SGN2019-00136 1111 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2019 00136
r1 COMMUNITY DEVELOPMENT Date Issued: 12/09/2019
T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1 S 134AA01900
Jurisdiction: Tigard
Name of Business:
Business Address: 10105 SW NIMBUS AVE
Applicant/Agent: Boyington,
Work Description: New Wall Sign
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 6x6
Total Sign Area: 28.27
Wall Area: 672
Wall Face(Direction): East
Sign Height: 20 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $228.00
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: / i .....------
Permittee Signature:
RECEIVED
DEC 092019
City of Tigard CITY OF TIGARD
_ ,
COMMUNITY DEVELOPMENT DEPARTMENT PLANNING/ENGINEERING
TIGARD Sign Permit Application
t)
-—411/111111
SIGN LOCATION 11 REQUIRED SUBMITTAL
Address: ICI 06 5114 NIMh� vS Ate ltd Suite#: ELEMENTS
City/state: 1;10,rd, 09., Zip: "'722,3 ❑ 2 copies of elevations on 81/2"x 11"
Tenant or business: 13VC-S- ki 1 5215-2-- or 11"x 17"pages(Wall sign
elevations must include dimensions
I� �y Cfb.�'T-fit' I�SSea(.e S 1.2..x.. of sign and wall face and show the
Property owner name: IM S C_j f location of sign on the wall.
Address: 10I W &( c�V+V , 1. Freestanding sign elevations must
City/state: POC41 Gtr 09—.UAnti Zip: Crt3 V be drawn to scale.)
Phone: 1- 2, 71'1(1 Email: (10,1.e.0 j cri `•((my ❑ 2 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: S5t.tivvvv w ed.;TAC.
�/ �Lj ❑ List or diagram of all existing sign
Address: t OG R �r " /`8 . dimensions and square footage
City/state: S {OAAk,a L " Zip: 113a( I=1 Application Fee
Phone:f(S�.3.71-(03107,- Email: lvldnl"j e SG1(jM>lM .GGYt"/
CCB License#: (PS2C17 Expiration date:
3/2 6/2(.) NOTES:
�j � • Freestanding signs over 6 ft.in height
Contact person: MtL 30111 � ..t ^' and walls signs of which any element
JJ 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.
New sign
❑ Freestanding Ntl Electrical • Building permits require 2 sets of
❑ Alteration to Freeway IX Wall construction drawings and,if sign is
existing sign freestanding,2 copies of site/plot plan
❑ Roof ❑ Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
rr 't C.riwl ar-
Sign dimensions: b (h) x�(w) = 2Z x.7 sq.ft. sign area
New sign:4.27 sq.ft.+ Existing// sign area ...--"'"'sq.ft.=_Total FOR ST/AFF) USEONLY
Total sign area:21 11 sq.ft. / (011-building face sq.ft.= O( .%of bldg face Case No.: so/V ao,y�-06/3�0
Height to top of sign: V.) ft. Projection from wall: 5 in. Related Case No.(s):
+�
Materials: Alli Wlt1I ` ' /t.AIN!' L Fee: cD
I Application accepted:
Is the sign under 20 lbs.? IK Yes ❑ No By: s'(.v Date: /g/0'
(Building Permit required if over 20 lbs)
Application determined complete:
Direction wall faces (circle one): N S p W NE NW SE SW /
Will the sign have illumination? Yes ❑ No By Sit/ Date: 9�9
If yes,what type: I Internal ❑ External l:\Community Development\Land Use Applications\02—forms and
• Templates\Land Use Applications Rev 12/14/2017
PE111111111M 40821
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
4
M •
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 1 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. ,+
u /1//,,, dt t.' l//l//
Applicant's signature Print name Dat
, L^ ; /r
`QC
Ara Ot 1 / 5//°I
Owner's signature Pr' t name ;iikg eadkj5.63z, Date
Owner's signature int name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. - Tigard,Oregon 97223 • www.tigerd-or.gov • 503-718-2421 • Page 2 of 2
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