SGN2014-00022 CITY OF TIGARD SIGN PERMIT
•
Date Issued:d: SGN2214-00022
COMMUNITY DEVELOPMENT
Date ssued: 03/10/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S112DC00701
Jurisdiction: Tigard
Name of Business: Pella
Business Address: 15975 SW 72ND AVE
Applicant/Agent: Williams, Greg
Work Description: New wall sign, approximately 8 square feet, located at 15975 SW 72nd Ave.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 24"x 48"
Total Sign Area: 8
Wall Area: 315
Wall Face(Direction): North
Sign Height: 19.5 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: 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: I 4tLQ
Permittee Signature: . / -
IIICity of Tigard
• Sign Permit Application
TIGARD wow
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site 6 f't/h Er► C 6"4-e r
Address/ Street Address Permit No.: SbNZO 14 ( JZZ
Location 1.5-T75. $.Wd 72' A vG.
Approved By: A —v---
Suitc/Bldg.# City/State Zip ��1 l j
TjlACA,L012 972 2 Y Date: 1C 4
Name Fee: 1 6•
Property PA Cl F'C. 40, tty A fS o C i a tS , 1 P. Receipt#: l Cl S l
Owner Mailing Address Suite Map/TL#: 25 Ii 7 DC-t x 1DI
/53s0 S. J,, u0:4 Wkwy 4300
Zoning: I P
dCity/State Zip Phone g c... 9(.7'
fa`C`QMJ r O 2 1772 y .5V3-62'/-‘3o o Allowable Total Area:
Tenant or Name
Business al 11 a Electrical Permit Required? ® Yes ❑ No
Name Building Permit Required? Fil Yes ❑ No
eCA VC4b h NC- h O Rev.10/21/2013
Sign I:\CURPLN\Masters\Land Use Applications\Sign Permit.doc
Contractor Mailing Address Suite .
/,7250 S.W,Auaus4-, Lr,,
City/State p Phone
igC4Ver—{-o n, 612 f7006 Sa7-6(9-/t /y REQUIRED SUBMITTAL ELEMENTS
Oregon Const.Cont.Board License# Exp.Date
ds9 6 I f` /8-/y ❑ Completed Application Form
Proposed ® Permanent ❑ Freestanding ❑ Freeway
2 copies of elevations on 8'/2"x 11"or 11"x 17"
P
Sign ❑ Temporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
((:heck all that
apply) Wall ID Other ❑ 2 copies of site/plot plan,drawn to scale,on
81/2"x 11"or 11"x 17"pages (required for
® New sign? ❑ Alter to existing sign? freestanding signs only)
Sign Dimensions: 2 y IIx 1 g ,, ❑ Application Fee
Total Sign Area(sq.ft.):
g NOTES:
Total Wall Areaq.ft.) r • Applications will not be accepted without all required
Sign Data 3/S = 2 i 0 submittal elements.
(Complete all Direction Wall Faces(circle one): • Wall sign elevations must include dimensions of sign
items in this and wall face and show the location of sign on the wall.
section) O S E W NE NW SE SW
Height to top of sign(feet): /51 / • Freestanding signs over 6 ft. in height and walls signs
of which any element weighs 20 lbs. or more require a
Projection From Wall(inches): Sfi permit from the Building Division for construction. If
Materials: A/641y;,,,40,1 paj LJugh$Cl,ri ...5w,ZEb 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: 54 Internal 0 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 WNo
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
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,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 below 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.
App• ant Signature Date
Signature of Owner/Agent Date
.--1) r-1 C• Nxi ; a-cA T 42,1 i■kti4mEk 5S- 67,4--178'7 Owner/Agent's Name(Please Print) Title
Phone Number
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 2 of 2
CITY OF TIGARL)
Conditionally Approved.
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For only the work described in: I
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Attach
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