SGN2009-00153 ' r , � CITY OF TIGARD SIGN PERMIT
, : . Permit #: SGN2009 -00153
COMMUNITY DEVELOPMENT Date Issued: 06/19/2009
Poop 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 108 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: 6'x18'
Total Sign Area: 108
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: t:
O y e Permittee Signature: if 4 - -af.Cu
q SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
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GENERAL INFORMATION
Name of Development /Project cc tt LL A t ti
{y, �t� ` FOR STAFF USE ONLY
Site t b Lfaykeees is ' :t
Address/ Street Address' f Permit No.: - 2-0. `/ - `) 0 t S 2,
Location 1 a3� � t ` Q,� � ISk1
Expiration Date:
Suite /Bldg. # City /State Zip qo /
` r � , �Q `172-z3 Receipt #: Q - G 9'
Name `� Approved By:
Property 4 -Lt'► &L 0 tf 1 S Date: (0l3 c \/0
Mailing Andress Suite S Z8 t3 v
Owner g Map /TL #: 1 (3 5 13 A - O
1 10 Cazcatke Zoning:
City/State Zip Phone
`1 �9 0l7,23 5'3.(084.(�l,oc� LJ ❑
Electrical Permit Required? es No
Tenant or ' n *�
Business L Gy�ne`s Building Permit Required? ❑ Yes may
Name _'"'"'�' Rev. 7 /1/07
& A s is \curpin \ masters \land use applications \sign permit app.doc
Sign i h.11ack
Contractor Mailing Address Suitij
issuance, permit sit p c �_ _ l „ Y _ t1(� _ 0
copy of all tty/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are I 1 i n 7 21 g 2 (Note: applications will not be accepted
required if r "t tr1 , Imo • without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's /
database) l (0347 v 0 / ,, „/„ Completed Application Form
h Permanent Freestanding Freeway Proposed ❑ g ` ❑ [r2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary E r Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other Billboard ❑ Balloon t '
apply) size requirement: 8 /z ' x 11”, or 11" x 17"
❑ New sign? Alter to existing sign? Er2 copies of elevations, drawn to scale
Sign Dimensions: 1 c L (3 copies, if a building permit is required)
C O l { � � 'ze requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
1'0 2 $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.` 1 t
4W x 33 5' $ ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S (J W NE NW SE SW
Height to top of sign (feet): 2g • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): $t' must include dimensions of wall face and sign
q placement.
Copy: U
Materials: t r t � � � � • Wall signs do not require site /plot plans.
♦ Freestanding signs over 6 ft. required a building
Will sign have 1 umination? [Zf Yes ❑ No permit.
Type: MI Internal ❑ External • 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
\ tyl Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted. I �,{,
, K.edn ize- eX(5 h tv Ext.,' 5 icr b L4cc. Di"t " ' (OVER FOR SIGNATURES)
(d � ' h (set -w e 1
9 °a) c �
I hereby acknowledge that I 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 clay of
e- , 20
/11
Signature of 0 i rner/Agent
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Contact Irson s' Phone No.
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CITY CF TIGARD
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Internally illuminated wall sign
8
Removable retainer
4 3/8" Lag screws as req.
48" O.C. (JYP)
Acrylic or lexan face ►
1 to J -box
Ballast 01/ / /mi «ial////// u��d •— .
n conduit 20V
Flourescent lamps
/z" conduit thru wall
aluminum cabinet 4
All components
U12161 Compliant
Wood Wall
F" CITY OF TI GARD RECEIPT
7 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
`LIGARD
Receipt Number: 174069 - 06/19/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00153 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00153 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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