SGN2014-00049 CITY OF TIGARD SIGN PERMIT
. Permit#: SGN2014-00049
COMMUNITY DEVELOPMENT Date Issued: 05/13/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1S135BC01100
Jurisdiction: Tigard
Name of Business: Kayu International
Business Address: 11117 SW GREENBURG RD
Applicant/Agent: Wells, Shelly
Work Description: New wall sign for Kayu International located at 11117 SW Greenburg Road, proposed
on the south facing wall.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 3'x 6'
Total Sign Area: 18
Wall Area: 1100
Wall Face(Direction): South
Sign Height: 19 ft.
Projection From Wall: .125 in.
Illumination: No Illumination
Materials: Di-bond
Electrical Permit Required: No
Building Permit Required: No
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: /,4010"
9 •� / f
Permittee Signat Wien(/ . f//' �/
KAy U 8 -36"h x 72"w vinyl digital print on 3mm DiBond
International , I n C . -mounted to surface with screws at 6 points
KAYU . COM
EXOTIC HARDWOOD DECKING
50'
I 1
1
lir _
CITY OF TIGARL
Approved P.< t tik 4-
Conditionally Approved......._.................._......_ [ ' i
For only the work as described in: �'
PERMIT NO.S,N2Q14"0GO40I , ''„ -� ,
See Letter to: Follow ..---..... f ._., �-,
Attach I
Job A.dress:_�� tit]AIL
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COLORS SHOWN ARE APPROXIMATE.THIS DESIGN AND ENGINEERING IS SUBMITTED SOLELY AS PART OF OUR PROPOSAL AND IS TO REMAIN PROPERTY OF FASTSIGNS`TIGARD AND ANY OTHER USE HEREOF IS PROHIBITED AND SUBJECT TO DESIGN AND USE CHANGES.
FAsTsIGNs =::97223 Hwy.
I PHONE 503.244.8813
More than fast. More than signs: FAX 503.244.7753
.. , . Is
RECEIVED
City of Tigard MAY 0 8 2014
Sign Permit Application CITY OF TIGARD
PLANNING/ENGINEERING
TIGARD i l
GENERAL INFORMATION
Name of Development/Project
Site //o.( u J TN f il fa l`; L FOR STAFF USE ONLY
Address/ StreetAddres/ Permit No.: SNZoI 4- 0001-9
Location 11/17 5W Gee-eft/Ai ea! Approved By: A!L
Suite/Bldg.# City1State Zip 7 91!2-1'�
r//f a✓'Gfl, i)/`C e Date: QQ
Name Fee: '1V.U4'
C,Property C 8 A pp, -(5ha( ',f aoloots Receipt#: �f,/j�/1 j� /
Owner Mailing Address Suitte�f�� Map/TL#: /// /�J/JC., C/�/ 00
/306 .SLU 1 �`"„' Zoning: J 14 '4 i 1IIL: C�)
City/State zip Phone 3 Allowable Total Area 15°i°
Prt-/aAva�, D�P9A/ J,2/-✓VYY/
Tenant or. Name. /
Business AQ Gl J TA)f.PY/urn71`O/Ua Electrical Permit Required? ❑ Yes Er<o
Name Building Permit Required? ❑ Yes [No
S. ( f Rev.10/21/2013 *to f ' �/t �J 6l
I vl I Si /V J _ 'varti I:\CURPLN\Masters\Land Use Applications\Sign Pennit.doc S 1- _ v` ��r• .
Contractor Mailing Address S
//Sa5 5ccj Pac.Jr h(,)y/
City/State 7jj
/ �}q Zip Phone 5
l a rd Oe //0723 7g1/6i3 REQUIRED SUBMITTAL ELEMENTS
OregV Const.Cdnt.Board License# Exp.Date
/6 7 7?7 ompleted Application Form
Proposed EKermanent ❑ Freestanding ❑ Freeway Lt L/copies of elevations on 81/2"x 11"or 11"x 17"
Sign ❑ T porary El Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
(Check all that wall El Other
apply) ❑ 2 copies of site/plot plan,drawn to scale,on
81/2"x 11"or 11"x 17"pages(required for A///q
Q N w sign? ❑ Alter to existing sign? freestanding signs only)
Sign Dimensions: 3) X , ) [pplication Fee
Total Sign Area(sq. ft.): i5 NOTES:
• Applications will not be accepted without all required
Sign Data Total Wall Area(sq.ft.) _ / l l submittal elements.
'g° //0 0 �+�iL
(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 0 E W NE NW SE SW
Height to top of sign(feet): icy • Freestanding signs over 6 ft. in height and walls signs
l��1 of which any element weighs 20 lbs. or more require a
Projection From Wall(inches): ,, permit from the Building Division for construction. If
Materials: .y t _ 2 i A.'(1 any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination? ❑ Yes ' o plans must be prepared by a structural engineer.
Type: ❑ 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 [ o
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
I
a� • I, I
APPLICANTS: ,,,,,,,..i,�,,. W described on the
To rontmtes fm sg Catim`ott4'��,you"a acrd to submit All.of di*
float of this apipioamoa in the"Required Elements"box.
NOTE: Peruse specified as"Applicant"sbd be designated"P "and shall provide fi tan ial assistance for work.
*When the owner and the applicant ate dilfemrat people,the applicant must be the patellae:of record,a lessee iii poaseru+ra with written
wdroiisatiois hoot the owner,or an agent of the uwaet• The anneals)roust sign this application in the space below or submit a written
a thnrlaation with this -,.... *
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 authorised agent of the owner,and that plans submitted are In compliance with the City of Tigard.
SIGNATURES of such owner of the subject property are requited.
ZU,di4
6.74'4'
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Applicant Date
C ,e .T G s ��a - rY
Signature of Owner/Agent tiyttwiaf:7� ! 4j Date
M704 ,)it+-S _ sizOsi 563 -22/- Y Y/
Owner/Agent's Name(Please Print) Title Phone Number
City of Tigard j 13125 SW Hall Blvd..Tigard,OR 91223 I 503-718-2421 1 www.tiga.rd-or.gov { Past 2 of 2
lig CITY OF TIGARD RECEIPT
✓f 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGAR1)
Receipt Number: 196012 - 05/13/2014
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2014-00049 Sign Permit-LRP 100-0000-43117 $23.00
SGN2014-00049 Sign Permit 100-0000-43115 $155.00
Total: $178.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 2864 JFLOYD 05/13/2014 $178.00
Payor: FASTSIGNS-TIGARD
Total Payments: $178.00
Balance Due: $0.00
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