SGN2011-00053 111 ,� CITY OF TIGARD SIGN PERMIT
;. Permit #: SGN2011 -00053
COMMUNITY DEVELOPMENT Date Issued: 05/03/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112DD00300
Jurisdiction: Tigard
Name of Business: 76 /MY Goods
Business Address: 15900 SW 72ND AVE
Applicant/Agent: Sign Develpoment Inc.,
Work Description: Installation of (1) one 26.7 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: 24" x 62 -1/2"
Total Sign Area: 10.41
Wall Area: 1008
Wall Face (Direction): West
Sign Height: 14 ft.
Projection From Wall: 6 in.
Illumination:
Materials:
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 B : AWW-)-1-41,3 Y
Permittee Signature:
SIGN PERMIT APPLICAT 1 EIVED •
o City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223A P R 2 8 2 011 •
Er 503.639.4171 Fax: 503.598.1960
CITY OF
PLANNl 4 G O IENGINEE TIGARD RING
GENERAL INFORMATION c /J si
Name of Developmen/ oject
71 FOR STAFF USE ONLY
Site R 6 ° S
Add ress/ Street } Address
r I 7 N A VL Permit No.: S (° N 2-° 53 ��� 0
Location /�/ 9i Ge/ o i z.■• r .i :. • i
Approved By:
Suite /Bldg. # City/State Zip
e0 0 1 2 9 7 » 0 7 4/ Date: 7VZA I ('
Name Receipt #: 18 Z3 2 ',C:"
Property / '( / Map /TL #: a S 1 ! Z bb Qo 30
Owner Mailing Address Suite Zoning: 2 L
( 1 . 4-4/ At'`✓ Aeieti r V v� Allowable Total Area: �
City/State Zip Phone
c_51e 4'5 #40 U Electrical Permit Required? [✓]'Yes ❑ No
Tenant or Name
Business 7 / t/1 y hDO Building Permit Required? ❑ Yes [g--No
Name Rev. 3/3/2011
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Sign (�/ G
E -Mail:
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit / �4 v) 7f1
J g (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if (//a/../0 (I 9/76' ID 9 V 0 S5,3S ❑ Completed Application Form
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17"
Sign ❑ Temporary Wall ill Electronic , Er
(Check all that ❑ Other Billboard ❑ Balloon ❑ 2 c opies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
Vr New sign? ❑Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: A • r ( /�d H � f [Y ❑ $164.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): , , '// 41
C/ Ft ri $52.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) / '
NOTES:
(Complete all Direction Wall Faces (circle one):
items in this • Wall signs do not need to be drawn to scale, but
section) N S Eg NE NW SE SW
must include dimensions of wall face and sign
Height to top of sign (feet): /9 placement.
Projection F om Wall (inches): , ii • Wall signs do not require site /plot plans.
Materials: Az/a /Awes/ AetirS7 C • Freestanding signs over 6 ft. require a building
Will sign have ill ation? IOLYes ❑ No permit.
Type: Internal ❑ External
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space? f/1ce57s1K/4
S /eN
Yes ❑ No // 1 K '
If "yes ", a list or dia ram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back
of this form or submit a written authorization with this application.
BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT:
♦ If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and
limitations of the approval.
♦ All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true; and the applicants so
acknowledge that any permit issued, based on this application, may be revoked if it is found that any such statements are false.
• The applicant has read the entire content§ of the application, including the policies and criteria, and understands the requirements for
approving or denying the application.
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.
/ 1/
Applicant's igna Date
A A • ww. 41, _
Signature of Owner /Agent Date
A VIA/ cftwi-74 «� 3 :3zo'i-/ ,v8
Contact Person Name Phone No.
kik
40 rtiov
O 104 1/4 621/2" O
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fried foods
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store
SCALE: 1/4" = 1' -0"
CITY OF TIOARD [
:..Ily Approved ........ ------ [
the work a described in:,
-- i;IIIIT NO. • ae 1 s 3 --
104 1 /4"
[
- I otter to: Follow
1 1 Atta h w - -• -[ 1
60" T-8 DAYLIGHT LAMPS 62 % /z'
48" T-8 DAYLIGHT LAMPS
b , CUSTOMER APPROVAL
- t 60 " nAYL*GHT LAMPS i
N
1
SIGNATURE DATE
1 (ONE) EACH 1 (ONE) EACH
NEW SIGN CABINETS: NEW SIGN CABINETS:
0
CABINET CONSTRUCTION: ALUMINUM EXTRUDED CABINET 6" DEEP / 1 h" RETAINERS / PAINTED WHITE CABINET CONSTRUCTION: ALUMINUM EXTRUDED CABINET 6" DEEP / 1 W RETAINERS / PAINTED WHITE
ILLUMINATION/ ELECTRICAL: RELIANT TBFLOURESCENT DAYLIGHT (12 "O.C.) ILLUMINATION/ ELECTRICAL: RELIANT T8FLOURESCENT DAYLIGHT (12 "O.C.) 15900 SW Upper Boones Ferry Road
INTERNAL ILLUMINATION, INTERNAL FRANCE BALLASTS (OR EQUAL), UL LABEL INTERNAL ILLUMINATION, INTERNAL FRANCE BALLASTS (OR EQUAL), UL LABEL
AND VISIBLE DISCONNECT SWITCH ALL ELECTRICAL COMPONENTS TO BE UL LISTED AND VISIBLE DISCONNECT SWITCH ALL ELECTRICAL COMPONENTS TO BE UL LISTED Tigard, OR 97224
AND APPROVED AND APPROVED
FACE MATERIALS: MOLDED HIGH IMPACT CLEAR ACRYLIC FACES FACE MATERIALS: MOLDED HIGH IMPACT CLEAR ACRYLIC FACES
WITH TRANSLUCENT 3M VINYL SECOND SURFACE DECORATION WITH TRANSLUCENT 3M VINYL SECOND SURFACE DECORATION
GENERAL NOTE: ALL SIGNAGE TO BE MANUFACTURED AND INSTALLED ACCORDING TO GENERAL NOTE: ALL SIGNAGE TO BE MANUFACTURED AND INSTALLED ACCORDING TO
LOCAL AND NATIONAL BUILDING AND ELECTRICAL CODES LOCAL AND NATIONAL BUILDING AND ELECTRICAL CODES
1 Sign Development Inc.
Upland, CA 91 786 (909) 920 -5535
4 OF 4 No. 17510 Rev: 04.01.11 04.27.11
Date: 02.04.11
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O MY GOODS S/F SIGN CABINET. O GOOD 2 GO! FRIED FOODS S/F SIGN CABINET. EXISTING C -STORE
INTERNALLY ILLUMINATED CABINET. INTERNALLY ILLUMINATED CABINET.
SEE DETAILS - PAGE 4 OF 4 SEE DETAILS - PAGE 4 OF 4
55' -4" 16' -8"
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STOREFRONT BUILDING ELEVATION PROPOSED "my goods" IMAGE Upland, CA91 786 (909) 920 -5535
3 OF 4 No. 17510 Rev: 04.01.11 04.27.11
Date: 02.04.11
CITY OF TIGARD RECEIPT
_ 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 182327 - 04/28/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00053 Sign Permit 1003100 -43115 $143.00
SGN2011 -00053 Sign Permit - LRP 1003100 -43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 818271 KPEERMAN 04/28/2011 $164.00
Payor: John Slingluff - Martin Bros.
Total Payments: $164.00
Balance Due: $0.00
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