SGN2011-00093 CITY OF TIGARD SIGN PERMIT
.!gt Permit #: SGN2011 -00093
' COMMUNITY DEVELOPMENT Date Issued: 08/30/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112DD00700
Jurisdiction: Tigard
Name of Business: Emerson Network Power - Liebert
Business Address: 15770 SW UPPER BOONES FERRY RD
Applicant/Agent: Fast Signs,
Work Description: Installation of (1) one permanent 7.73 s.f wall sign.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 16 3/4" x 66 1/2"
Total Sign Area: 7.7
Wall Area: 517.5
Wall Face (Direction): Northwest
Sign Height: 8 ft.
Projection From Wall: 0 in.
Illumination: No Illumination
Materials: Acrylic
Electrical Permit Required: No
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: ! —kfL-AL
Permittee Signature: fix/ Gr�
RECEIVED
AUG 2 4 2011
I I I q City ofTigard CITY OF TIGARD
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Sign Permit Application PLANNIR�U(ENGINEE^II`G
TIGARD
GENERAL INFORMATION
Name of Development /Pro' t
FOR STAFF USE ONLY
Site 1 re Z-PP l o /- r p.
Address/ Street Address Permit No.: , &N Z L I ' 1 1 . 3
Location j S 770 , /.() gfiror 3v1J?os finny Approved By:
Suite /Bldg. # City /State Zip
Mr : , . `` ti 7.Y ( /
Date: `)
Name P19C' C e„1D`j ,t SSO G .4..P Receipt #: I g 3 I 51
Property /d 117- -,2 ,hP /7 pfG Map/T1,#: Zs III-
�/ P 00100
Owner Mailing Address ' "1 Su i te Zoning: I e
1,-5-,., 51,i ,oiig I 300 Allowable Total Area: i5 /'p
City /State Zi Phone
gig 7::1.it/ D/? 7 7.24 V 513-62963M Electrical Permit Required? ❑ Yes lit
Tenant or Name
F Building Permit Required? El Yes [D No
Business
�nPnS�1 Malec n( �iehQr
Name Rev. 7/I/1I
N ^ pc \cuipin \masters \land use applications \sign permit app.doe
Sign ratJ STS -} S ' 1 i �r�-t
Contractor Mailing Address UU Suite
115 7 C, EW( teAclrie_. e
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
-VA „ (r.1 ct ^) J C , g - 2 - L11) - %813 (Note: applications will not be accepted
O Cont. ant Board License # Exp. Date without the required submittal elements)
i < , `_ %1e).1 J II ❑ Completed Application Form
Proposed %Permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of site /plot plan, drawn to scale
Sign ❑ Temporary ❑ Roof 0 FJectronic (3 copies, if a building permit is required)
(Check all that W ail ❑ O ther t » » 11" 17"
apply) size requirement: 8 /z x 11", or 11 x 17
❑ 2 copies of elevations, drawn to scale
ew sign? ❑ Aker to existing sign? (3 copies, if a building permit is required)
' Sign Dimensions: f / i� size requirement: 8'h" x 11 ", to 24" x 36"
S % �)C Q
Y 6 ><rr•a Total Sign Area (sq. ft.): 1=1 $165.00 Fee (Permanent sign, any size)
S
Sign Data C Dial Wall Ar sq. ft. 7 7 • °�_�y El $52.00 Fee (Temporary sign, any type)
(Complete all Directi n Wall Faces (circle one):
items in this NOTES:
section) NS E W N E I V ES W
3 Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): ,4/ /� must include dimensions of wall face and sign
Materials: /1 rR !r v / ' . / placement.
• Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes ,K No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal D External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes 3grNo
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 1 Page 1 of 2
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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 "Pennittee" 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 Lead 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 axe required.
x - /7- �6 /r
Applicant Signa Date
ipileXfifrito 4f9.01,1-friMp ov/
/Signature of Owner /Agent Date
Contact Person Name Phone No.
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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
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CITY OF TIGARD
Approved _._ ..._ • [ t/) 1-- P P.
CC.: C,. 1 ionally Approved _._.__...._._......_.__.. [ )
only the work as described in: W o 0
i' RMIT NO. SiULoll —c4" ! 1
See Letter to: Follow................--- [ I Z a
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as' Steve Calhoun Sales Consultant
Date: Emerson Project: Portland, WA
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• CONCEPT DRAWING • NOT FOR PRODUCTION
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' Designs, drawing presentations & renderings as instruments of this proposal will remain the property of ASI whether the project for which they were made is
` executed or not. They are not to be used by the client or any other company on this or other projects except by agreement with appropriate compensation to ASI.
CITY OF TIGARD RECEIPT
�
. 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
T
Receipt Number: 183751 - 08/24/2011
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CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00093 Sign Permit 100 - 0000 -43115 $144.00
SGN2011 -00093 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
Check 2083 KPEERMAN 08/24/2011 $165.00
Payor: FASTSIGNS - TIGARD
Total Payments: $165.00
Balance Due: $0.00
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