SGN2012-00060 t ' ''" . CITY OF TIGARD SIGN PERMIT
Permit #: SGN2012 -00060
COMMUNITY DEVELOPMENT
Date Issued: 04/04/2012
TLGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S114AA00100
Jurisdiction: TIGARD
Name of Business: Tigard Tualatin Aquatic Center
Business Address: 8680 SW DURHAM RD SWIM
Applicant/Agent: Irvin, Keith
Work Description: Installation of one (1) permanent wall sign 3' 9" x 10'
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 3' 9" x 10'
Total Sign Area: 37.5
Wall Area: 202
Wall Face (Direction):
Sign Height: 12 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials:
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $165.00
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: Kel A . l _, .c_.a�
,
Permittee Signature: Ay.
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City of Tigard
Sign Permit Application
TIGARD g PP
GENERAL INFORMATION
Name of Development /Project
—\--- ., 6 F uA\ c FOR STAFF USE ONLY
Site 1 CSZ_ts -- ,, 11 }y��
Address/ Street Address Permit No.: �N - i I A.- 0o0 (Pb
Location W(,'"2, U CANQ A pproved By: �!, I -- .D 2—
Suite /Bldg. # City/State Zip
, y..TV c� S ?..z_4- Date: 30 /
Name Receipt #: I // /i7
Property Map /TL #: ii 4 4) oa I CD
Owner Mailing Address Suite Zoning: t'. j /
Allowable Total Area: !J D
City /State Zip Phone
Tenant or
Name Electrical Permit Required? "Yes ❑ o
Business - ys p S V l o_�oct Building Permit Required? ❑ Yes No
Name J Rev. 7/1/11
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Contractor Mailing Address Suite
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City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
T)< (:) c —1 1 t,L . (Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
Z'� ---f a
-' - \Z ❑ Completed Application Form
Permanent Freestanding Freeway Proposed ❑ ❑ g ❑ y ❑ 2 copies of site /plot plan, drawn to scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that t. Wall ❑ Other '
apply) size requirement: 81/2" x 11 ", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
' New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: q it n `O size requirement: 8 /z" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ❑ $165.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) _ % ❑ $52.00 Fee (Temporary sign, any type)
2��
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) 5 E W NE NW SE SW
Height to top of sign (feet): \I_ Fr • 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: �, l qtr ■ nAVNm
• Wall signs do not require site /plot plans.
Will sign have illumination? WI 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 Tiaarrl I 1'2175 CW Nall 141v.1 Tioarri CIP Q7712 I CA1_11 4_')x/ 1 I ..,..,.,, 4:...,..,7 „� ,.,... I D,..._ I „•
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, and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and 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.
SIGNATURES of each owner of the subject property are required.
Applicant Signature Date
Signature of Owner /Agent Date
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 www.tigard - or.gov I Page 2 of 2
MANUFACTURE AND INSTALL ONE (1) HALO ILLUMINATED LOGO & ONE (1) INTERNALLY ILLUMINATED WORD UNIT. , SCO a/,.w= V
sign #2 10' -0" halo logo
9' -0 wo rd unit a-
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logo unit
1 j aluminum returns - 1U
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white trim cap L ' I u - 12ov
\\ • ^ � l peg off wall I" - ro . -Box
- .• � IN CONDUIT
5" copy TIGARD PUBLIC POOL ! � ' T H Uwe
5" copy
TIGARD TUALATIN AQUATIC DISTRICT DRVIAT WALL
3m# 3630 -36 blue ■
\ 3m# 3630 -337 light blue .
sign #2 3" halo logo— —
space off wall I"
white 3" returns
I i I 1 CITY OF TIGARD halo light ith white Sloan LED
m nrerarn
Approved p aint
°'° ` °" Conditionally Approved ... t —
.�,... For only the work as described in:
PERMIT NO. Sq,i0lo1.•0004°
. 4 " deep word unit —
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ii " � w e Sloan Brand LED lighting
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scale is approximate page 2 of 2 j
Tigard Public Pool FINAL 9.20.11 a
oltice /fat: 503.864.4339 Client: Location /Address: Date: Approved Y Date:
SIGNS Northwestsignsystems.tom MW tigard Notes K &K Approval_
( Design #: Designer: _Estimate #: File Name: This original artwork is acted under F eMal Copyright Hake reproduction of this
DIVISION OF RUM. 8 Pro PITBh nP rodu
13845 SE Ash Rd. (P.O. Box 327) 10/2/11 REV1SEDOPTIONS 10/18/11 REVISED COPY, 11 /3 /11 CHANGE WORD UNIT design without permission fromt &t Signs lit. Colon on the print do not =irately match
SIGNS OF ALL KINDS 97114 OR Dayton, 11/24/11 REVISED.1 /9/12 COPY CHANGES /OPTIONS 2.1.12 finalized Account Mgr: speahedmien.
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. CITY OF TIGARD RECEIPT
• 1 1
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 186148 - 03/30/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00060 Sign Permit 100- 0000 -43115 $144.00
SGN2012 -00060 Sign Permit - LRP 100-0000-43117 $21.00
Total: $165.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 03152C STREAT 03/30/2012 $165.00
Payor: Keith Irvin
Total Payments: $165.00
Balance Due: $0.00
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