SGN2017-00066 CITY OF TIGARD SIGN PERMIT
'U Permit#: SGN2017-00066
COMMUNITY DEVELOPMENT Date Issued: 06/08/2017
T I i.;AR 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102AB04500
Jurisdiction: Tigard
Name of Business: Beach Hut Deli
Business Address: 12436 SW MAIN ST
Applicant/Agent: Haedinger, Chris
Work Description: New wall sign located at 12436 SW Main Street for Beach Hut Deli.The sign will be
located on the NW facade and will be approximately 22 square feet. The sign will be
internally illuminated
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 22"x 12'
Total Sign Area: 22
Wall Area: 375
Wall Face(Direction): Northwest
Sign Height: 13 ft.
Projection From Wall: 3 in.
Illumination: Internal
Materials: Aluminum, Plastic
Electrical Permit Required: Yes
Building Permit Required: Yes
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: 'Ig U gkt-kb
Permittee Signature: /�' -4VP�
RECEIVED
City of Tigard JUN 0 8 2017
r71 : COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF TIGARD
TIGARD Sign Permit Application PLANNING/ENGINEERING
SIGN LOCATION
�. 65� `�4 J1 REQUIRED SUBMITTAL
Address: /2 / Suite#: ELEMENTS
City/state: / ,6-----e--(--6---, 'a,' Zip: 9-720 3 111
/ 2 copies of elevations on 81/2"x 11"
Tenant or business: , ,.Q.c 4 /--/,/ & ' , or 11"x 17"pages (Wall sign
elevations must include dimensions
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: be drawn to scale.)
Phone: Email: 1112 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: --//.t/ /C: In / (---- �.
Address: to /i 0x- //z 5 ❑ List or diagram of all existing sign
�� dimensions and square footage
Ci /state: /// i' f/ei G, t/ 2 6) Zip: 9'7e- // 1
City/state: P ❑ Application Fee
Phone:.SOs-7,C -21'1 S-3Ema.il: (---/4,--1_5�5- t :c �, / %-f(';r: .<-0 „
i r NOTES:
rrT i
CCB License #: / Expiration date:
Contact person: 64 f ' _> -5—(-73' ' 5- — Zr 7...5 • Freestanding signs over 6 ft.in height
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
TYPE (Check all that apply) by a structural engineer.
-7( New sign ❑ 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 ❑ Roof ElOther and 2 sets of engineering must be
Sign#: submitted with building permit
application.
22 fr1 i �`7
Sign dimensions: -- ' (h) x /2 (w) = —2 t. sign area
New sign. 2 /2-213. + Existinsign area sq.ft. = Total I•t t It s'tn t/�I: ( s I ()NI.)
Total sign area: '2.2 sq.ft./ 3'5'iuilding face sq.ft. = •5.3%of bldg face Case No.:SbNL�✓11-000@,
Height to top of sign. / 3 ft. Projection from wall: in.
Related Case No.(s):
I
Materials: e , UA PA l Mit On Iel a S•-. )c._
Fee:
Application accepted: / v
Is the sign under 20 lbs.? C1Yes � No By: '•L(, Date: L,(�1`Il
(Building Permit required if over 20 lbs.)
Direction wall faces (circle one): N S E W NEC SE SW Application determinedk
completWill the si have illumination? Yes NoBy: • � eDate: � ��
If yes,what type: Internal 0 External I:\CURPLN\Masters\Land Use Applications Rev.03/03/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-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.
SIGNATURES of each owner of the subject property required.qu
/ /c.
� /
pplicant's si:.40Print name to
.� U�l,✓ S Ca4 V `g' � 7
Owner's signa lire 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
CITY OF TIGARD
Approved by Planning
Date: ?
Initials. 1.--_ ______
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BOARD Tigard,OR 97223
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ILLUMINATION'WHITE LEDS:12 VOLT POWER SUPPLES ,jI1 'f-'1 L _ •'�I
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Faces:.Yellow Surf Board Red&Blue letters T I I 1_ 5= ni
Illumination: 12 Volt Power Supply -T 1 L_1 I 1_ -T!-11-- -
LEDS:White&Yellow I TZ sir. 7 1_
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Facia:Brick 1 t7 S_= •
Store Frontage:30' 1 _
Sign Length: 9' •
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Sign Height: 20" -
Letter Hedght:12" Imo Mel _ - f _ ■
Letter Style:Custom i + Ill
Sign Weight:Approximately 70 Lbs TJ1� r� - g
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ALL SIONAOE TO BE U.L.LISTED S.MEETS N.E.C. - - 1
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