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SGN2017-00005
CITY OF TIGARD SIGN PERMIT II Permit#: SGN2017-00005 COMMUNITY DEVELOPMENT Date Issued: 01/03/2017 T I(;A R.1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101 BB00301 Jurisdiction: Tigard Name of Business: Jacksons Shell Business Address: 11834 SW PACIFIC HWY Applicant/Agent: Kimmel, Dave Work Description: Alteration to existing freestanding sign to be an electronic message center. Permanent: Yes Freestanding: Yes Freeway: No, Temporary: Wall: No Electronic: <^k"{ O Billboard: No Balloon: No Banner: No A-Board: No Sign Dimensions: Total Sign Area: Wall Area: Wall Face(Direction): Sign Height: 21 ft. Projection From Wall: in. Illumination: Internal Materials: Plastic 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: i Permittee Signature: RECEIVED INii City of Tigard JAN 0 3 2017 COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGARD Sign Permit Application PLANNING/ENGINEERING TIGARD SIGN LOCATION .60 REQUIRED SUBMITTAL Address://g3q Sl) /C?C,' 0 ,, 1-1w, Suite#: ELEMENTS City/state: t Q(.1, Ode Zip: PY2 copies of elevations on 81/2"x 11" Tenant or businessCrit rle-so n c 5/7 or 11"x 17"pages(Wall sign 1 elevations must indude dimensions Property owner name-Pa Pule 5 7 Eii' y l_LL of sign and wall face and show the _ / location of sign on the wall. Address: .? 57L) Co.ni,t,e.r -c 4_1 Freestanding sign elevations must ,, City/state: Het id i a et , .-L-7> Zip: $3642drawn to scale.) Phone:PO - ,�v 72S$Email: /le copies of site/plot plan,drawn to scale,on 81/2"x 11"or 11"x 17" /pages(not required for wall signs) Sign contractor: Lie 5 Go ®/ Address: /{� / j�T ST list or diagram of all existing sign idimensions and square footage City/state: "P—do/.c>„._ �T) Zip: a�7'I- Application Fee Phone:a/R-34C 2qp 2 Email: flu i'//4015�7t ydSGa-Co 04- NOTES: CCB License #: / O I s Expiration date: b • Freestanding signs over 6 ft.in height Contact person: ,Crit Wt l fr a in 5 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 `T/YPE (Check all that apply) by a structural engineer. ❑ New sign t f Freestandingy. Electrical ((( ,,, • Building permits require 2 sets of 0 Alteration to 0 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: (h) x (w) = sq.ft. sign area New sign: sq.ft. + Existing sign area sq.ft. = Total FOE STAIrrigr, O r;17.S.: Total sign area: sq.ft./ building face sq.ft. = %of bldg face Case No.: �/ S / QV ElJ /7 _OC.a._J Height to top of sign: I ft. Projection from wall: in. Related Cas No.(s): Materials: T Q0/ Fee: Application accepted: Is the sign under 20 lbs.? El Yes 0 No By: 1--C Date: SIS I<'- (Building Permit required if over 20 lbs.) Application determined complet : Direction wall faces (circle one): N S E W NE NW SE SW / SDate: Will the sign have illumination? Yes CI No By: L If yes,what type: . Internal 0 External IACURPUNAisterAtendose Applications Rev.03/03/2015 @k—z.,,,.3-2a$F_'"`-"Te.