SGN2013-00138 w
: CITY OF TIGARD SIGN PERMIT
; 1,9 Permit#: SGN2013-00138
COMMUNITY DEVELOPMENT Date Issued: 11/07/2013
T _GA
I � •D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S112DD00200
Jurisdiction: Tigard
Name of Business: TRINITY FLOORING
Business Address: 15500 SW 72ND AVE 200
Applicant/Agent: PAYNE, HAL
Work Description: New freestanding sign, approxaimately 55 square feet, located at 15500 SW 72nd
Avenue for Trinity Flooring
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 48"X 80"
Total Sign Area: 55
Wall Area:
Wall Face(Direction):
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: Internal
Materials: Brick, Aluminum
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $178.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: tvJ ft.41-
Permittee Signature:
City of Tigard
•
° Sign Permit Application
TIGARD
GENERAL INFORMATION
Name of Development/Project
C(�t NtT-1 ��� t t C FOR STAFF USE ONLY
Site / CO t Q 3 V
Address/ Street Address Permit No.: b1`t�13
Location i 5 56p Siljf 12r&9 vE— Approved By: 4W--
Suite/Bldg.# City/State,,,, nn Zip q ''r 11, �
SCO T orAtt-V t 01 - L 7 Z" Date: 1t) W
Names ,p` Fee: 11 ' L
Property ?Act,T14) ST Receipt#: 1C1'3( ''t 4
Owner Mailing Address Suite Map/TL#:211 2-1poD 2eo
(c35D Q 1 &')Olfr‘14-0 Y Sr* 300 zoning. I-P
City/State Zip Phone
Allowable Total Area: I,1�O43qft'
'n i2, OL112-z4(50 1) 41,(-(p3 DO
Tenant or Name
Business ' -12.(0 k r1/4( fLoOtLIAG Electrical Permit Required? Yes ❑ No
Name Building Permit Required? ,[/rYes ❑ No
Sign D tS-no ei S('rr1- & OV Rev.10/21/2013
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1:\CURPLN\Masters\Land Use Applications\Sign Permit.doc
Contractor Mailing Address Suite
S /2- 0 PPtrc. FAVAZS PEP-e-Y F-o.
City/State Zip Phone
t,4L{G o$W66-0i g10%—. (--.03) 423`i-9-4,SAO REQUIRED SUBMITTAL ELEMENTS
Oregon(bnst.Cont Board License# Lap.Date
.� 6.7(P 4( 5 15 ❑ Completed Application Form
Proposed ❑ 2 copies of elevations on 8'/2"x 11"or 11"x 17"
P .�Permanent � Freestanding ❑ Freeway
Sign ❑ 'Temporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
(Check all that ❑ wall ❑ Other
apply) ❑ 2 copies of site/plot plan,drawn to scale,on
8'/2"x 11"or 11"x 17"pages (required for
IS New sign? ❑ Alter to existing sign? freestanding signs only)
Sign Dimet?sions: y 111 Application Fee
kal(c xtooWMDE
Total lSignn A rhea(sq. ft.): 3 NOTES:vks • Applications will not be accepted without all required
Sign Data Total Wall Area(sq.ft.) = submittal elements.
(Complete all Direction Wall Faces(circle one): ♦ Wall sign elevations must include dimensions of sign
items in this and wall face and show the location of sign on the wall.
section) N S E W NE NW SE SW
• Freestanding signs over 6 ft. in height and walls signs
Height to top of sign(feet): + of which any element weighs 20 lbs. or more require a
Projection From Wall(inches): permit from the Building Division for construction. If
Materials: kAtL. f.44,a6 1 104UlAAr ust4 pier any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination? { 'Yes ❑ No plans must be prepared by a structural engineer.
Type: 1g-internal ❑ External • When a Building permit is required, 2 additional
Are there any existing freestanding or wall signs at this location, copies of elevations and, if sign is freestanding,
including wall signs that overlap a tenant space? site/plot plan must be submitted with application.
❑ Yes '4,No
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted. (OVER FOR SIGNATURES)
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:
1To 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"RequiredESubmittal Elements"ibox.
