SGN2018-00088 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2018-00088
COMMUNITY DEVELOPMENT Date Issued: 10/03/2018
T (:;A k I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110AB00200
Jurisdiction: Tigard
Name of Business:
Business Address: 14465 SW PACIFIC HWY
Applicant/Agent: Cooke,Jenelle
Work Description: Acrylic, aluminum sign facing SE on 14465 SW Pacific Highway. Sign dimensions:
2x10.5=21 sq feet. Wall facade 34 x 11=374. Percentage of coverage is 6%. Electrical
permit required.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 2x10.5=21 sq feet
Total Sign Area: 21
Wall Area: 374
Wall Face(Direction): Southeast
Sign Height: 11 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: acrylic, aluminum
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $218.00
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 Signature: 41 =� ��F
City of Tigard RECEIVED
g
II " COMMUNITY DEVELOPMENT DEPARTMENT o c T o 3 2018
Sign Permit Application CIT':C).-= _. �_-)PLANNING E :moi;'v ..,.:h►NG
SIGN LOCATION/ 6-IAF
REQUIRED SUBMITTAL
Address: 1 j7 r Si."-1i 2 cite#:
ELEMENTS
City/state: �'?t- Zip: 7 2Z ,
�/ tle--2:" e 2 copies of elevations on 8/z x 11
Tenant or business: €V141�.•✓ C� Lv� \Jdf 7 or 11"x 17"pages(Wall sign
J elevations must include dimensions
g -7 1 '� of sign and wall face and show the
Property owner name: �'V�- location of sign on the wall.
Address: 4. ' /L Freestanding sign elevations must
e drawn to scale.)
City/state: " � - Zip: 112Z`f
Phone:
$b Zv ifaiM Email: 3 C_c rnsnbcoyie, 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11 or 11"x 17"
5 l ow Q J � t y•� ages(not required for wall signs)
Signcontractor: Q_•( �-n.7C�"~'
1/ - -yt List or diagram of all existing sign
Address: 1 131 cc t 4.c-t`+iL 4i Lu..., dimensions and square footage
City/state: —TAt9'' ./Zip: 97 22 f Application Fee
Phone: 2 3 f.Z 0 earl Email: J C ra) „_(Q e rrtsn.Cly YYl
NOTES:
CCB License#: / "/ Expiration date:
` _ • Freestanding signs over 6 ft.in height
Contact person: A LO�.A'� p [4,, ,5 and walls signs of which any element
weighs 20 lbs.or more require a
building permit for construction.
SIGN DATA(Complete all items in this section) If any element of a wall sign weighs
70 lbs.or more,plans must be prepared
TYPE (Check all that apply) by a structural engineer.
pi New sign
❑ Freestanding ❑ Electrical • Building permits require 2 sets of
❑ Alteration to ❑ Wall construction drawings and,if sign is
❑ Freeway
existing sign freestanding,2 copies of site/plot plan
CI Roof CI Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
Sign dimensions: (h) x_(w) = 20 sq.ft. sign area
New sign: #2---° sq.ft.+ Existing sign area L sq.ft.=_Total FOk '1'ArT I SI: ()Nis
if) ScJ2Ag-000 Total sign area: r sq.ft./ 395-building face sq.ft. _ %of bldg face Case No.:
Height to top of sign: 13 ft.Projection from wall: r in. Related Case No.(s): ZG'tJ'iiP )u M'
Materials: aG ( L 1. cq ( wr111'•1 ikrY\ Fee: ,,$Lig 0 0
Application accepted:
Is the sign under 20 lbs.? V Yes ❑ No By: SC- Date: 1 V-. .,t Y
(Building Permit required if over 20 lbs.)
Direction wall faces (circle one): N S W NE NW 0 Ste' Application determined complete:
4 r to.. -1�/i
J
By: ,L- Date:
Will the sign have illumination? Yes ❑ No
If yes,what type: nternal ❑ External I:\comm„nity Development\land Use Applications\02 Forms and
Templates\Land Use Applications Rev 12/14/2017
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,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.
j-e C,cc) tO,.... 3
A pli . - is signature Print name Date
• ./
ae-r-cLi kD 1 V-f-- tO - 3-)
o per'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
RECEIVED
OCT o 3 2018
CITY OF TI.GARD
PLANNING/ENGINEERING
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RECEIVED
OCT 0 3 Z018
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PLANNING/ENGINEERING
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