SGN2013-00010 CITY OF TIGARD SIGN PERMIT
a Permit #: SGN2013 -00010
COMMUNITY DEVELOPMENT Date Issued: 01/24/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S113AC01201
• Jurisdiction: Tigard
Name of Business: Twigs Bistro
Business Address: 17003 SW 72ND AVE
Applicant/Agent: Baldwin, Joel
Work Description: New 5' 4.5" x 18' wall sign for Twigs Bistro
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 5' 4.5" x 18'
Total Sign Area: 96
Wall Area: 1986
Wall Face (Direction): South
Sign Height: 28 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum
•
Electrical Permit Required: Yes
Building Permit Required: Yes
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: 741VA 40A/4
Permittee Signature: NDT` PZ t i -
RECEIVED
;71 f • City of Tigard JAN 2 2 2013
Sign Permit Application CITY OF TIGARD
TIGARD 1),
INEERING
GENERAL INFORMATION 6
Name of t)cvrtopmrotttiroir t
Site �WI -< /J►,''a �P FO A R ► S � T s A � FF USE ONLY
Address / SirenAddt Permit No.: .SN 2O13" — OMIO
Location J ~ )(7 3 ,-,S .t.,/ ana. 4.e..- Approved 11 y: 7 \1
Swie /11h1g. N city /State lip
T2s o� ' - 7 �a� Date: MI .? _' /J�
Name Receipt #' I $ 1 Z
Property 'Tt Sort' i•lap/T1.N S ....I.;z.. tC. t I 2.0 I
• Owner MailingAdeltee, Suite zo g:. 4X`1Jfer-!
Livr )-oe-wc-. // Allowable Total Area: q. Sara'.
City /State Zip Phone
Spi /w-e- " 4 99'1 it Sb 9 .. -`/ roe: ,_,/
Tenant or Name Electrical Permit Required? l� Yes ❑ No
Business 1Lv,`, S s'J1,5i/'a Building Permit Required? Yes ❑ No
Name Her. 7 /1/12
i:lcurpin \ masters \land use applications \ x∎gn permit app.doc
Sign
Contractor Mailing Address Suite
City /Stott Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note; applications will rant be accepted
Oce Coon. Cont. Board license t +ap. Mite without the required submittal elements)
El/Complcted Application Form
Proposed ❑ Nee/landing ❑ Freeway
t ❑ Permanent 2 copies of site /plot plan, drawn to scale
Sign ❑ Temporary. ❑ Roof ❑ fileeuonie (3 copies, if a building permit is required)
Check all that wan ❑ Other
VIM t » Plr) size requirement. 8 1 x 11", or 11" x 17"
copies of elevations, drawn to scale
J New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: 4 S t / size requirement: 8W' x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): q L 21171.00 Fee (Permanent sign, any size)
Sign Data Total Wall Arcs (sq. ft.) f� a ❑ $54.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
item, in this NOTES:
section) N C) E W NE NW SE SW
Height to top of sign (feet): 2 f-/ • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): S " must include dimensions of well face and sign
placement,
Materials: ,A►Ia>nan,,,, / 'C- • Wall signs do not require site /plot plans.
Will sign have illumination? 21 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 Al No
If ;dyes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage_must also be submitted.
�'^�'.+�.TuZ., '��- z_- .1"wOiilPf�ii'MAsn
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard- or.gov I Page 1 oft
APPLICANTS:
To consider an application complete, you will used to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described ou 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.
's
When the owner and the applicant are different people, the applicant must he 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, arc 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 arc false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
under 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 'owntr, and that plans submitted are in compliance with the City of Tigard.
SIGNATURES of each owner of the subject property arc required.
/13
App1fcnt Si attire Date
1Zt
Signature of Owner /Agent Date
g yldveN 9rLe
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 -718 -2421 www.tigard- or.gov F Page 2 of 2
liAll CITY OF TIGARD RECEIPT
D 13125 SW Hall Blvd., Tigard OR 97223
- - 503.639.4171
TIGARD
Receipt Number: 189972 - 01/24/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 - 00010 Sign Permit 100-0000 -43115 $149.00
SGN2013 - 00010 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
Credit Card 068406 AKOWACZ 01/24/2013 $171.00
Payor: Nicol Whipple
Total Payments: $171.00
Balance Due: $0.00
•
•
Page 1 of 1
EXHIBIT H ` �4" 4�
i
I r WALL 1
t.)1 2- (1) 120V 20A want,ay'0
TWIGS - REVERSE HALO CHANNEL LETTER, L.E.D. ILLUMINATION 13 UL kink raping' E„q
• ALLTHREAD Iran p0""""
• W/ ANGLE CLIP
SCALE: 3/8" = I' -0" BACKING ACROSS .LL. K,.�...,.
