SGN2013-00110 •
CITY OF TIGARD SIGN PERMIT
Permit #: SGN20 -00110
COMMUNITY DEVELOPMENT Date Issued: 09/10/2013
TIG�IRD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S135DD00800
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Jurisdiction: Tigard
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Name of Business: Salvation Army
Business Address: 11847 SW PACIFIC HWY
Applicant/Agent: Azeltine, Larry
Work Description: New 10 square foot wall sign oh southern facade.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 36" x 40
Total Sign Area: 10
Wall Area: 1380
Wall Face, (Direction): South
Sig`n:Height: ft.
Projection From`Wall: in
• ; • `Illumination Internal
• 'Materials: Alum„ Plex
.
Electrical Permit Required: Yes
Building Permit Required:
Total Permit Fee: $178.00
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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. •
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Approved By:
Perm ittee Signature: % .4111 , r Air .
r
I II City of Tigard
iii
Si p Permit A ii cation
1GAaD . • - -----
fiENERALIISIEWIMILON
Nadu nF DrNdopmmvAojert
Site /, //cr./if? S _ /� # � FOR STAFF USE ONLY
strseAddrua (: Permit No.: •: i li s 20 /S -70 /10
Location Approved 8v
. soite!Bldg a 1 aryy,,Imae �+ p� Daec /3�
Name ! p ON. / / F
Property t zi/iN DKett? Receipt #:
Owner � Avw G r M *..Q '" Map/T #:
c _ 2..s,, Zoning:
v 39' 3.kL Allowable Total Ate
Tenant or minx
Hi s �4 At-0 T Electrical Permit Required? es ❑ No
Name Building Permit Required) ❑ Yes ❑ No
sign R r` P t�. s: io: m i
tJ . I e ; 4 1-1 `� — Li. `v I. Rev. 6:24, M.Muka'�[and Use A Fopom',3i�n P*.miro<
tractor SUM
`iy ?SST Powell I/gE rr y
c;to,„ie A, q 70 gp <
G re5I a iii P sy73-3,.o ti3,l8 3 REQUIRED SUBMITTAIJLEMENTS
orison Coast CaM BOW rio<ra< u t<.,*. or i (Note: applications will n i be accepted
1 4' 5=O 7 D , JO/ f /20/L) v,ithoat the required submittal elements)
proposed ❑ pmt ❑ Freeemmilna ❑ Fr.wsy ❑ Completed Application Form
Sign ❑ Temporary ❑
El oii'c ❑ Mamma ❑ 2 copies of site/ plot plan, drawn to scale
(Owck all dad ,pptr) - (3 copied, if a building permit is :squired)
size requirement: 8'4" x 11 ", or 11" x I7"
fig4siew Sri? ❑ Alter t`y existing sign? ❑ 2 copies of elevations, drawn co scale
Sign Dimensions: f 0 / t x 3 r O ", (3 capita, if a building permit is required)
Total Sign Area (sq ft ). � size requirement. SW' x 11", to 24" x 36"
I d .S 24 ❑ Application Pee
Total Wall Ares isq ft.) I _ ► p
Sign Data t Fred k
(C 14M. all Direction Wall 1' (circle one): MOTES:
Mane m dw' K , /r t
tumor) N S f .. , I,, • NE NW SE SW
• Wall signs do not need to be drawn to scale, but
Height to top of sign (feet):
must include dimensions of wall face and sign
Protection From Wail (inches): placement.
Mi ; ft 0214. ti G ~ A IV ty1 _ • Will signs do not require site /plot plans.
Will sign have illumination? Yes 0 No • Freestanding signs over 6 ft. and walls signs of
Type. 14. Internal aBatcimal which any element wdghs 20 lbs. or more require a
Arc there day existing freestanding or wall aigns at this location, 4) building permit.
including wall signs that overlap a tenant space? stop t i' 9 ( �
Yes ❑ No SiP /47 I
If "yes", a hat or diagram of all sign dimensions and square
footage trust also be submitted. (OVER FOR SIGNATURES)
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 - 718 -2421 1 v'ww tigard- or.gov I Page 1 of 2
1 o cOnstaer an appucanon complete, you wui neon to sUDmtt ALL W we jt 'J .J ' . .L OVUM./ 4 LC.. , a..a.ari+u.a, i%1 AO ...e..aau..0
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 apphcant 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 owners) 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.
