SGN2016-00060 CITY OF TIGARD SIGN PERMIT
III ■' Permit#: SGN2016-00060
COMMUNITY DEVELOPMENT Date Issued: 01/18/2017
T r(_;A itt) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102CC00500
Jurisdiction: Tigard
Name of Business: Starbucks
Business Address: 13560 SW PACIFIC HWY
Applicant/Agent: Diehl, Tracey
Work Description: Replace one(1)9.25-square-foot sign on south-facing wall. Single element greater than
20 pounds.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 18.5"x 72"
Total Sign Area: 9.25
Wall Area:
Wall Face(Direction): South
Sign Height: 14 ft.
Projection From Wall: 3.5 in.
Illumination: Internal
Materials: Acrylic, vinyl, metal
Electrical Permit Required: No
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: )16W. [.k71
Permittee Signature: greC%t r (G:-[ LN
S,+,( 7 �\ RECEIVED
City of Tigard MAY 2 3 2016
a II ICC)NIMUNITY DRVELOPMF;NT I)FPARTM1�:N'I' CITY OF TIGARD
1IGARt) Sign Permit Application PLANNING/ENGINEERING
, .__,.:
SIGN LOCATION r�-
Address: 13 Qo POC t1 c. uite#: REQUIRED SUBMITTAL
r� ELEMENTS
City/state: �l Q Ory OIYTI - Lip: q 191 R3 �2 cu �f cictations on 81.1:."x t I"
Tenant or business: STGL� b jcK S 4-1-1--x 17"pages(Wall sign
elevations must include dimensions
y, i, of sign and wall face and show the
Property owner name: ( %Ll, 1) LIL-S location of sign on the wall.
Address: ro Ooh 3I 4L ) freestanding sign elevations must
1 q City/state: 5tr,,� r+ft zip: j r be drawn to scale.)
Plume: Email:
t Q'2 copies of site/plot plan,drawn
to scale,on 8W'x 11"or 11"x 17"
Sign contractor: 1��S G l�U r) +11I ('`I)"1 cO n pages(not required for wall signs)
Eli List diagramof all existing sin
Address: al S ' -ermi t) 126a ,J dimensions and square footage
City/ te: -, A A 0 Zip: 910 C9 2
iiApplication fcc
;.,'�
Pho 2)q; - L4 m<til:"hYb.Ctkpi) k) ;-I-P tv)
nn
C- CCB License #: ' ()L 1 Expiration date: NOTES:
Contact person: KI 4 (0t'4 fez.--gz i5 • l ret Landing signs over 6 ft.in height
and walls signs of which any clement
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
-�C 71)lbs.or more,plans must be p pared
�) TYPE (Check all that apply) by a structural engineer.
Ni X] New sign
❑ Freestanding r' I•aectrical • Building permits require 2 sets of
Wall construction drawings and,if sign is
j Alteration to 0 Freeway /'�, freestanding,2 copies of site/plot plan
existing sign ❑ Roof ❑ Other and 2 sets of engineering must he
L vA( Sign #: �1U/)) submitted with building permit
(.46, \ application.
ti .r
Sign dimensions:��( tO d' (h) x (� at (w) ='q1 cl.ft. sign area
I (�0� .�s 'w � Total 1 0 k STAFF l S F 0\I 1
••J New ;lin: a sq.ft. + Existin gn area sd.ft. =
V /
total gave : / a 651 Rug g ace. . .- "o f bldg face Case No.: k70/1 " OCV
I Icight to top of stgr& I ft. Projection from wall:'/1 in. Related Case N (s):
Materials: 1~i c1. I I r .I /
D / , J j� fee: —_
. '�l f.1 c r S r)t // 'i 41 Zi A,Vf 1 1 a ii fi (l� Application accepted:
Is tl e sign and (►lbs? ❑ Yes ,® No LS x 311
By: Date: / 4
(Building Permit required if over 20 lbs.)
Direction wall faces (circle one) S E W NE NW SE SW '
ApplicaNC"tion determined con)i1 lig
the sign have illumination? ' Yes ❑ No ,�•J By: Date: I
If yes,what type: .p Internal ❑ I:.xtcrnal0:05
I:\CURPLN\Masters\land Use Applications Rev.03/03/2 IS
Cite of Tigard • 13125 SW Il:all Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 - Page 1 of 2
•
APPLICANTS
NOTE: Person specified as"Applicant"shall he designated"Permittee"and shall provide financial assurance for work.
\Vhen 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 assent of the owner. The owner(s)must sign this application in the space provided on the back of this
firm or submit a ns ritten authorization wait 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 arc 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.
1rc&1 O l od LJ J Ig/I t3
Applicant's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
SIGN PERMiT APPLICATION
City of Tigard • 13125 SW Ilan Blvd. • 'Tigard,Oregon 97223 • wwwtigard-or.goc • 503-718-2421 • Page 2 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 authoriz i agent of the owner,and that plans sub i d are in compliance with the City of Tigard.
subject tp(4.4�,a'
d:
D)mt
SIGNA � S of eab et of the su 1 p q
L s 4 _ 4. gap ' /6. /'eta
Applica' Mar Print name / Date
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 • wwwtigard-or.gov • 503-718-2421 Page 2 of 2
south elevation
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CITY OF TIGARD
Approved by Plan;ing
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