SGN2013-00061 14 y n CITY OF TIGARD SIGN PERMIT
i Permit #: SGN2013 -00061
COMMUNITY DEVELOPMENT Date Issued: 05/14/2013
T I GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112DD01600
Jurisdiction: Tigard
Name of Business: A Common Thread
Business Address: 15495 SW SEQUOIA PKWY 140
Applicant/Agent:
Work Description: Install a new wall sign on east facing wall (36 in x 30 ft).
Permanent: Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 36 in x 30 ft
Total Sign Area: 90
Wall Area: 1360
Wall Face (Direction): East
Sign Height: ft.
Projection From Wall: in.
Illumination: Internal
Materials: letters /plex faces
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: / , � -t, Cheryl Cato
Permittee Signature: no+ precQ,cTk / on acTl; r
RECEIVED
I I C it o f Ti and MAY (1
a Y g
II . Sign Permit Application CITY OF TIGARD
TIGARD
PLANNING /ENGINEERING
3
GENERAL INFORMATION
Name of Development/Project
A �J FOR STAFF USE ONLY
A 1
Site C G im rnt art N v
Address/ Street Address �/ Permit No.: 5 Co ..P U 1 3 — 000(0 I'
Location /-S 95 J. W , Se, GW rei 4 <w . OM Approved By: (-' CGc�r+�.✓
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Suite /Bldg. # City /State I• Zip
og 972Zy Date: +p 5 -- 1.3
- 17)...zi /
Name Receipt ## : 1 l I ✓(c 3
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Property ro. c TrtA -F lap /TI,# :1.51 1 2DDOiP00
Owner Mailing Address Suite Zoning: I - P
!s)o SAAA Seta o r o, W cw • *300 Allowable Total Area i S '1°
City /State Zip Phone
T'qa rA D►2 ?72 52)3 - 6 2. 1- 6300 Electrical Permit Required? q Yes ❑ No
Tenant or N e
Business Building Permit Required? 7 Yes ❑ No
Name Rev. 7/1/11
y� c \curpin\ masters \land use applications \sign permit app.doc
Sign f3 e A ✓c rt /U e U vs
Contractor Mailing Address Suite
/72-SO s.w, u-s44 LPL.
City/State Phone REQUIRED SUBMITTAL ELEMENTS
IX e. t= KCAVeArtiOnj C2 /7006 (Note: applications will not be accepted
a q B* Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
6 S 76 / ‚' - iff- / y Completed Application Form
Proposed M Permanent ❑ Freestanding ❑ Freeway "2 copies of site /plot plan, drawn to scale
Sign Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that �{
appl)) 1� Wall ❑ Other size requirement: 81/2" x 11 ", or 11" x 17"
er2 copies of elevations, drawn to scale
❑ New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: 36 " X 30' size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 70 _ �` r !, $171.00 Fee (Permanent sign, any size)
Si Data Total Wall Area sq. ft.) V % % ❑ $54.00 Fee (Temporary sign, any type)
�' /360 _ —
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
�,
section) N S V W NE NW SE SW
Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 5 " must include dimensions of wall face and sign
„ placement.
Materials: 5 Cli... I, 0 € /LED Le/le,ri/ ce • Wall signs do not require site /plot plans.
Will sign have illumination? Yes ❑ No • Freestanding signs over 6 ft. required a building
_ Type: El Internal 0 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 I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I 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 any. such statements are false.
• The applicant has' tad 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.
Applicafi 9
ure 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 I www.tigard - or.gov I Page 2 of 2
1
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CITY OF TIGARD RECEIPT
p -`- 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGAR1?
Receipt Number: 191363 - 05/14/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00061 Sign Permit - LRP 100 - 0000 -43117 $22.00
SGN2013 -00061 Sign Permit 100 - 0000 - 43115 $149.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE. RECEIPT AMT
•
Check 8628 AKOWACZ 05/14/2013 $171.00
Payor: Beaverton Neon
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
CITY OF TIGARD
Ap proved.... .._....._- ---------- ---- _-__... __.... [ ) R E C E . i
For only the work as described in:
.• -- PERMIT NO. _S GN 0,.3 -- (")°`' See Letter to: Follow - [ I MAY 0 2 2013
Attach [ �� CITY NNIN GF �IGA
Job Address: c S i'3 By -- ? - o� e . g -moo i 3 p:GIENGIN
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17250 SW. Augusta Lane
Beaverton. OR 97006
(503) 649 -1544
n 4
36"
A COMMON THREAD
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30'
INDIVIDUALLY-MOUNTED CHANNEL LETTERS
L.E.D. ILLUMINATION
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_' White Returns
1. TRIM CAP WITH RETAINING SCREW
2. WHITE L CE
3. .
White Trim Cap
WHITE LE.D.
4. ALUMINUM .063' BACKS 1.040' RETURN
5. 12V Class 2 Power Supply
6. KB TAPCON SCREWS LISTED LED Illumination
Client Name: Sales Rep:
III � A Common Thread Name
l�lJ�v, EDIT Client Approval Designer:
17250 S.W. Augusta Lane Location:
Name
Beaverton, OR 97006 •
[503) 649 -1544 Landlord A royal r °`
pP USTED