M
SIGNATURES of each owner of the subject property are required.
f
r
r i .d i / . /: � '-' ? - / 1
Ap. cant Signatu. Date
P r1-1.0 13
S- 3 ., " Of Owner /Agent Date
# ntact ers ins / 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
tRf)- M
City of Tigard
: S i gn Perm App
licat
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GENERAL INFORMATION
Name of Dceclopment!Projert
/� FOR STAFF USE ONLY
Site /15 5GO �/ n Ce /C- #/L
Address/ StreetAddrecc Permit No.:
Location Approved By:
Suttc /111dg to City/Suite Zip
' ? pn+�+�
// q/7fZpi t9 / /O,d.3 Date:_
Name Fee:
Receipt #: -
Property
Owner mailing .\ddrecs suue Map /T1. #:
Zoning:
cit zip Phone Allowable Total Area:
Tenant or N17R1e
Business 6 j j4 l t.14 (PA-1 i) (,/ 1 ,pi 4 p Electrical Permit Required? ❑ Yes ❑ No
Name r AA"�` '[ r " i Building Permit Required? ❑ Yes ❑ No
��.9 . Sp ed 4 1I ,' - L- LC Re,..t,:2.t,2n„
Sign I:\CIIIPI \ \Tasters \land t'w Applicantm 'sign Prmrt.,:"c
Contractor Mailing Address Suite
LlL)7 j Powt:J/ Uatle
rite /State Zip q To O ,2 Phont.
G1 r 5 'I /,a n 0g 503 `V 5g REQUIRED SUBMITTAL ELEMENTS
Oregon Cons,. Corn. Board I iccnse rr Exp. Date (Note: applications will not be accepted
r q 0 0 0 10 1 I �o L1 without the required submittal elements)
Proposed ❑ Permanent El Frcestattcimg / /
❑ Freeway ❑ Completed Application Form
Sign ❑ Tentp"rary ❑ Roo( ❑ Electronic
(Check all that ❑ El copies of site/ plot plan, drawn to scale
PP>
a I.) wall Other (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", or 11" x 17"
. New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: /' /' (3 copies, if a building permit is required)
Total Sign A rea (sq. fin `� ( f size requirement: 8' /z" x 1 1 ", to 24" x 36"
LI 0 S T � a'P /_ ❑ Application Fcc
Si Data Total Wall Area (st ft.) ,�
40 3_
(Complete all Direction Wall Faces (circle one): NOTES:
items in chic
secuun) N e ��i �� NE NW SE SW
• Wall signs do not need to be drawn to scale, but
Height to top of sign (feet): must include dimensions of wall face and sign
Projection From Wall (inches): placement.
Materials: 4Pf ie, 7, v Ai u vri • Wall signs do not require site /plot plans.
Will sign have illumination? Yes ❑ No • Freestanding signs over 6 ft. and walls signs of
Type: . 71. Internal 011 External which any element weighs 20 lbs. or more require a
Arc there any existing freestanding or va1l signs at this location, building permit.
including wall signs that overlap a tenant space? p te $ I a V 9 C (p�
X Y ❑ No • /4/ 541 ,
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
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Collectibles
�— — — — 7 ' Antiques
. . h _--- ,of Designer Clothes
_�...m,
Art
� M . Boutique Store Furniture
i3-,5 Y . � - __ .- Lamps • I r � . Books
': Designer Shoes
Ni ri'� i '-; t .r F ,��._ /?�0`:P.�s. l . ! �43 -�r1"4 �si�1�. �,�s: YM1�43"i -
1 ' .,i � - , -'' Watches
9, Jewelry
7.. k. Boutique S► ire
Awning Color JJ I --
Mahogany 4ee7 0000 '7
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t L .. -.,"•,;• . .r < +. . At - m i te, 7 y '-'%. I _ /
Vinyl Color , - .. . r , : t '.r $.
