SGN2010-00141 ,. -[ r , r CITY OF TIGARD SIGN PERMIT
h , : Permit #: SGN2010 -00141
7 , ., .1 COMMUNITY DEVELOPMENT Date Issued: 09/03/2010
A riGARID
u ;y -s,: sa, 13125 SW Hall Blvd., Tigard OR 97223 503.639 4171 Parcel: 2S113AC00101
Jurisdiction: Tigard
Name of Business: Stash Tea
Business Address: 16655 SW 72ND AVE 200
Applicant/Agent: Wirick, Sue
Work Description: Installation of (1) one 71 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: 54" x 190"
Total Sign Area: 71
Wall Area: 3739
Wall Face (Direction): North
Sign Height: 13 ft.
Projection From Wall: 12 in.
Illumination: No Illumination
Materials: Metal & Synthetic
Electrical Permit Required: No
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: A<Pie_e_A.,4_,,,,:f2
Permittee Signature: 61't-
(19.2-0/o - vuiq/
Irr SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd, Tigat 2,z2 �
Phone: 503.639.4171 Fax. 503.598 196 V E D
GENERAL INFORMATION L , /' AUG 3 12-010
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- / �i ,.‘ CITY OF Tr
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Name of Development /Project PL, titlf �
FOR � ^r � A'G
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Site L- 7 F7 7 - /
Address/ Street Address d Permit No.: 64/ 6 l a -- 8 v / I/ .
Location /6655 S L) 7-
Suite /Bldg. # City/State Zip Expiration Date: •
no - r` 1 7 z2 3 Receipt #: y� j� �
Name Approved By: gi 1) /��n' ' L
Property
P 1 20-. T Date: i/74/0
Owner Mailing Address / 350 Suite Map /TL #:
&Lc. 5�P t U Crta..... 60 Zoning- -. e
City/State Zip 2 4 Phone J O 3
Por — t /C1- , d.- (V - „:.Z.1 - t
Tenant or Name 3 Electrical Permit Required? El Yes o
Business c5 T S 1 7 Building Permit Required? ❑ Yes [ o
Name Rev. 7/1/07
,e dLC� is \cu pin\ masters \land use applications \sign permit app.doc
Sign !S'T7 �UG �i cslv/q G v /�
Contractor Mailing Address / 5 g / 2_ Suite
(Prior permit r
issuance, a / ,"' 8 0 d Y S
copy of all City/State Zip " J Phone 6 6 3 REQUIRED SUBMITTAL ELEMENTS
licenses are LK 0 l03 (Note: applications will not be accepted
required if O6-uz V 5 &5�
without the required submittal elements)
expired in the Oregon Coast. Cont. Board License # Exp. Date
City of Tigard's / g64-/
/
database) ( 5/7// / , ] Completed Application Form
Proposed ` ❑ Permanent Freestanding El Freeway tia 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary -wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that
,l ❑ Other ❑ Billboard ❑ Balloon size requirement 81/2" x 11 ", or 11" x 17"
7. New sign? ❑ Alter to existing sign? 0.. 2 copies of elevations, drawn to scale
Sign Dimensions: 54 ,1 / 0 0 // (3 copies, if a building permit is required)
size requirement 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft): 7
0 - ee (Permanent sign, any size)
Total Wall Area (s ft.) e� 0
Sign Data 3 `7 3 / ❑ $19 Fee (Temporary sign, any type)
(Complete au Direction Wall Faces (circle one):
items in this / NOTES:
C) *T �
section) S E W NE NW SE SW
Height to top of sign (feet): i 3 • Wall signs do not need to be drawn to scale, but
Projection From Wall (mches): l/ ,, must include dimensions of wall face and sign
placement.
Copy: s',--x >H -t-1 CL_ L of • Wall signs do not require site /plot plans.
Materials: r yl e - /zt -t 4 _
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes a No permit.
Type: ❑ 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
❑ yes 0 No NULL AND VOID.
If `yes ", a list or diagram of all sign dimensions and square
footage must also be submitted. '
(OVER FOR SIGNATURES)
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 day of , 20 / C)
Zr�
Signature of Owner/Agent
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Contact Person Name Phone No.
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CITY 'IGARD t/
A pproved [ I
. ex�::- � a
Conditionally Approved _.__ J Date:
For only the work as described in: , 27, 2010
`, PERMIT NO. sG"J ' 110- oo
{ See Letter to: Fol ow . [ ' Client:
. h The Stash
JVU Addr•‘. • . f�� i '1,€) 2-Vt. /f(/
___ ,,�,�. •a e: .. O A Tea Company
,r
S T_ S H 42" Contact:
•i l
Megan Rolerkite
v
A
STASH TEA COMPANY 24"
V
Location:
i.0 f,t, °' 16655 SW 72nd
�6`' Suite 200
m 4 Tigard OR 97223
. Scale:
_ _ c. eztied
54" S T- t S H 36" 110.9
a
- �, � S IGNAGE
_STASH TEA COMPANY 17" G R O U P
i 190" i La 15812 Upper n Ferry
e Oswego OR 97035
P: 503 - 639 -5656
These plans are the exclusive property of Distinct Signage Group and the result of the original work of Its employees. They are submitted to your company for the sole purpose of your F: 503 - 624 -8706
consideration of whether to purchase these plans or to purchase from Distinct Slgnage Group a sign manufactured according to these plans. Distribution or exhibition of these plans to
anyone other than employees of your company, or use of these plans to construct a similar sign Is expressly forbidden. In the event exhibition occurs, Distinct Slgnage Group expects to www.DistinctSign.com
be reimbursed $500 for time and effort in creating these plans. The respect of our creativity and time Is appreciated by those who have worked on your behalf.
".' CITY OF TIGA RECEIPT
NI _
,. 13125 SW Hall Blvd., Tigard OR 97223
-...--, .,, ,F, 503.639.4171
!
Receipt Number: 179359 - 09/03/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00141 Sign Permit 1003100 -43115 $143.00
SGN2010 -00141 Sign Permit - LRP 1003100-43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1290 KPEERMAN 09/03/2010 $164.00
Payor: Guided Path Ventures, Inc. DBA: Distinct Signage Group
Total Payments: $164.00
Balance Due: $0.00
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