattress Firm
Business Address: 6650 SW BONITA RD
Applicant/Agent: Kayser, Tina
Work Description: Reface to an existing freestanding sign. No change in square footage.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: Yes
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions:
Total Sign Area: 7.5
Wall Area:
Wall Face(Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: Internal
Materials: Vinyl
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $201.00
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 Signa ,re: `�
S /
T RECEIVE®
City of Tigard JAN 0 5 2017
.101 q
COMMUNITYDEVELOPMENT DEPARTMENT
• 6ITY OF TIGARD
TIGARD Sign Permit Application PLANNING/ENGINEERING
SIGN LOCATIO
REJ 0 IQ ELEMENTSITTAL
Address: uite#:
City/state: I I qb(
fa �-- Zip: 11-72.2q 2 copies of elevations on 81/2"x 11"
Tenant or business: m A t SI /7Y}9'1 or 11"x 17"pages(Wall sign
elevations must include dimensions
•
C 1 : Z I of sign and wall face and show the
Property owner name: . . location of sign on the wall.
Address: Freestanding sign elevations must
City/state: Zip: e drawn to scale.)
Phone: Email:
2 copies of site/plot plan,drawn
to scale,on8'/2"x11"or 11"x17"
n _m f /1 � ages(not required for wall signs)
Signcontractor: ��( J
9` D ^ I Ig 1List or diagram of all existing sign
4
Address: / J 7�/ ,.//171dimensions and square footage
City/state: /Ma/7 d A Zip: g7ZGe.,
-��y5 Application Fee
Phone:S v -7 77 41Jfl Tmail: I i_ ' , z" ��
CCB License#:�/ yL Z > Expiration date:
NOTES:
Contact person: 7/'i s' f`L aqf--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.
f(1)
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 0 Roof ❑ Other and 2 sets of engineering must be
Sign #: submitted with building permit
application.
Sign dimensions: 1 L (h) x S (w) = I• i sq.ft. sign area
New sign: sq.ft. + Existing sign area sq.ft. = Total J O it 'I,\l I l !,1: ()\1.) Lt��
Total sign area: sq.ft./ building face sq.ft.= %of bldg face Case No.: V 0C�/?—�� `�LitJ 7—
Height to top of sign: ft. Projection from wall: in. Related Case No.()�,y, j
Materials: �(1 I
Fee:
Application accepted:
Is the sign under 20 lbs.? 'IV Yes 0 No By: �S Date: /l -k
(Building Permit required if over 20 lbs.)
Direction wall faces (circle one): N S )NE NW SE SW Application determined complete
�j'�
By: 1 S Date: / S
Will the sign have illumination? [6)Yes ❑ No
If yes,what type: 4)Internal D External L\CURPIN\Masten\land Use AppAntbns 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 and the applicant arc different people,the applicant must be the purcha cr of
record or a lL1erce in possession with written
authorization fmm 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.
1 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.
SIGN URES of owner of the subject prop required.
•
s. l �: t%Ctf, 'f� / //2 ( / ( /d ft's /. ���
App is signature / Printthe Date
of 7
Owner's signature Print name D to
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwwtigard-or.gov • 503-718-2421 • Page 2 of 2
SIGN D Mattress Firm- Ready-to-apply Vinyl ,
•
Type: Vinyl Graphics to be applied first surface +
•
on existing pylon panel
a -.
Actual Size: TBD -• _
r• M. %
Viewable Size: TBD - ' At
Square Footage: TBD :