SGN2015-00055 CITY OF TIGARD SIGN PERMIT
111111 _ n Permit#: SGN2015-00055
COMMUNITY DEVELOPMENT Date Issued: 05/05/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1S134AA01900
Jurisdiction: Tigard
Name of Business: The Filling Station Pet Supplies
Business Address: 10115 SW NIMBUS AVE 100
Applicant/Agent: Hayden, Melissa
Work Description: One 65.97 sq.ft.wall sign on north-facing wall of building.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 4'2"x 15'10"
Total Sign Area: 65.97
Wall Area: 9575
Wall Face(Direction): North
Sign Height: 22 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum, acrylic, LEDs,
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $192.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: —,__ � i
Permittee Signature: Not Present
RECEIVD Ci
III .
COMMUNITY DEVELOPMENT APR 2 g 5•. City of Tigard
TIGARD Si •gn Permit •Application CITY OFi �n
GAS
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SIGN LOCATION
REQUIRED SUBMITTAL
Address: 10115 St,.)>J tteetl tls q1-tiF Suite#: I fl U ELEMENTS
City/state: TA t,Arl.. Zip: Z 3
�� P' q �'2 topics of elevations on 81.':"x 11"
Tenant or business: i L Us.n. SIAl tev1/4 1i°., or 11"x 17"pages(Wall sign
elevations must include dimensions
�.. ,, 4-[.0 �� of sign and wall face and show the
Property owner name:Nt wt v.J.` `2� location of sign on the wall.
Address: ISO' SC[nt ur•stii}W SUn-t'1. ZN0 ' Freestanding sign ckvations must
City/state: tJg r rn.,it.a t JA Zip: 1466( be drawn to scale.)
2 copies of site/plot plan,drawn
Phone: GD.(�3_>;�tl Email: T �gC�.eeUi f.lLe.L�±!! to scale,on 8'':"x 11"or 11"x 17"
Sign contractor: gEL i..a?..7'ti S((-0 S pages(not required for wall signs]
15(list or diagram of all existing sign
Address: Z- ■ZI.I cf Rirn 1.,ATE RW dimensions and square footage
City/state: P'O 't/c11D erg- Zip:
7 so Z [� Application Pee
Phone:SO 2-32-Li l?ZEmail: rn ii'S P rte_ i ,cam. /
CCB License #: /2.2$O' Expiration date: 03l 30/I to NOTES.
• freestanding signs over 6 ft in height
Contact person: $k. 150..a .4 e4A_ and walls signs of which any clement
weighs 20 lbr more require a
building permit for construction.
SIGN DATA (Complete all items in this section) If any clement of a wall sign weighs
70 lbs orb plans must be prepared
TYPE (Check all that apply) by a structural engirt.
Ea--New sign ❑ Freestanding ❑ Electrical
g • Building permits require 2 sets of
[s—Wall construction drawings and,if sign is
❑ Alteration to ❑ Freeway 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: //(h)x /S,/0//w) sq.f. sign a`
New sign:1V Existing ca i sq.f.=3potal loll S rM.t I St uti tv
'Total sign a q. .
/4212_being ac = ,3,5••a of bldg fact �+OX S-7—
Case No.: J�'C�VS-7—
Height to top of sign: 22 ft.Projection from wall: S in. Related Cie (s),
Materials: A Lattoka wu. t At 1r i LS-03 V 1 ;.1 Fee: 4/31?
Application accepted:
Is the sign under 20 lbs.? ❑ Yes r' No By: Ls`�/ Date: ilY/1/S
(Building Permit required if over 20 lbs)
Application determined complete: 1
Direction wall faces (circle one): 6) S E W NE NW SE SW j
Will the sign have illumination? 1 Yes ❑ No
By: LS Date: S- S- /
If yes,what type: lEr Internal ❑ External I∎cuiutriv.i•R•nu,"a Use AOpkasms Rev twnviass
City of Tigard • 11125 SW Hall Blvd. • Tigard,Oregon 97221 • www.tigard-or.go% • 503-718 2421 • Page 1 of 2
APPLICANTS
NOTE: Person specified as"Applicant"shall be designated"Permittec"and shall provide financial assurance for work.
•When the owner and the applicant are different pcopk,the applicant must be the purchaser of record or a ksscc in possession with written
authorrratwn 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 authorisation 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 arc 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.