'NOTE:'Person;specified as'"Applicant"shalbbe'designated"`Permittee"+and shall provide financial'assurance Tor work
*When the owner and the applicant are different;people,the applicant must be the purchaser of record,,a lessee in'possession with written
authorization,from the owner,'or an agent of the owner., T he Owner(s)must s ign this application in the space below or submit 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 the conditions and limitations:o'fthe approval.
• All of the ,above statements' and the statements in the plot plane, .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 ithe .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 agentof the owner,and'that;,plans;submitted,are lin compliance with the City of Tigard.
SIGNATURES of eachowner of the subject property are required.
DISTI rS C;T s( (EC9-OUP° - 'ICI l Co I 13
Applicant'S. ,e- Date
•
AW".liA2— A5l711..
ignature of Owner/Agent Date
•
Owner/Agent's Name(Please Print) ide Phone Number
•City of Tigard I' 131125'SW Hall Blvd.,Tigard,OR 97223 I '503-718-2421 I' ww.w:tigard-or:gov I Page 2 of 2
80"
7"
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Approx. 56"
48" TRINITY
FLOORING
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CITY OF TIGARDBottor[ f sign to follow slope of ground
Approved_...._._._._.__....-
conditionally Approved. .. [ 1
For only the wok as described in
PERMIT N0._ WI 21–C)c)k
See Letter to: Follow ---llh*nihated Double-faced sign with masonry base
Attach .......... #
Job Ad•roes: &v.1 ?
CY: 1104-4_ k
SIGN AGE APPROVED FOR PRODUCTION
G R o P Trinity Flooring Date:October 29.2013 Name, TNe
15500 SW 72nd Ave
Seale:
Proportional Signature: Date / /
15812 Upper 8eones Ferry Salesperson:Hal Payne
Lake Oswego.OR 97035 Portland,OR 97224 Salesperson:
Ph(503)639-5656 Landlord Signature: Dais / /
F(503)624-8706
distlnetslgn.00m These plans are the exclusive property of Distinct Signage Group and the result of the original work of its employees.They are submitted to your company
for the sole purpose of your consideration of whether to purchase these plans or to purchase from Distinct Signage Group a sign manufactured according to
these plans.Distribution or exhibition of these plans to anyone other than employees of your company,or use of these plans to construct a similar sign is
expressly forbidden.In the event exhibition occurs,Distinct Signage Group expects to be reimbursed$500 for time and effort in creating these plans.The
respect of our creativity and time is appreciated by those who have worked on your behalf.
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Illuminated Double-faced sign with masonry base
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S I G N AG E APPROVED FOR PRODUCTION
G R o U P Trinity Flooring Date: October 29,201$ Name: Title:
15500 SW 72nd Ave Scale, Proportional Signature: Date: /
Ike Upper Ferry Portland, OR 97224
Lake Oswego,OR 97035 Salesperson. Hal Payne
Ph(503)639-5656 Landlord Signature: Date: / /
F(503)624-8706
dlstlnctsign.com These plans are the exclusive property of Distinct Signage Group and the result of the original work of its employees.They are submitted to your company
for the sole purpose of your consideration of whether to purchase these plans or to purchase from Distinct Signage Group a sign manufactured according to
these plans.Distribution or exhibition of these plans to anyone other than employees of your company,or use of these plans to construct a similar sign is
expressly forbidden.In the event exhibition occurs,Distinct Signage Group expects to be reimbursed$500 for time and effort in creating these plans.The
respect of our creativity and time is appreciated by those who have worked on your behalf.
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Site Plan for Trinity Flooring
q�tca 15500 SW 72nd Ave.
SIGNAGE
G R O U P
rilIP: ' CITY OF TIGARD RECEIPT
1! 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGAR■D
Receipt Number: 193854 - 11/07/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013-00138 Sign Permit-LRP 100-0000-43117 $23.00
SGN2013-00138 Sign Permit 100-0000-43115 $155.00
Total: $178.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 025201 AKOWACZ 11/07/2013 $178.00
Payor: Harold Payne
Total Payments: $178.00
Balance Due: $0.00
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