SGN2010-00114 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2010-00114
COMMUNITY DEVELOPMENT Date Issued: 07/08/2010
13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S101 BB01400
Jurisdiction: TIGARD
Name of Business: Randstad
Business Address: 12110 SW GARDEN PL, BLDG#4
Applicant/Agent: Brown,Terry
Work Description: Installation of one(1)permanent wall sign 1'4"x 13'4" CG Zone-allows 15%
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 1'4"x 13'4"
Total Sign Area: 26.1
Wall Area: 840
Wall Face(Direction): East
Sign Height: 12 ft.
Projection From Wall: 11 in.
Illumination: Internal
Materials: Alum/Polycarb/LED
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $164.00
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:
RECEIVED
I I I .1 City of Tigard JUL A 2 2011
Sign Permit Application r1T‘ 0t !GA:.
TIGARD Dl ; .:. r ..,, ._;- - -v•In
GENERAL INFORMATION
Name of Development /Project I
FOR STAFF USE ONLY
Site RANl7STA lb r'
Address/ Street Address Permit No.: o.-G21./ DO I 0 —ov 1 (T
Location 1 21 I b SAO _ GARAEI.3 i`�,AC
e Approved By:
Suite /Bldg. # City/State Zip /1 l l
T% A k. O Q ( . q`1 Date: LJ
Name Receipt #: ' t -7 - (
- net) �
Map /TL #: d� I (9 ( 6l8 C) ( ( +U )
Property A
Owner Mailing Address Suite Zoning: (!/ o �
Allowable Total Area: 15 CO
City/State Zip Phone
Electrical Permit Required?
Tenant or Name 'es ❑ No
Business R1-A*b Building Permit Required? ❑ Yes 12rNo
Name Rev. 7/1/10
{� is \curpin \ masters \land use applications \ sign permit app.doc
Sign RAMS Al Stsry Co
Contractor Mailing Address Suite
41100 S.E. '11 AVE:,
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
" oi2T. oR. '41204, 603"1 S (Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
42h1322 2b 11 ❑ Completed Application Form
Proposed S Permanent ❑ Freestanding ❑ Freeway E 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that ® Wall ❑ Other 1 » 17"
apply) size requirement: 8 /2 x 11 » , or 11 » x 17
❑ 2 copies of elevations, drawn to scale
N New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: 4 S 13 • 1.1" size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): ❑ $164.00 Fee (Permanent sign, any size)
•
Si Data Total Wall Area (sq. ft.) o El $52.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
v
section) N S W NE NW SE SW
Height to top of sign (feet): i 2' • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Materials:
► u t aik, (% L Las • Wall signs do not require site /plot plans.
Will sign have illumination? [A Yes ❑ No • Freestanding signs over 6 ft. required a building
Type: ® Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 1 of 2
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.
DATED this L I■zb day of , 20 I 0
Signature of er /Agent
' h&Q. �) So 3-' 1 h y S sr
Contact Person Name Phone No.
City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 www.tigard - or.gov Page 2 of 2
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DISCLAIMER: Renderings are for graphic purposes only and not intended for actual construction dimensions. For windload requirements, actual dimensions and mounting
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: Everbrite detail, please refer to engineering specifications and install drawings.
• Identty systems Division These drawings and designs are the exclusive property of Everbrite, LLC. Use of, or duplication in any manner without express written permission
of Everbrite, LLC. is prohibited.
Customer: RANDSTAD Description: 16" LED ILLUMINATED Customer Approval: NOTE: Unless specified by customer, all depth of embossing will be
INDIVIDUAL LETTER SET RACE- determined by Everbrite Engineering or existing customer specifications on file. Colors and graphics
Project No: 258772 (Scale: NTS WAY MOUNTED on file will be used unless otherwise specified by customer.
Date: 04.09.10 I Drawn By: eo Please read carefully, check appropriate box and fax ❑ Sketch OK as is
Revised: 258772R1 04.13.10 back to Everbrite: ❑ New sketch required
Location & Site No: PORTLAND, OR
RAND46014 Revised: 258772R2 04.20.10
Revised: SIGNATURE DATE
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please r efer to eeering specification and install drawings.
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. c, ? .a ° , Y f l:2': .' . c� f4 - t Of Everbrile, LLC. is prohibited -
Customer. RANDSTAD Description: 16" LED ILLUMINATED CustomerApproval: NOTE Unless specified by customer, all depth of embossing wtU be
INDIVIDUAL LETTER SET RACE determined by Everbrite Engineering or existing customer specifications on tile. Colors and graphics
Protect No: 258772 I Scale• NTS WAY MOUNTED on file vrill be used unless otherwise epedtied by customer.
Date: 04.09.10 I Drawn By eo Please read carefully, check appropriate box and fax Sketch OK as Is
Revised: 258772R1 04.13.10 ba to Everbrite: 0 New sketch required
Location & Site No: PORTLAND, OR
RAND46014 Revised: 258772R2 04.20.10 i l
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Revised: Si = NATURE A ! - AGjteri.74 ��,t! D A4/A0//.0
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'`.;':..a, CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
; ., 503.639.4171
TIGARD
Receipt Number: 178608 - 07/08/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00114 Sign Permit 1003100 -43115 $143.00
SGN2010 -00114 Sign Permit - LRP 1003100 -43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID . ID RECEIPT DATE RECEIPT AMT
Check 2720 STREAT 07/08/2010 $164.00
Payor: Ramsay Signs Inc
Total Payments: $164.00
Balance Due: $0.00
Page 1 of 1
x
■ �� ii. CITY OF TIGARD RECEIPT
-' U
>� . . 13125 SW Hall Blvd., Tigard OR 97223
q a 503.639.4171
TIGARD
Receipt Number: 178609 - 07/08/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
ELC2010 -00333 Sign or Outline Lighting 2200000 -43103 $67.84
ELC2010 -00333 12% State Surcharge - Electrical 1003100 -24001 $8.14
Total: $75.98
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 2720 BTAGGART 07/08/2010 $75.98
Payor: Ramsay Signs, Inc.
Total Payments: $75.98
Balance Due: $0.00
Page 1 of 1