SGN2011-00126 •
CITY OF TIGARD. SIGN PERMIT
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Permit #: SGN2011 -00126
COMMUNITY DEVELOPMENT Date Issued: 12/21/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S134BC00200
Jurisdiction: Tigard
Name of Business: Game Haven
Business Address: 12186 SW SCHOLLS FERRY RD
Applicant/Agent: Lee, Jennah
'Work Description: Installation of (1) one 14.25 s.f. permanent wall sign.
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Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 18" x 114"
Total Sign Area: 14.25
Wall Area: 288
Wall Face (Direction): South
Sign Height: 12 ft.
Projection From Wall: 12 in. •
Illumination: External
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $165.00
Conditions:
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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: /' / • •
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Permittee Signature:
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REE!VED
4,•. <r t ti SIG ERMIT APPLICATION DE 0.41! 0 11
CITY OF TIGARD 1. 25 SI�`Hall Blv• Tigard, OR 97223 (503) 639 -417! FAX: (503) 684-729,7,
L #IT (jr= T'CARD
GENERAL INFORMATION 11Ttim`FRINiG
Name of Development
Site G a,M2 FOR STAFF USE ONLY
Address/ ii- �tiV�.w
Street Address Permit No.: 644/L1 I I ' Up I 'Lc
Location - I I' g (, (2AW Ccioll fialia Expiration Date:
Suite /Bldg. # City /State Z
i iC e( 0 IZ j -2.2.3 Receipt #: �� / g 3 2.
Name Approved By: gip I r / 2 /M /�/
Property cp }{ telT� Date: / I
Owner Mailing Addre s ite 1 Map/TL #: /(5/3 V ad - O o Loa
.c2.o0 q W MACAOlaril 13 C Zoning: t; <° 7 (
City/State Zip Phone
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CO —i — g
Tenant or me Electrical Permit Required? [Yes ❑ No
Business G— al,tt� AUetn. Building Permit Required? : ❑ Yes i�No
Name Rev. 30 -Jul -01 i:\curpintrnasterslrevised\sign permit app.doc
Sign *QV CID 4� T 6- : :.I -N. '�
Contractor Mailing Addres • Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a Q(0 Z( S POW �.0 (Note: applications will not be accepted
copy of all City/State Zip Phone without the required submittal elements)
licenses are r( I�
required if cP(51.4 Gl.1td 0 Q 13-u 2Q i
6 , _o 6 ❑ Completed Application Form
expired in the Oregon Const. Cont. Boa d Exp. Date
City of Tigard•s License # U ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) t C b g l; 1 97.120/0_, 20/ (� i
( (3 copies, if a building permit is required)
Proposed size requirement 8'/f x 11 ", or 11" x 17"
p ❑ Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary Wall
El (Check all that Electronic ❑ 2 copies of elevations, drawn to scale
(Chet ❑ Other Billboard ❑ Balloon (3 copi - 1 . • uilding permit is required)
size - • uiremen . 81/2-x 11", to 24" x 36" '
New sign? ❑ Alter to existing sign? / , . - 6 _ r
Ign Dimensions:
$ • • - = (Permanent sign, any size)
Z
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�[ o b Total Sign Area (sq. ft.):
(� / />< III[ rr ❑ $15.00 Fee (Temporary sign, any type)
1 4. 2 S Si NOTES:
Si g g�S n Data Total Wall Area (sq. ft.) (? S • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): - sign placement.
items in this
section) N @ E W NE NW SE SW • Wall signs do not require site /plot plans.
Height to top of sign (feet): 121 • Freestanding signs over 6 ft. required a
building permit.
Projection From Wall (inches): I u • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: .k I , �, tiut the issuance of the permit, THE PERMIT WILL
Will sign have illumination? Yes ❑ No BECOME NULL AND VOID.
Type: ❑ Internal cif External
Are there any existing freestanding or wall signs at this iNot all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? O visa O MasterCard
❑ Yes ❑ No
i Credit card number / /
Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
(OVER FOR SIGNATURES)
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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,' that plans submitted are
in compliance with the City of Tigard.
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z I ;! d:. t•:: i:i :iy r j JCL I, :'
DATED this - . Ti day of. ,;20
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\Sign • of Ovwiner /Agent
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Contact.. Person ame -:.:::..; , . - ._.:. - - ; ; .Phone °'No.. _....
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CITY OF TIGARD
- _ .. • Approved [
' - Conditionally Approved [
For only the work as described in:
:PERMIT NO 6 Loll OQ I 7 -4.
See Letter to: Follow -- I I
!Job Addr s: A DP S ;
BY: , Date: ir - •
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Sign #1 south wall 114 "w x 18 "h x 5d HAven)
(GE:lime Sign #2 East Wall 76 "w x 12 "h x 5d
GAME HAVE[i)
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, _ Mount details: Raceway
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1 1 ,{ Drawing & description �. J I ,=
- -- . , Two (2) Custom cigar- shaped cabinet signs
;, '} . Sign #1 dimensions: 18 "x114 "x5" ;I �`fi ,—
i F° GolnatIon
4 Si #2 di mensions: 12 "x76 "x5"
_ yam White plexiglass face with translucent red color i�
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t for {GAME HAVEN} as shown,
ti +'{91..I
; Black trim and black return. I
Led lights insert.
4, Mount: Raceway paint to match with wall color, fi r.
_ appjoxima UL approved, J
SILICONE. TO KEEP WATER TIGHT ON WALL HOLES
Artico Lite Inc Location: 12186 SW Scholls Fe Rd, Tigard, oR 97223
it, Tel 503 253.9406 File name: Drawn by: Designer
`' • Fax 503-253-9407 Landlord approval: Date:
www articolite.com
Customer approval: Date:
8621 SE Powell Blvd., Portland, OR 97266 Customer name: Dallah Reese
- The designs(s) shown on this drawing is proprietary to Artico Lite, Inc. and may not be reproduced or utilized in any manners without
specific written permission from Artico Lite, Inc. Acceptance of this print will be construed as your agreement to these conditions
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CITY OF TIGARD RECEIPT
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_ I 13125 SW Hall Blvd., Tigard OR 97223
503.639.41.71
TIGARD
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Receipt Number: 184932 - 12/20/20 _
CASE,NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID. ',
SGN2011 -00126 Sign: Permit. 100- 0000 -43115 $144.00
SGN2011 -00126 Sign Permit- LRP 100 - 0000 -43117 $21.00 •
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. • Total: $165.00 '
PAYMENT METHOD. CHECK:# CC RUTH. CODE ACCT ID CASHIER ID RECEIPT. DATE RECEIPT AMT
Credit Card 4 07257G KPEERMAN 12/20/2011 $165.00 •
Payor: ARTICO LITE INC /JENNAH LEE
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Total Payments: $165.00
Balance Due: $0.00
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