SGN2013-00112 II , CITY OF TIGARD SIGN PERMIT
' >z Permit#: SGN2013 00112
COMMUNITY DEVELOPMENT Date Issued: 10/17/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1S136D602400
Jurisdiction: TIGARD
Name of Business:
Business Address: 11642 SW PACIFIC HWY 100
Applicant/Agent: CHAMPION, RON
Work Description: NEW WALL SIGN FACING WEST
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 3'X 8'
Total Sign Area: 24
Wall Area: 1435
Wall Face(Direction): West .
Sign Height: 14.5 ft.
Projection From Wall: 10 in.
Illumination: Internal
Materials: Plexiglass, metal
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $178.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: kpill kAltifr
Permittee Signature: 'not pr rii-
RE WED
City o el
1:IN .
f Tigard S E P 2 3 Z013
CITY OF TI aARD
Sign Permit Application PLANNING/ENGINEER G_ #
TIGARD t�
GENERAL INFORMATION
Name of Development/Project
/ FOR STAFF USE ONLY
Site ,�!
Address/ Street Address Permit No.: �J 'V 4)/.3-°VI
Location ' 1 `042. SW PAQ1FIC- 11WY
Suite/Bldg.# City/State Zip Approved By: A t`
T1 CI AS_D, 02 87223 Date: 1C114116
Name Fee: qv-i 8.1�p�
Property Rat�1 ' Ro .e.TA CI-t AM P 1 ON Receipt#: 1 i 1, -. 5 1,0 j�(�
Owner Mailing Address Suite Map/T1.#' I S( ✓t'mot -
(O 44) Lem N(MR CT. Zoning: C-G
City/State Zip Phone Gas .y
97034 �47 Allowable Total Area: N,
LIKE O5 to u6.0)oa.. ' 503- 997.160$
Tenant or Name
Business NONE Electrical Permit Required?
4es ❑ No
Name Building Permit Required? [. Yes ❑ No
5YLVANt A ELECT�.IG LL.G- Rev.6/24/2013
Sign I:\CURPI.N\Masters\land Use Applications\Sign Pennit.doc
Contractor Mailing Address Suite
5328 SI Iotr4
City/State zip Phone
PORTut•I 0,oL 9126 So3-358 -7 9.8G REQUIRED SUBMITTAL ELEMENTS
Oregon const.Cont.Board License# Exp.Date (Note: applications will not be accepted
CC13* 1(0-1(4(0 7- 1-14 without the required submittal elements)
Proposed ❑ Freestanding ❑ Freeway [r Completed Application Form
P Permanent I�recstandin I�rc�ewa
Sign Temporary ❑ Roof ❑ Electronic
((leek all that Wall ❑ other f, 2 copies of site/plot plan,drawn to scale
apply) (3 copies,if a building permit is required)
size requirement: 81/2"x 11",or 11"x 17"
V New sign? ❑ Alter to existing sign?
Er 2 copies of elevations,drawn to scale
Sign Dimensions: 3' x 8 I (3 copies,if a building permit is required)
Total Sign Area(sq.ft.): Z 4 size requirement: 8'/2"x 11", to 24"x 36"
Application Fee
S' Data Total Wall Area(sq.ft.) Z
'gn 1,435 SF
(Complete all Direction Wall Faces(circle one): NOTES
items in this
section) N S E C) NE NW SE SW
I I, • Wall signs do not need to be drawn to scale, but
Height to top of sign(feet): (•} -Co must include dimensions of wall face and sign
Projection From Wall(inches): l0''
placement.
Materials: PLE ICI GLASS, METAL • Wall signs do not require site/plot plans.
Will sign have illumination? [r Yes ❑ No • Freestanding signs over 6 ft. and walls signs of
Type: 11, f Internal ❑ External which any element weighs 20 lbs. or more require a
Are there any existing freestanding or wall signs at this location, building permit.
including wall signs that overlap a tenant space?
❑ Yes No
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted. (OVER FOR SIGNATURES)
r':- . ..F T:,.,...,1 I 1'3 1'1C QR/ rJ..11 DI...-1 T:,.,...,1 !ID 11'7^1'1"2 I C111 '710 '14'11 I ..,......4.,....«,1 ,... ,.,.., I D....,. 1 ..4"1
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 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.
SIGNATURES of each owner of the subject property are required.
(56(...im
9- 23 -/3
Applicant Signature Date
064616,
4crr OF Glve 9 - 23 -13
Signature of Owner/Agent ( 5 L=[ AppPAVkL. t_ETTEI) Date
L is,4 SL A7EE- - SLATerg._ kr;c i cruee: 3 - 8 17-27 37
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
CITY OF TIGARD RECEIPT
n
� C ,,. 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 193570 - 10/17/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013-00112 Sign Permit-LRP 100-0000-43117 $23.00
5GN2013-00112 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 46977P AKOWACZ 10/17/2013 $178.00
Payor: Casey Bernard
Total Payments: $178.00
Balance Due: $0.00
Page 1 of 1
John Floyd
From: Lisa Slater <lisa @slaterarchitecture.com>
Sent: Monday, September 23, 2013 5:40 PM
To: John Floyd
Subject: FW: Tigard sign permits
John,
Here is the e-mail from the property owner giving permission for me to apply for the permit on their behalf. Please
attach this to the permit applications. Thank you.
Lisa Slater
Slater Architecture
360-817-2737
From: bobbi champion <bobbi champion a,yahoo.com>
Date: September 23, 2013, 10:05:52 AM PDT
To: Casey Bernard <caseysbernarci cr,yahoo.com>
Reply-To: bobbi champion <bobbi champion @yahoo.com>
Permission is given Lisa Slater, of Slater Architects to apply the last two permits.
Thanks,
Bobbi
Wall Area =672 SF SIGN #1
(SC' long x 12' high) , m ,
—
U10 Dt1�1''
. was llttInk
Wilk'ala
GEORGE'S Giant HAM , - 'Q$ N,
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it
NORTH ELEVATION
Existing Awning Sign : George's Giant Hamburgers (Awning area = 192 SF,Text area = 51 SF)
New sign: Amazing Auto detail (sign area = 3'x8' = 24 SF)
S% N *4 ONLY
Wall Area = 1,435 SF
SIGN #2 S W' .* -to" #4 SIGN `, - 4 _ y
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WEST ELEVATION
New signs: (sign area = 3'x8' = 24 SF) CITY OF TIGARD
Typical of 4, this side Approved ---�--�- [�f
Conditionally Approved.».... [ 1
For only the work ddescribein:
PERMIT NO. 1
See Letter to:Follow
Attach ._..._-..---- I 1
.lob Address: I 2 S 1%04, M '
Dy ' 4_... k _- HASP'