�lj �'yiL-21.SSff h4Yt 5
oii/z3
.• . is signature Print name Date
if ggy (
4 AM
P.4.01,SOC49•24".... ArT144"Ce
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 • wwwtigard-or.gm • 503 718 2421 • Page 2 of 2
15'-101,4" ---- — — \:/
8" SECURITY
z-4° 5-0° • 8'-6W SIGNS
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2.92 Sq.Ft. 10.68 Sq.Ft.
V THE S TAT 10 N (- P I PROJECT MANAGER
Dylan Marten
-- - - DESIGNER
A.Poul
Oversized face I PROJECT NAME
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View Ces99 20
OWALL DISPLAY—34 So.Ft. c ln'8
Scale: 'h'-1'-0' o H2'
LL
Wall Display
Face lit.
Colors PAGE DESCRIPTION
Manufacture and install one(1)wall display. Wall Display
Clear Polywrb
REVISIONS
Cabinet Displays—'The'&'Station Pet Supplies' III PTM PMS 281 c Dark Blue
Construction:Fabricated 2"aluminum angle frame,5°deep. O NA
Cabinet Color.Paint to match PMS 281c Dark Blue. PTM PMS 299c Blue/Digital Print
Retainer.2",painted to match cabinet. 3M 230-20 White
Faces: .090 Aluminum oversized faces(at ends)painted to match PMS 281 c Dark Blue.
Faces to be routed and backed with'h"push thru clear acrylic,3M 230-20 White vinyl and
digitally printed 3M vinyl applied to first surface,diffuser vinyl applied to second surface. ' PTM PMS 281c Dark Blue&PMS 299c Blue
Illumination:White LED's
Channel Wrap—'Filling' a ra,ss,,,4w .,
.
Faces:.177 White Acrylic with applied digitally printed Blue vinyl. 1 "".. .r.
Trim Cap:1"Jewelite painted to match PMS 299c Blue. r:...� ..
Returns:.040 Aluminum,8"Deep,to match PMS 299c Blue. ...................."`` ^"
P. n..cu,uw
Backs:.063 Aluminum,pre-coat white.
Illumination:White LED's
Inatallatlart
CITY OF T I G A R D
Wall Type: m plywood Dryvit over and studs. APPROVALS
Mounting:Flush mount with 3/8'toggle bolts or appropriate hardware.J 1>5/A/ �` 3 Approved by.P 1 a r n i n g Client Signature
Power Supplies:Remote mount. Landlord Signature
Primary:One dedicated 120v/20amp circuit required. Date:
Initials: LS DATE:4/22/1S
PAGE s: 2 of 3
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SECURITY
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SOS-231 W2 130❑O1
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STATION PET SUPPLIES
lagZatwnoo
PROJECT MANAGER
Dylan Martin..._�� ..... ._-:: .: ... . ._- DESIGNER
A.Roof
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REVISIONS
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NO REMOVAL OR PATCHING REQUIRED Nq
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APPROVALS
Approved y la ning CIleMS n�re
Date: / Landlord Signature
Initials: DA 4/2v15__
PAGE r: 1 of 3
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CITY -- . Ir'ARD
Approved b Panning
Date: ��
1 s 4,.. SECURITY
< i%> SIGNS
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#5 - Cartridge World / 32s:
^^ , <P'7>
#4 -Jet Set Coffee/24.61sf - '� \`_"., I #6 -too cute / 30sf Y. , ' 4
#3 - Image Nails Salon/30sf , \ • ' #7 - gentle dental / 35sf PROJECT MANAGER
t Dylan Martin
Ki • • - DESIGNER
A.Rossi
#2 - Bellagios Pizza / 30sf t—� % .,.„„ 6, L#8 - Nimbus Cleaners/ 30sf - • PROJECT NAME
tt
yr
#1 - Miller Paint/ 35sf E ; -' ' 7 \` Shiraz l /25sf- _ I P
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- s` >;, PAGE DESCRIPTION
.. � :. :ei . ,
.- r't, Site Plan 46.
•.. ts,. Ja - - .".... r ' A i."1 1 ,-0'/ REVISIONS
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APPROVALS
Client Signature
Landlord Signature
Goode eartl DATE 4/22/15
a, ,,,,,, Imagery Date:T14.'2014 45°26'47.89"N 122°47'24.16"W elev 167 ft eve,,It 1'0 i tt T PAGE S. 3 of 3
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