SGN2013-00096 n CITY OF TIGARD SIGN PERMIT
a Permit#: SGN2013-00096
COMMUNITY DEVELOPMENT Date Issued: 08/20/2013
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2421 Parcel: 2S102AC00700
Jurisdiction: Tigard
Name of Business: Fishfield
Business Address: 12540 SW MAIN ST 120
Applicant/Agent: Payne, Hal
Work Description: Wall sign for fish and tackle business.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 40'x 120'
Total Sign Area: 58.3
Wall Area: 1776
Wall Face(Direction): Northwest
Sign Height: ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Alum/Acrylic
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: CJ" "`. - " ea.Lrts✓
Permittee Signature: 4-C4-...7 f•►��
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City of Tigard
Sign Permit Application
TIGARD
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GENERAL INFORMATION -�y�-
Name of llceckipment/Project
FOR STAFF USE ONLY
Site Ft FA E,� f
Address/ Street Address i Permit No.: _5 GrJa013 — 0009(0
Location I Z , S tA AN-111-IN) sT Approved By: C • (41 ek"C-5
Suite/131dg.# City/State Zip
S1C 7�CIL 'j 72. Date: 9 -e10- 13
Name Fee: .t I 7 S.00
Property D O [�Al 3 N3 1 WC Receipt#: 19 A 114 I
Owner Mailing Address Suite Map/Tl.#: a 510 A A G 00 7 00
ii II •l\J t'% -P'4, Lining: M u - 630
City/State Zip Phone Allowable Total Area: l s
QCf- DrO(t-eilal ( 3) v-c-1 cLei
Tenant or Name
Business f l e L!D Electrical Permit Required? I] Yes ❑ No
Name Building Permit Required? Vil Yes ❑ No
Sign DRev.6/24/2013
��i IN �Lyn1 - �Q 1:\CURP1N \Lan,d C,e App1 \Sign Pem.t.due
Contractor Mailing Address Suite
l6S12 Ott_ t ot4s .
(:„y/State Zip tri a 3y Phone
(,4(c(c. +ns vie 0(Z (�ibr4 631 - S(o 510 REQUIRED SUBMITTAL ELEMENTS
Oregon Consi Cont.Boar]license# Exp.Date (Note: applications will on be accepted
(13 42(94-k Cj/ j C without the required submittal elements)
Proposed IKPcrmanent ❑ Freestanding ❑ Freeway ❑ Completed Application Form
Sign all that ❑ Temporary ❑ Other ❑ Electronic ❑ 2 copies of site/plot plan,drawn to scale
aPPlY) '�`Wa➢ ❑ �7eT (3 copies,if a building permit is required)
size requirement 81/2"x 11",or 11"x 17"
P`New sign? ❑ Alter to existing sign?
❑ 2 copies of elevations,drawn to scale
Sign Dimensions: p x Zl O tt (3 copies,if a building permit is required)
Total Sign Area(sq. ft.): size requirement 81/2"x 11",to 24"x 36"
13 PL'(�•I0.►1 ❑ Application Fee
S' Data Total Wall Area(sq.ft.) = -3
'g° 1.7"/ 1950 a.l.
(Complete all Direction Wall Faces circle one): NOTES:
item in this
section) N S E W NW SE SW
Height to top of sign(feet): • Wall signs do not need to be drawn to scale, but
must include dimensions of wall face and sign
Projection From Wall(inches): £S _ placement.
Materials: l..41 MhSJ 1M.I f `{Lk G • Wall signs do not require site/plot plans.
Will sign have illuminations N Yes ❑ No • Freestanding signs over 6 ft. and walls signs of
Type: , '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 )K.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 1 503-71 8-2421 I www.tigard-or.gov I Page 1 of 2
r 0
APPLICANTS: _
To consider an application complete,you will need to submit ALL of the REOUIRED 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 APPLICANTS) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the tights 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.
.z.;`, 8/8r3 -
Applicant Signature Date
(A.c.,,..,, ett-44 ccG"` p4,..• .'LL. C
C-) t 2 c.-., 9�� A'S C.'S FY... IA a+-,a�e r' 3--- /2-203
it
of Owner/Agent Date
(-346<t, ()is' i/4E--- (-1 /' ) ()3Ci -- S--(°'(s--c,
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
11111 CITY OF TIGARD RECEIPT
i 13125 SW Hall Blvd..Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 192741 - 08/20/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013-00096 Sign Permit- LRP 100-0000-43117 $23.00
SGN2013-00096 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 008610 TLEHRBACH 08/20/2013 $178.00
Payor Li Lin Gao
Total Payments: $178.00
Balance Due: $0 00
Page 1 of 1
el 1c .
June 17, 2013
{y n, r--Existing BMDA sign,32 sf
New internally llum)nated.letter signage,60 sf(approx.3'20') a `c '
Pm mounted letter sig'fsage,13 sf(approx 12"x13'•0")
Font.Times New Roman Bold Italic or similar
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NORTHWEST ELEVATION 1' 1
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S 1 �1 -- -New stainless steel wall signs w!reflective
lettering,(3)signs at 13 sf ea(approx.9"x 'Existing Thai Restaurant
16-41 39 sf total. Mount to underside of sign,45 sf
Street facade signage summary: t�, ,��
1C3{�+ soffit.
Existing Thai Restaurant Wall Sign: 45 sf
~
Existing BMDA Well Sign. 32 sf 1 I
New Fish Field Wall Signs: 112 sf total . OF TIGARD
189sftotal Approved [/]
Conditionally Approved. [ ]
Total Facade Area: 3,080 sf For only the work as dassrlbed in:
Allowed Wall SgrtArea(1596offacade) 462sf
PERMIT NO.'S'c N au 000 jib
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N Site View of FishField
12540 SW Main St.