SGN2012-00110 CITY OF TIGARD SIGN PERMIT
" 2 . Permit #: SGN2012 -00110
COMMUNITY DEVELOPMENT Date Issued:
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S102DA00100
Jurisdiction: Tigard
Name of Business: Tigard Winsupply
Business Address: 12970 SW HALL BLVD 110
Applicant/Agent: Wells, Shelly
Work Description: New 36" x 156" wall sign on the southwestern facade of 12970 SW Hall boulevard
Permanent: Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 36" high x 146.2" wide
Total Sign Area: 36.55
Wall Area: 5625
Wall Face (Direction): Southwest
Sign Height: ft.
Projection From Wall: 0.25 in.
Illumination: No Illumination
Materials: Polymetal
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $171.00
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:Z
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Permittee Signature
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CITY OF TIGARD
A pproved [)<1 co
Conditionally Approved [ [ I a)
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rror only the work as described in:
PERMIT NO. 6-N.144-Co1l°
See Letter to: Follow...... ..........- .............. 1
Attach
Job Address: 1 e , IL II BE
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CITY OF TIGARD RECEIPT
111 2 ; 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 187410 - 07/02/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00110 Sign Permit 100 - 0000 -43115 $149.00
SGN2012 -00110 Sign Permit - LRP 100 - 0000 -43117 $22.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 2248 JFLOYD 07/02/2012 $171.00
Payor: Fastsigns- Tigard
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
I N City of Tigard
Sign Permit Application
TIGARD
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site G rd V /),;(2g9 /
Address/ Stre t<lddress Permit No.: , ./f/0 11 31 1.1-06110
Location 1,2770 ,.5W /la /1 blvd �St ' //D Approved By: T ,`
A
Suite /Bl dg. # / City /State Zip t/ r�7 1
//U / i , �q (/l i OR Z 3 Date: �.Z ,,11
Name U t LL O) Receipt #: /17 "!/V
Property 7 / 1 P lmm. clog /vd LLl ) Map /TL #:
Owner Mailing Address 9tite Zoning: .,.L— L
51CT) ,S t() ((/ R j-- Allowable Total Area: ig s Z
City /State Zip Phone
1rd (9R 9723 48y-3 oV Electrical Permit Required? I=1 Yes [ No
Tenant or Na
Business T Building Permit Required? ❑ Yes Er No
l I C� cr✓'d O �t/ �S(� I ,
Name r— Rev. 7/1/11
��/ is \curpin \ masters \land use applications \sign permit app.doc
Sign F s f S,e A/ S- 1 ark
Contractor Mailing Address S e
//5 ,S a) Pacl' F , 1,,,4
City /State Zip Phone A REQUIRED SUBMITTAL ELEMENTS
.. '#/4 /4, Of 97 � , 9 �(Note: applications will not be accepted
Ore Const. Clint. Board License # Ex Date without the required submittal elements)
Jff 777 7 // (9/5 21- Completed Application Form
Proposed permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of site /plot , awn to scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if g permit is required)
(Check all that Wall
apply) El Other ulrement: 8 x 11 ", or 11" x 17"
12 2 copies of elevations, drawn to scale
Ne w sign? El Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: 3lfl , x l � /� / �' size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): 7 Tr $165.00 Fee (Permanent sign, any size)
S' Data Total Wall Area (sq. ft.) El $52.00 Fee (Temporary sign, any type)
'gn ,5 . o o
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE S W
Height to top of sign (feet): „23 4 • 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: p I6 m Q.
• Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes EKo • Freestanding signs over 6 ft. required a building
_ Type: El Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes eNo
If "yes ", a list or diagram of all sign dimensions and square
(OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard- or.gov I Page I of 2
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 APPLICANTS) 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.
.C7/A uide,_
Applicant Sign ure Date
5e.e ach mP.�IC`�
Signature of Owner /Agent Date
h10.11 We (1s N 3 -a ?f13
Contact Perso4Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard - or.gov I Page 2 of 2
City of Tigard
- r Sign Permit Application
QMSERAL INFORMATION
Name of DcvcI[Mrncntinv iccr
FOR STAFF USE ONLY
Site t t.1 ��(�' Nr rt c „ % y
Address/ � lrlres I o t f Permit No.:
. Location j 717 c :5 - ,,v 4' /1 1/ad s I/O Approved Br
Saito /Etidg. $i ciry/Sgre Zip,
-// /. Date: i/v I , q l ird, >/2ie 7,40
Ni „a�L J J 1 Receipt #:.
X'rope r 1 1 P.1, , i gtvo z..L.(li ivlap/TL#:
Owner : WO Atki css Zoning:
I O 5 ti) (VW/ fil tl ?'r C 0 i Allowable Total Area:
C /Shut Zip !'hone
l Mott C / 972 al' ',S V4"/ Electrical Permit Required? ❑ Yes ❑ No
Tenant or NAVII
Business 7: r or -
el i✓t 1 t.S r Building Permit Required? ❑ Yes ❑ No
Name Na” 1 i R� 7/1 /1l
�..�' a \u upin\masmrAlmul use applirai 1.1 si45 pr55R app.ebc
Sign ii 4.,5 t (5 5 - J / tiay'C;s6
Contractor Mang Address (1 Soieej
ierp -2 c :5 a) Pad F, c M
tin• /State Zip Phan.: S ItEOUIREASUBMVIITTALELEMENTS
71 "4/ i' 9Z22 7 e2 ,1,- ( (Note: applications will laoi be accepted
Or Gnnst. Ch u. Buard i.icen2c # Hz Darr
9 without the required submittal elements)
��� ��� -- PZi/S (9 / ❑ Completed Application Form
Proposed . R ❑ Pretsgndissv ❑ i=sreu+as ❑ 2 copies of site /plot t awn to scale
Sign :I that : ❑ Terr .. ❑ Roof ❑ Eslecutmic (3 copies, if tog permit is required)
np p ❑ orh i si7, wrement: 8%" \ l l ", -or 11" `t 17"
❑ 2 copies of elevations, drawn to scale
[v}' flew sign? ❑ Alter to existing sign?
(3 copies, if a building permit is required)
Sign Dimensions: ,, size requirement: 8W' s 11", to 24" x 36"
.36 X /V47, o?.
Total Sign Area (sq. ft.): ❑ 8165.00 Fee (Permanent sign, any size)
�
?e0. S` ❑ 52.00 tee (Temporary orary si yn, any type
S' Data Total Wall Area (sq. ft.) P b )
(t omilluic alt Direction all Faces (circle one):
irsani in this NOTES:
section N S F. W NE NW SF. SW
Height to top of sign (feet): d34 + Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): , 0./5' a must include dimensions of wall face and sign
Materials: placement.
e 16 r' eAcj, ^� ♦ Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes o a Freestanding signs over 6 ft. required a building
Type: 0 Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ErNo
If "yes ", a list or diagram of all sign dimensions and square
- (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 1 www.tigard- or.gov 1 Page 1 of 2
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED S1 BM tT.61,EI MENTS as described on the
front of this application in the "Requited 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 denyirog 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.
CAt fej 2 67 4? / /vT0/02_,.
Applicant Sif,, ire Date
A ilA4...„e.., ii /LA___0y....„....t.,
c/
1 02 7/% Z.
Signature of Owner /Agent Date
Contact Pers #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 oft