Deep Mahogany f- i r , B ou• •
i re. St or e ` t �
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Brown 225 -19 �:�. 7; = . J '� ?'ir;.. �tii � T _
-
4. . MI. .„, II! ,
MANUFACTURE AND INSTALL 7-
three (3) awning covers, front & left, right side, � -
7" brown vinyl strip with white vinyl copy running along front and side windows ,
THIS DESIGN AND ENGINEERING IS TO REMAIN THE EXCLUSIVE PROPERTY OF ELECTRONIC DISPLAY SYSTEMS LLC UNTIL ACCEPTED AND APPROVED BY PURCHASE.
THE USE OF THIS DESIGN, FOR ANY PURPOSE WHATSOEVER, WITHOUT WRITTEN APPROVAL OF AN OFFICER OF ELECTRONIC DISPLAY SYSTEMS LLC IS PROHIBITED BY LAW
• _ OHI ce:503.582.8400 ,JOB LOCATION: - -- - _- - - -- -- — I - - — - - - -_ -- - —
?I F ax :503.922 -3337 DRAWN BY: Ryan Peterson
� 11 &} 7 SW P acifi c Hwy I REVISION:
+ s LLIENTAPPROJAL DATE
9 1 36 SW BIDDER RD Tigard, OR
a i, P0.9os 2376 FILE NAME:SaIlyS 6ouTiL1ue \S�IlyDoutiquenwning2
Wilsonville, OR 97070
SIG CO M P A Y tvone.udsnts.coni SALES APPROVAL DATE , ACCOUNT MANAGER: Larry Azeltine LANDL ORD APPROVAL -- -- _ DATE
Page 3 of 5 `
D &B Specialties LLC This draIt•t,d
4475 SE Powell Valley Rd. u, D &B Spt
Gresham, OR 97080
503- 320 -3888
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Page 3 of 5
D &B Specialties LLC This dra
4475 SE Powell Valley Rd. to D &B Spc
Gresham, OR 97080
503- 320 -3888
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D &B Specialties LLC This drawing is prt,prietar_i•
4475 SE Powell Valley Rd. to Dfil3 Specialties LL('
Gresham, OR 97080 _
503- 320 -3888
X
. o Building
0 8 36.1 inches
• Q -c. --
H o
oa ob
$ c 318" x 3" lags
V T o and lag shields
g r
z � � into concrete
$ o ,.• = -0 , 8 4 total on each
m
o " c i sign
p W 0 —>. • C
l ido -,[D
o Power supply
v 4....
Illuminated Salvation Army shield (4 total) to be installed onto building.
1 onto west elevation, 2 onto south elevation and 1 onto east elevation. LED wire
LED illumination, enclosure constructed out of .04 coated aluminum
Face to be white plex with red vinyl graphics and 1" trimcap
Weight of each display to be 20 pounds
120v lamp power requirement for each display
All components to be UL recognized
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dh_s )ecwitte.a hi c. i 4 int
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CITY OF TIGARD
Approved
k Conditionally Approved 1
ti For only the work as described
PERMIT NO. 60-A4405 7 /(o
See Letter to: Follow I �
Attach
Job Addres _....2.-7.&".1.1
B _____ Date:
0 )
® -e.
V" a f 1 �
aver..., -
e/g/e ii,,,
CITY OF TIGARD RECEIPT
q
r 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
T. !GARD
Receipt Number: 193032 - 09/10/2013
CASE No FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00110 Sign Permit- LRP 100- 0000 -43117 $23.00
SGN2013 -00110 Sign Permit, 100 - 0000 -43115 $155.00 •
Total: $178.00
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PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 4135 DADAMSKI 09/10/2013 $178.00
Payor: Larry E,Azeltine & Norma Azeltine
Total Payments: $178.00
Balance Due: $0.00
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