SGN2019-00127 ,, CITY OF TIGARD SIGN PERMIT
Permit#: SGN2019-00127
COMMUNITY DEVELOPMENT Date Issued: 11/21/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110AA01000
Jurisdiction: Tigard
Name of Business: The Gardener's Choice
Business Address: 14220 SW PACIFIC HWY
Applicant/Agent: Bates, Stephen
Work Description: One (1)24-square-foot banner sign.Valid from 11/22/19 to 12/22/19.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions:
Total Sign Area: 24
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials:
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $72.00
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: .,,d4TZyi 4
City of Tigard RECEIVED
qi COMMUNITY DEVELOPMENT DEPARTMENT
111111
a NOV 2 1 2019
TIGARD Sign Permit Application CITY OF TIGARD
PI ANRllNP/ENGINEERING
SIGN LOCATION
Address: J4•122 0 ,54) AK *ie#: REQUIRED SUBMITTAL
ELEMENTS
City/state: 77 rare _ o R Zip: ?722SC
_ _/ ❑ 2 copies of elevations on 8',z"x 11"
Tenant or business: T/it 6/�✓I[e_ite I'r� C.,/' r or 11"x 17"pages(Wall sign
elevations must include dimensions
keel; gA-� of sign and wall face and show the
Property owner name: qC' r7"�'`�
P location of sign on the wall.
Address: Anil 30 5"A) V ie_44.) i-ri -er23 Freestanding sign elevations must
City/state: -7--4 .r i ) 6-g. Zip: 9 7s?...ig7 be drawn to scale.)
Phone: �3 332 Email: .1c—ba c.& he�/d r, (eiN ❑ 2 copies of site/plot plan,drawn
?[/r47� v to scale,on8'/"x11"or 11"x17"
pages(not required for wall signs)
Sign contractor:
❑ List or diagram of all existing sign
Address: dimensions and square footage
City/state: Zip: ❑ Application Fee
Phone: Email:
NOTES:
CCB License#: Expiration date:
• Freestanding signs over 6 ft.in height
Contact person: and walls signs of which any element
weighs 20 lbs.or more require a
building permit for construction.
SIGN DATA s in this e(Com letall items
(Complete section) If any element of a wall sign weighs
TYPE (Check all that a 1 70 lbs.or more,plans must be prepared
0 New si. n pP�) by a structural engineer.
g 0 Freestanding ❑ Electrical • Building permits require 2 sets of
0 Alteration to ❑ Wall construction drawings and,if sign is
❑ Freeway
existing sign
0 Roof �/ e--;12.,;.r..- freestanding,2 copies of site/plot plan
" nom(/ and 2 sets of engineering must be
Sign#: submitted with building permit
application.
R / /
Sign dimensions: / (h) (w) = ov'� sq.ft.sign area
New sign: sq.ft.+ Existing sign area sy.ft.=_Total FOR STAFF USE ONLY
Total sign area: _sq.ft./ building face sq.ft. _ %of bldg face Case No'so: „",,rte» n
Height to top of sign: & ft.Projection from wall: in. Related Case�ir>.(s):
Materials: tri t1\
Fee: f �--.
Application accepted:
Is the sign under 20 lbs.? `/ Yes ❑ No By, m v F Dare:
(Building Permit required if over 20 lbs.)
Application determined complete:
Direction wall faces (circle one): N S F.. W NE 0.E SW
Will the sign have illumination? 0 Yes i- No B`' Date:
If yes,what type: ❑ Internal ❑ External I\Community Development\Land Use App lications\02 forms and
Templates VLand Use Apph aeons Rev 12/14/2017
City of Tigard • 13125 SW 1 fall.Blvd. • Tigard,Oregon 97223 • wNkw.tigard or.goc • 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 hack 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-off the subject property required.
C
Applicant' signature Print name Date
J-'ce h
ed C, S/?-TeS // -2/ -1?
Owner' signature Print name Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW flail Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2