SGN2018-00011 CITY OF TIGARD SIGN PERMIT
1111 I Permit#: SGN2018-00011
COMMUNITY DEVELOPMENT Date Issued: 02/15/2018
T II"A R f-r 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110AB00200
Jurisdiction: Tigard
Name of Business: 8 Hr Denture
Business Address: 14465 SW PACIFIC HWY
Applicant/Agent: COOKE, JENELLE
Work Description: One(1) new 13-square-foot wall sign on north-facing wall. Sign is single element that
weighs more 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: 15"x 10.5"
Total Sign Area: 13
Wall Area: 313
Wall Face(Direction): North
Sign Height: 11.5 ft.
Projection From Wall: 6 in.
Illumination: Internal
Materials: Aluminum and acrylic
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $203.00
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: -�--cl
Permittee Signature: - J
W.
RECEIVED
City of Tigard
e COMMUNITY DEVELOPMENT DEPARTMENT FEB 15 2018
Y 2
Sign Permit Application CI i Y OE TGARD
PLANK NG/ENGINEERING
SIGN LOCATION /�
Address: / 1/�,���1�) fi,it Suite#: REQUIRED SUBMITTAL
ELEMENTS
City/state: l 4,, , on., Zip: l740.1.2 ❑ 2 copies of elevations on 81/2"x 11"
Tenant or business: or 11"x 17"pages(Wall sign
elevations must include dimensions
Property owner name: _-_, ///__�./_ A, i �Y/1/` �G
of sign and wall face and show the
(�{, location of sign on the wall.
Address: j`1 3 -( 51A., 14rt_ -1--h Freestanding sign elevations must
Ci
t y/state: (9-11--- Zi p. 22T •q be drawn to scale.)
Phone: b Email: J Ctxp .r&SI, i45-n.c6Yri ❑ 2 copies of site/plot plan,drawn
to scale,on 8'/2"x 11"or 11"x 17"
pages(not required for wall signs)
Sign contractor: ��n-e i S-�
Address: I`T fj 46.7\"/ pl,�,�" yL11 List or diagram of all existing sign
dimensions and square footage
City/state: -rated tidk: g1yz
Li ❑ Application Fee
Phone: S153 t 1Emaii: J 4.>)lt_g2-___ _57., Yri5r1,04,0
CCB License #: Expiration date: NOTES:
• Freestanding signs over 6 ft.in height
Contact person: Al.- -- 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.
E)flew sign
❑ Freestanding Ee. ectrical • Building permits require 2 sets of
CI Alteration to ❑ Freeway Ilie Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign 0 Roof C) Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
i/
Sign dimensions:J1,/, a(h) x 10.5-1 (w) = 131 sq.ft. sign area
New sign: 13' sq.ft. + Existing sign area 0' sq.ft. = \3 Total FOR STAFF LSF ONLY"
Total sign area:l'1, sq.ft./ 31? building face sq.ft. = 5 %of bldg face
Case No.: 2a�� [�/� 7
�O r l
Height to top of sign: 1 t• ft.Projection from wall: kiv in. Related Case No(s):
Materials: A (6-ii"--,Th"..t.....ev% f JCC-r (,'z Fee: ,,.24o_
Application accepted:
Is the sign under 20 lbs.? 0 Yes Er No By: AS Date: / --hgti
(Building Permit required if over 20 lbs.
Direction wall faces (circle one): S E \V NE NW SE SW Application determined complete- /�
By: k-S �
Date: )1�11 A
Will the sign have illumination? E]'Yes 0 No
If yes,what type: P--Internal ❑ External 1:\CURPu1\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 arc 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.
Applicant's signature✓ Adbitin P • t 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
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RECEIVED
FEB 15 2018
CITY OF TIGARD
PLANNING/ENGINEERING
CITY OF TIGARD
Approved by PlnAling
Date: '62/ /
initials:
F
SLA) Pa .*3, 77yAri Ole. v2,2_,I1
RECEIVED
,-
FEB 1 5 2018
CITY OF T'GARD
PLANNING/L'otGINEERING
-ITY OF TIGARD
Avroved b PI nning
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