SGN2011-00002 � CITY OF TIGARD SIGN rtrcmll
z Permit #: SGN2011 -00002
COMMUNITY DEVELOPMENT Date Issued:
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S101 BB00401
Jurisdiction: _Tigard
Name of Business:
Business Address: 11880 SW PACIFIC HVVY
Applicant/Agent: YESCO LLC,
Work Description: Placement of (1) one 24 s.f. permanent freestanding sign.
Old freestanding sign to be removed.
Permanent: Freestanding: No Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions:
Total Sign Area:
Wall Area:
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Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials:
Electrical Permit Required:
Building Permit Required:
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: /4/ &i _
Permittee Signature: /��IN�
Iii w City of Tigard
= Sign Permit Application
T1 JARD Application
GENERAL INFORMATION
Na eoFDevelo e /Pzoject FOR STAFF USE ONLY
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Site AUSS ITT()
Address/ w' 00 U O S treet Address S N 2.D {' Z
/ P erm i t N o.:
Location ((O p f AO be, /44 v Approved By:
Suite /$1dg. # City /State Zip !�� // /
T - O4 • Date: •
Nam J Receipt #: j tW , 7 ( _
/ Property 55 /Okra (.
/ d e gos ) Map /TL #: 0,,S I D 1 0 5 00V19/
Owner Mailing Add Suite Zoning: �(1f D
- //810 5i 4 iJ t J Allowable Total Area: 7(2 S F M S /./1€ C � 71 ity/State Zip 1 Phone
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31 -- // Electrical Permit Required? ,. ' Yes ❑ No
Tenant or Name A) Business 1�US s Alb Building Permit Required? B' Yes ❑ No
Name Rev. 7/1/10
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Sign yEscs . LLC
Contractor Mailing Address Suite
za,r� ��a Are. — 1
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
Tic/44 DM (Note: applications will n be accepted
Oregon Con Cont Board License # 'Exp. Date without the required submittal elements)
/WD / 5' 9fr, t I — ❑ Completed Application Form
Proposed P � Permanent ;,0 Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot.Plan, Drawn to Scale S all that 1:1 Temporary El Roof IL-'Jl Electronic (3 copies, if a building permit is required)
. (Check ❑ Wall other t » » 11" "
aPPly) size requirement: 8 h x 11", or 11 x 17
F /nf 3lpsF$kr
- ❑ 2 copies of elevations, drawn to scale
•B' New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: ;:' � ) size requirement 8' /s" x 11 ", to 24" x 36"
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Total Sign Area (sq. - ft.): . . S � h; , w ❑ $164.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft -I ❑ $52.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S 6% "' NE NW SE SW
Height to top of sign'(feet): 16 ' • 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: • Wall signs do not require site /plot plans.
Will sign have illumination? ES. Yes ❑ No • Freestanding signs_ over 6 ft. required a building
Type: NI, Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
4 .c i luding wall signs that overlap a tenant space?
V —ov0 2—z
ye,e9o pd y ka Yes ❑ No (OVER FOR SIGNATURES)
If "yes ", a list or diagram of all sign dimensions and square
foota • e must also be submitted.
J. Iiercuy actmowieuge mat 1 nave read. this application, that the information given is correct, that 1 am
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the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
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DATED this S day of \I a. n K a, ry , 20
IL G�
Signature of Owner /Agent
- 04a / /- .5 SD 3- 753 - /D k
Contact. Person Name Phone No.
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City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 1 www.tigard- or.gov I Page 2 of 2
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Job Addres �'D ./&-i p . ° I' DATE:
by: _' — D L� v m - 12.8.10
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GUSSETS AS REQUIRED APPROVAL:
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PROJECT NUMBER:
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DATE:
6.15.10
REV./ DATE/DESIGNER
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APPROVAL
ACCOUNT EXECUTIVE :
CLIENT:
PROJECT NUMBER:
305555
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13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 181074 - 01/12/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00002 Sign Permit 1003100 -43115 $143.00
SGN2011 -00002 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 2103 STREAT 01/12/2011 $164.00
Payor: Young Electric Sign Company
Total Payments: $164.00
Balance Due: $0.00
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