SGN2012-00143 CITY OF TIGARD SIGN PERMIT
C : P ermit #: S GN2012 -00143
COMMUNITY DEVELOPMENT Date Issued: 09/13/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S127DD00100
Jurisdiction: Tigard
Name of Business: Shane Co
Business Address: 9730 SW CASCADE AVE 100
Applicant/Agent: Snook,
Work Description: Sign permit for freestanding sign. Existing unpermitted freestanding sign at driveway will
be taken down prior to installing this sign.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 66" x 36"
Total Sign Area: 16
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: wood
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: 4(.1 1 / l/ /
Permittee Signature: S app' i ( DO
,� CITY OF TIGARD SIGN PERMIT
III > : Permit #: SGN2012 -00143
COMMUNITY DEVELOPMENT Date Issued:
T [' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1 S127DD00100
Jurisdiction: Tigard
Name of Business: Shane Co
Business Address: 9730 SW CASCADE AVE 100
Applicant/Agent: Snook,
Work Description: Sign permit for freestanding sign. Existing unpermitted freestanding sign at driveway will
be taken down prior to installing this sign.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 66" x 36"
Total Sign Area: 16
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: wood
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: Q�
Permittee Signature:
4
11 g CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 188374 - 09/13/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00143 Sign Permit - LRP 100- 0000 -43117 $22.00
SGN2012 -00143 Sign Permit 100- 0000 -43115 $149.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Debit Card 03543B CCAINES 09/13/2012 $171.00
Payor: Louis F. Snook II
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
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II • City of Tigard RECEIVED
s
Sign Permit App SEP 132012
TIGA
C I T Y Q TIGARD
GENERAL INFORMATION p�ANNiNG1ENF ' a INEERING •
Name of Development /Project
� ,��°° FOR STAFF USE ONLY
Site ..) A. r'i e: t.,.- e
Address/ Street Address ? 4,./ Permit No.: S C N i 1 u i D-00 `'f3
Location ` '73 �1 5' (.tJ s. C:. e . ?. II Approved By: �
}�_�
p /S
Suite /Bldg. # Ciittate ,o Zip ! _
s,.,... -�/ Or 972 2 3 Date: ' / S — N 2i
'
Name. Receipt #: 1 855 4 3
Property V
Map /TL #: i^^5 a -1 1)1700
Owner Mailing Address Suite Zoning: M U
Allowable Total Area: et 1‘
City /State Zip Phone
Electrical Permit Required? ❑ Yes �] No
Tenant or Name / `
Business Building Permit Required? ❑ Yes No
Name Rev. 7 /1/12 / -
i: \curpin \masters \land use applications \ sign permit app.doc
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ign ""' 6m<t � i. 's- A '- a°t
Contractor Mailing Address l Suite
City /State Zip i 7 Phone REQUIRED SUBMITTAL ELEMENTS
A / 6 ;A L) b r 975j r j�L17 qz g - f Ori (Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date I without the required submittal elements)
I
21 Completed Application Form
Proposed tg Permanent El Freestanding ❑ Freeway
Sign � 2 copies of site /plot plan, drawn to scale
Si
g n T emporary ❑ R oo f ❑ E (3 copies, if a building permit is required)
(Check all that [ ' Wall 111 Other ' t „ „
apply) size requirement: 8 /2 x 11", or 11" x 1 7
�^ 2 copies of elevations, drawn to scale
® New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: ? , size requirement: 8'/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): L $171.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) • n $54.00 Fee (Temporary sign, any type)
Sign Data %
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
��.I
section) N E W NE NW SE SW
Height to top of sign (feet): 3,Ft I( 3 ( • Wall signs do not need to be drawn to scale, but
Projection From Fall (inches): must include dimensions of wall face and sign
placement.
Materials: 6 • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ 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 Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 1 www.tigard- or.gov I Page 1 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 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 ature I Date
Signa r re of Owner gent Date
tart S14O k_ - 8
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 2 of 2
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SPECIFICATIONS:
S f (AA117L
Remove non- illluminated wood monument sign and posts
Copy area = 4 Sq feet
, ' (Max a!lowedbyCity) Install (1) non illuminated Monument sign with "DRS*" lower text co
M ENTRANCE a
Install (1) non illuminated Directional Entry sign (no Iswer text).
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II __ -- — 3 "x3 "x.125 wall Square — 3 "x3 "x.125 wal quare
Tube Steel Support Tube S .
_ — - -- Footing: 18 x 1 8" x p � -- Footing: Steel 1 r x 18 port " x 24" deep
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PROPERTY OF SIGN ASSOCIATES. INC ,,/ gate:
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COPYRIGHT LAWS. MAKE NO pate
REPR O DU CTION OF THIS DESIGN Customer Approval: Design Date: 9 4 12 ___. -..... -
CONCEPT 5625 1 7678 Ave N.E. Suite 125 Pvdrvovd. WA 98052
J °� Tigard, OR 4251685 -6100 FAX 7 4251682 -3433
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SIGN TO BE 3o TALL ! -: I ESS lia A B • Design Date. 9 4 12 6112.
LOCATED INSIDE Si IL DISTANT - 'I: 60251761MMNE0"I Regnoae4r1490052
Tigard, OR KM 5115.6100 FAX (4251 052-3433