SGN2015-00044 Ili CITY OF TIGARD SIGN PERMIT
Permit#: SGN2015-00044
COMMUNITY DEVELOPMENT Date Issued: 03/30/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102CB02000
Jurisdiction: Tigard
Name of Business: American RV Company
Business Address: 13320 SW PACIFIC HWY
Applicant/Agent: Ellsworth, Curt
Work Description: New wall sign(105 sq ft.)west facing facade.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 3 5'x 30
Total Sign Area: 105
Wall Area: 800
Wall Face(Direction): West
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: alum composite
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $192.00
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: a , caz,..r
Permittee Signature: 4,/,'-' ,/
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City of Tigard
•~ COMMUNITY DEVELOPMENT DEPARTMENT
,., A u , Sign Permit Application
SIGN LOCATION
13320 SW Pacific Hwy REQUIRED SUBMITTAL
Address: wy Suite#: ELEMENTS
Tigard,OR 97224
City/state: Zip: ❑ 2 copies of elevations on 81/2”x 11"
Tenant or business: American RV Company or 11"x 17"pages(Wall sign
elevations must include dimensions
7 of sign and wall face and show the
Property owner name: L /611 TeA4/0
location of sign on the wall.
Address: /1Y3f Sm) /SAG/P\L 14 W Y Freestanding sign elevations must
City/state:1i41-r4 DX Zip: 4 • b2- be drawn to scale.)
Phone:SD i–(,q 2-12.Zs EmailiA)e 33 e{�illii nw,-•40i•^, ❑ 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
pages(not required for wall signs)
Sign contractor: North Pacific Sign&Design,Inc.
❑ List or diagram of all existing sign
Address: 626 SE Hawthorne Blvd. dimensions and square footage
City state: Pnrtlanrt r)R Zip: 87914 ❑ Application Fee
Phone: 503 234 4999 Email: curt @northpacificsign.net
CCI3 License #:69143 Expiration date: 6/17/15 NOTES:
Contact person: Curt Ellsworth • Freestanding signs over 6 ft.in height
— and walls signs of which any element
weighs 20 lbs.or more require a
SIGN DATA(Complete all items in this section) I f building permit for wall sign P If any element of a wall sin weighs
70 lbs.or more,plans must be prepared
TYPE (Check all that apply) by a structural engineer.
' ' New sign
❑ Freestanding ❑ Electrical • Building permits require 2 sets of
❑ Alteration to ❑ Freeway igr Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign ❑ Roof ❑ Other and 2 sets of engineering must be
Sign #: submitted with building permit
application.
Sign dimensions: 3.5' (h) x 30' (w) = 105 sq.ft. sign area
105 ddithonal rtew sin 158 FOR STAFF USE ONLY
New sign: sq.ft. + xts ng¢¢,�s�tgppn a ea 53 sq.ft. = Total
f Total sign area:l_sq.ft./ l"iuilding face sq.ft._ 13 %of bldg face Case No.: 56N a o 5 — 00444
Height to top of sign: 1 k ft. Projection from wall: 0 in. Related Case loo.(s):
Materials: 3mm aluminum composite
•
Fee: 1 9,,R•0
i Application accepted:
Is the sign under 20 lbs.? ❑ Yes Y No By: CAe-/ Date: 3`30"15
j (Building Permit required if over 20 lbs)
Application determined complete:
Direction wall faces (circle one): N S E li NE NW SE SW
Will the sign have illumination? El Yes No By: (-' Date: 3 -3U IS
If yes,what type: ❑ Internal ❑ External t:\CUftPLN\Masters\land Use Applications Rev.03/03/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
•
APPLICANTS
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.
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,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 or 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 required.
Applicant's signature Print name Date
‘34,
(//
Owner's signature Print name Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www:tigard-or.gov • 503-718-2421 • Page 2 of 2
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