----. ----_- -.r-.r7-__.... - -�.--,^: J-.__:.---:-43� __'SSC' ..-_, _._--x.,.._._ ._.. . .>..._:. _...�.... K.,. ..1-....r.,..., 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,induding 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. SIGNA RES of each owner of the subject property required. Gam_ /Davi evi_eie / 12 -2 -/G Applicant's signs a Print name Date • L- -�f�4CK -DAt t2-27- Is Owngnature Print name Date Owner's signature Print name Date - MINIM SIGN PERMIT APPLICATION City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2 CITY OF TIGARD Approved by Pla fling Date: , i nitials L-2 S.W. PACIFIC i•:WY _:. i dIV-C" -: -i L " .. - - -1_, . ., -I II 9 P z I Lti tr: • t 2:7? . . . SI-. WALL I SIGN — 1 66-0 SCALE: 1/32 1/32' nttk . PRIMARY ID SIC,114 1 %....-1 C.A.T.i.. 1. -, SHE1.1. 1..EI:FH SFIS I f i'.7:\,, 13..V 3 HIGH RISE ,...'-',-, I ,i'i" SF WALL SIGN 1 FABRICATION SPECIFICATIONS A FACES TYPE RVIE SHELL PECTIN SUPPLIER SIGN RESOURCE El FACES TYPE RVIEJACKSONS SUPPLIER SIGN RESOURCE r CITY OF TI GAR D Q FACES TYPE RVIE 1X REG PRICER _ YES C O SUPPLIER SIGN RESOURCE Approved y Planning OFACES TYPE RVIE 1XDIESELPRICER Northwest Date: SUPPLIER SIGN RESOURCE Region (� ©FACES TYPE RVIE V-POWER Initials: �J SUPPLIER SIGN RESOURCE Boise Q FACES TYPE BLANK WHITE FACES 416 East 41st Stleel SUPPLIER SIGN RESOURCE Boise,ID 83714 QMDR OR SHELL WHITE ON FACES AND 208 345 2982 INSIDES,SHELL SILVER(RAL 9008), EXISTING DISPLAY ON OUTSIDE ENDS IM1. P,- r11,C7 Pon:�iYl. SCOPE OF IVORN RETRO FIT EXISTING FACES FROM MONOLITH TO RVIE. REMOVE ALL qui vI,Lu II, I l FACES AND JUNK. ORDER AND INSTALL NEW FACES AS SHOWN. ARI ym, REMOVE LOWER TWO CABINETS AND JUNK. REPAINT STEEL www.Yesco.cam I SUPPORTS PER SHELL SPECS. CUEA1 431 1 13 , JACKSONS 519 ADDRESS 11834 SW PACIFIC HWY CITY(STATE IIIP- (9 TIGARO,OR ACCOUNT EAECUTIVE: ERIC WILLIAMS 11141* 050ISNFR 331 Y WAGERt{IORIG'NAL OATS ��cksons ItIIN ,urns os 115100E R APPROVAL R0g8I MI (Jocktoni) R' I I Client Swaim I Date Regula. ( Diesel © Landlo d Signature I Oate i _ • / PIUS 1F1..,1 . l ;,,CIRCA,NCI[ NOTE.URI ESS OTHERWISE NOTED,FITC IRICAL p ``s (Q 0 RUNS OR FINAL ELECTRICAL CONNECTION -I,=, • ill' V-Power @�1 ' CHARGES ARE NOT INCLUDED. ILLUMINATED "- 7---,- "5 ! + V-Power DISPLAYS WILL RE WIRED FOR IN VOLT POWER IL• I 04 rya UNLESS OTHERWISEINOICAIED -^ •••,...._ Diesel n 9�,• -- - i E��n—Y•SIIL�L&ISN0,,2R�REASF MD.CAILIWRVWIALEMe1 •-L II C // -III Wu . I Igi,M.1.,� -_ `- , VOLTS . AMPS • d R' \ e RECOGNIZED MANUFACTURER 1 THIS SIGN IS INTENDED TO RE INSTALLED IN ACCORDANCE WITH THE RECUIREMENIS OF ARTICLE ROC Of THE NATIONAL ELECTRICAL COLE ANTI OR OTHER APPAICARLE LOCAL CODES THIS VICIOUS PROPER GROUNDING AND BONDING Of INE SIGN Of IISIII',S ADA.1E REVISION DESIGNER 1 RVIE RETRO SCALE: 118" = 1'-0" QUANTITY: 1 MANUFACTURE &INSTALL PRODUCTION READY - 318124 318124 PAGE 01 1 1