STUDS M*K+
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CLEAR ANGLE CLIPS r �I• ' ..././---
OC „,",,,E„,,,,.
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METAL FACE — _ , M M AME*N "VI E
Iv One's.
CONDUIT
LED UNITS r W/ SHIELD WIRE ALL ELECTRICAL
ATTACHED TO PLEA BACK s
. . �
i K:::)
t■....`. 12VDC � APPROVED
CONNECTION ° :- . If : OUTPUT:
WIRE .� CLASS 2
i f • " SUPPLY ^
CLEAR F f} y •
ACRYLILC BACK 1 INPUT: AC 100 - 240 V = ! y i I
1, - 50 /60Hz
_J= //, s
1/4" WEEP HOLE 7 f ' i - C m
louroow o�in Q D
6.8
e,
13'/2" (wj sue. Q 3 Qr
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18' -0” -
CUSTOMER DESIGN NUMBER JOB NUMBER Customer Approval: UNDERWRITERS / -
TWIGS 2 R L LABORATORIES 1 ("Ifik.Lpw_ii LOCATION LISTED
PORTLAND VERSION SALES A S SOCIATE Date ELECTRIC SIGN
Joel Baldwin
DATE SCALE: REVISION DESIGNER
318 • � w All A[:A�JRES1J1)((il�)tiSAK ���'�hJY6WTF 6409 N PITTSBURG 1124/13
= 1 - o R2 TFA A'. 1 n, ;',-I ', )1i ( r ; ; a [ ( ' ' . I Ti, , ,p: ( :. 1 r SPOKANE, WA 99217
WWW BALDWINSIGNS COM
RECEIVED
JAN 2 2 2013 W
EXHIBIT H r I l WALL
TWIGS - REVERSE HALO CHANNEL LETTER, LED. ILLUMINATION CITY OF TIGARD w .. • .a..,<An/
•
SCALE 3/8" = I' D^ PLANNING /ENGINEERING w�Aac�iE °uP °° Emmismam
RAW MN,
BACKING ACROSS
CLEAR ANGLE CLIPS r 1 / SY °°"°'°`
METAL FACE 3 !d • ■o
..ems ��
CONDUIT
LED UNITS M W / SHIELD WIRE Ali.t:EcTRICAI.
ATTACHED ATTATU PM BALI( F/ 1
. � _.. l - OUTPUk 12YDC APPROVED
COIIt OON , i/ it
WIRE CUISI2
' ''�POWBISUPPLY
CLEAR
ACRTLTLC BACK r ., I �.- INPUT: AC T00 - 240 V
' y ' _ 90!60Hz
;.:/
I/4'
I
1l4' WEEP HOLE
t (0m000S am)
I
0
13 'fz° (w) '
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BISTRO, Abu B.
I
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CUSTOMER DESIGN NUMBER JOB NUMBER Customer Approval: urw E�twrtETE�tS =—,�`
TWIGS 2 C)� LAB ORATOR IES /�
LOCATION VERSION SALES ASSOCIATE Date L°1FO *1�1�,�
PORTLAND 1 ELECTRIC SIGN s t c y; s; j
Joel BDldwin
DATE i SCALE REVISION DESIGNER "IS C-S . G`: Isl. E P =:' =E. 1' C': E;LD;" i ^: SIGN: :'.: °4NY _
:I R ANA :. R- AZ B
6409 N PrTTSIJRG
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THIS IS AN ORIGINAL COMPUTER GENERATED COLOR PR;NT. COLORS REPRESENTED ON THIS PRINT MAY NOT MATCH PMS COLOR CHIPS. PAINT OR VINYL COLORS EXACTLY. IT IS TO BE VIEWED AS A REPRESENTATION ONLY.
CUSTOMER DESIGN NUMBER JOB NUMBER Customer Approvol: UNDERWRITERS - --
0 LABORATORIES Eg
( HE4W
TWIGS 1 00000
LOCATION VERSION SALES ASSOCIATE Dote
ELECTRIC SIGN l• G, N. ,5 9 ,
VI Joel Baldwin
DATE SCALE. REVISION DESIGNER Tr HIS 15 E S I GN IS Tl-I ' !ATI0;f A B p 4 . . p _C R D 0 Wl i N vi i r it - N . 5 1 d . NIPA
6409 1 2
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