SGN2009-00152 CITY OF TIGARD SIGN P ERMIT
Permit #: SGN2009 -00152
COMMUNITY DEVELOPMENT Date Issued: 06/
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135BA02800
Jurisdiction: Tigard
Name of Business:
Business Address: 10380 SW CASCADE AVE
Applicant/Agent: ES & A Sign & Awning,
Work Description: Installation of (1) one 36's.f permanent wall sign.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 3'x12'
Total Sign Area: 36
Wall Area: 8580
Wall Face (Direction): East
Sign Height: 28 ft.
Projection From Wall: 8 in.
Illumination: Internal
Materials: Alum / Lexan
Electrical Permit Required: Yes
Building Permit Required:
Total Permit Fee: $40.00
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: f • -
�.
Permittee Signature: •\
N SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project rr II II -- ,/
Tom^ 'Irvri J FOR STAFF USE ONLY
Site b L.�,r� ei5 X Sk1 \
Address/ Street Address Permit No.: 7 h 2 0 0, -- - Uu l s Z
Location (0 3% b C)P £ 4Z e ce7lV
Expiration Date:
Suite /Bldg. # City /State II n Zip c
IA OIL. Critl - Receipt #: .2.....„...;., 0 I YO (47
( Name n 1 Approved By: // 1 e
Property L j* W,rQ.. ,'/tyL(-6'c.3 Date: '7(S (0 f
• Owner Mailing Address 1 Suite Map /TL #: / S) 35 13 Q4- 'O a 3
1O '' ectoccje Zoning:
City /State Zip Phone
— t'(P.rd '\ 72Z3 5D3. (n�i . vex)
Tenant or Nam Electrical Permit Required? Yes ❑ o
Business e.r2 5 .. • Building Permit Required? ❑ Yes 2 No
Name Rev. 7 /1/07
Mailing is \curpin \ masters \land use applications \sign permit app.doc
Sign 5tA a 1�1
Contractor Mng Address Sui
(Prior permit ✓g5to , r n � a . t7
issuance , a 1vG (p kb1
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are 11 & . 't1u (Note: applications will not be accepted
X
required if — Yl 2.2 1Ck without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City ofTigard's
database) 163470 0''.�l(o /l 1 Completed Application Form
Permanent
Proposed El Freestanding El Freeway d2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary K Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other Billboard El Balloon t
apply) ize requirement: 8 /z" x 11", or 11" x 17"
New sign? Alter to existing sign? CJ 2 copies of elevations, drawn to scale
gn Dimensions t (3 copies, if a building permit is required)
X i Z ize requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): , ..,{
a ,K� $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft � tOt X 330( / ❑ $ (Temporary ty gn, any type)
$5$O 19.00 Fee em ora si an e
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S O W NE NW SE SW
Height to top of sign (feet): 2..V • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): ' de p .1 must include dimensions of wall face and sign
placement.
Copy: ° ls: i • Wall signs do not require site /plot plans.
Materials: ci tt L61/lt1Yh 2 kxor%
• Freestanding signs over 6 ft. required a building
Will sign have illumination? Yes ❑ No permit.
Type: VI Internal ❑ Extemal • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
X Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
See, et k j (OVER FOR SIGNATURES)
I hereby acknowledge that f have read this application, that the information given is correct, that 1 am
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DATED this
dat of UAL- , 20 Cfl
joe re
'Signature of Owner/Agent
'4,1 • - E6kA Ser xAorkin 5b3. 942 .2.100
Contact Peon N. 4 Phone No.
CITY OF TIGA RDo
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Removable retainer 1-1---,, %—
I C 4 3/8" Lag screws as ieq
48" 0 . (1YP)
Acrylic or lexan face ► i
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�� — All components
UI2161 Compliant
Wood Wall
. "`- ..° CITY OF TIGARD RECEIPT
j 13125 SW Hall Blvd., Tigard OR 97223
•, 503.639.4171
TIGARD,
Receipt Number: 174067 - 06/19/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00152 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00152 Sign Permit - LRP 100 - 0000 - 438050 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 7545 KPEERMAN 06/19/2009 $40.00
Payor: ES & A SIGN AND AWNING CO
Total Payments: $40.00
Balance Due: $0.00
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