SGN2014-00103 CITY OF TIGARD SIGN PERMIT
i Permit#: SGN2014-00103
COMMUNITY DEVELOPMENT Date Issued: 08/13/2014
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2421 Parcel: 2S103DD00600
Jurisdiction: Tigard
Name of Business: Tigard Grange
Business Address: 13770 SW PACIFIC HWY
Applicant/Agent: Keeney, Gordon
Work Description: Temporary banner sign, 3 x 6' in size, placed on the SW wall. The sign will be up from
8/21/14-9/19/14.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions: 3'x 6'
Total Sign Area: 24
Wall Area: 2300
Wall Face(Direction): Southwest
Sign Height: 18 ft.
Projection From Wall: 0 in.
Illumination: No Illumination
Materials: Aluminum
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $61.00
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: 4 461(.1 —
Permittee Signature: ` , ..ldAy
0 ONIa33NIJN2/ONINNYld
OHVOII 10 AlIO
IN .1 City of Tigard tilOZ 19RV
• Sign Permit Application aAoi
TIGARD
GENERAL INFORMATION
Name of Development/Project
Site FOR a4 �Je &11� FOR STAFF USE ONLY
Address/ Street Address '_r' SC, �`l4 �Y11o'.�
Ale2- -2-2. Permit No.: �N Location ) to�/7 7 7C / Approved By: k�
Suite/Bldg.# City/State Zip
/ ,p 9 7 ,3 Date: 61131144
Name Fee: COI- Iw
Property 7:16,9,9,P d/C j/l,"Ea Receipt#: `ql ZIZ
Owner Mailing Address Suite Map/TL#: 2^ 103 D (QOC)
fa5, i( 23c92 �,�y Zoning: [�Y
City/State Zip s 720/hone 2-� ,N, �/'
��GG Cl��// Allowable Total Area: 7777 L ��1�\/[
/Tbf t'Of � '�,; 3-5 O-7773 •
Tenant or Name
B
el
usiness J�. Electrical Permit Required? ❑ Yes No
�SG1�,�9rr 5 Ss 3v- 3G�2 ,2'
Name GIZ,re e�rie�i1d Building Permit Required? ❑ Yes ,rNo
Sign /` �j, /0/4 Rev.10/21/2(113
/i��. I:\CURPLN\Masters\land Use Applications\Sign Permiedoc
Contractor Mailing Address Suite
City/State Zip Phone
REQUIRED SUBMITTAL ELEMENTS
Oregon Const.Cont,Board License# F,xp.Date
Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 2 copies of elevations on 81/2"x 11"or 11"x 17"
Sign aTetnporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
(Check all that ❑ Wall El Other
apply) g 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:`x Li Application Fee *l0 I .
Total Sign Area(sq. ft.): ,, fl NOTES:
Total Wall Area(sq. ft.)
7 ♦ Applications will not be accepted without all required
Sign Data n C2e.) = / ■ submittal elements.
(Complete all Direction Wall Faces(circle one): • Wall sign elevations must include dimensions of sign
section)this and wall face and show the location of sign on the wall.
N S E W NE NW SW'
Height to top of sign(feet): Jl(. ♦ 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): permit from the Building Division for construction. If
Materials: v! f d(. 5frzyjejee, any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination? Yes a No 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 g 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:
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.
iovit )7C�/�l
Applicant Signature Date
42L / g/1 1. 0111
Signature of Owner/Agent Date
40/WZ)4./ 4.4?„4/6/ giemt9t, 0&/2)31,---xf_ 5-eYi -Se5 --505-
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
Sign Elevation
Tigard Grange North Side
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23 J Li 15'
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Square Dance Lessons 1: t4.es , BIZ( j N —
Call: 503- a l I t Lf
CITY OF TIGARD
Approved
ConditionallyApproved. � ....._...
For only the work as described in:
PERMIT NO. 2N2.O4.pnl a
See Letter to FoIIoW
Job Ad. Attach........ l
.._....___
ress: le ';t I aw.
ey: ► ∎._, r,! Mal
-Date: '
Site Plan N
Driveway Gravel and Grass Parking
1---
Tigard Grange
13770 SW Pacific Highway
_____. L r
3'x6'6 Banner
Driveway Gravel and Grass Parking
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