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SGN2015-00080 IIIIII CITY OF TIGARD SIGN PERMIT A COMMUNITY DEVELOPMENT Permit#: SGNGN PERMIT Date Issued: 07/09/2015 t C T A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110AB00200 Jurisdiction: Tigard Name of Business: Uptown Dance Business Address: 14355 SW PACIFIC HWY Applicant/Agent: Nakagawa, Leilani Work Description: metal and acrylic Wall sign for uptown dance studio Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A-Board: No Sign Dimensions: 24x22 Total Sign Area: 44 Wall Area: 520 Wall Face(Direction): c1 s1' Sign Height: 19 ft. Projection From Wall: 10 in. Illumination: Internal Materials: metal and acrylic Electrical Permit Required: Yes Building Permit Required: Yes Total Permit Fee: $197.00 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: M O ✓1 'LGA— B J (�" __Cky , Permittee Signature: Al I t,f�/ A / I, RECEIVED City of Tigard JUL 0 9 2015 COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGARD TIGARD Sign Permit Application PLANNING/ENGINEERING SIGN LOCATION REQUIRED SUBMITTAL Address: 1.4 S 5 3.45-rag c... 1,k W q_ Suite #: ELEMENTS City/state: -1 lget ia_. 1 0l", Zip: 9r ..r3-'4' X 2 copies of elevations on 81/2"x 11" Tenant or business: aL U+OLrYLCS-- or 11"x 17"pages(Wall sign elevations must include dimensions C1 _L9 r ,Ll-C of sign and wall face and show the Property owner name: �_7AJUlX 1}-E'AAl17lSa location of sign on the wall. Address: 14355 nnS �e .UJ, Pci . .t4 kokk Freestanding sign elevations must City/state: L Ta L . l O t-. Zip: q .' • be drawn to scale.) Phone:5OB-pfja©- C 7 Email: -$2 copies of site/plot plan,drawn N/�.to scale,on 8t "x 11"or 11"x 17" pages(not required forr warms) Sign contractor: yr List or diagram of all existing sign Address: dimensions and square footage City/state: Zip: _ / Application Fee Phone: Email: CCB License #: Expiration date: NOTES: Contact person: • Freestanding signs over 6 ft.in height and walls signs of which any element __ weighs 20 lbs.or more require a building permit for construction. SIGN DATA(Complete all items in this section) If any element of a wall sign weighs 70 lbs.or more,plans must be prepared TYPE (Check all that apply) by a structural engineer. New sign ❑ Freestandin g ❑ Electrical • Building permits require 2 sets of ❑ Alteration to ❑ Freeway rg Wall construction drawings and,if sign is freestanding,2 copies of site/plot plan existing sign ❑ Roof El Other and 2 sets of engineering must be Sign#: submitted with building permit application. Sign dimensions: Q_ .!° (h) x a_41 (w) _ 44 sq.ft. sign area New sign: sq.ft. + Existing sign area sq.ft. = Total FOR STAFF USE ONLY Total sign area: k 4 sq.ft./ Sao building face sq.ft._ 1,5 %of bldg face Case No.: Sv N 2015 -O OO S Q Height to top of sign: ‘R ft. Projection from wall: tO in. Related Case moo. s Materials:,/Yri�.ko9- 4- C- Fee: Application accepted: Is the si gn under 20 lbs.? ❑ Yes No X16 �]lo}/IS � N By: Date: (Building Permit required if over 20 lbs) Application determined complete: Direction wall faces (circle one): N S 0E W NE NW SE SW By: e Date:`7/ A 5 Will the sign have illumination? 1S1 Yes ❑ No If yes,what type: rI Internal ❑ External l:\CURPLN\Masters\Land Use Applications Rev.03/03/2015 ■ City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2 APPLICANTS NOTE: Person specified as".,-Applicant"shall be designated"Permirtee"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 owners)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. Lek I(IA. kkk) /15- Applicant's signatut lo� " tc, e.. 11;citiderint name } Date toJ-Q au Al 1`�L�>nZcz��ti ±..�n���si1;��h 5,�i_� '- 6- j5 Owner's signature k . Ka.et Print name Date Owner's signature Print name Date SIGN PERiMIT APPLICATION City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2 RECEIVED 1,z _ 2 4, ' >1 JUL 09 2015 -- —9 CITY OF TIGARD)4 -- PLANNING/ENGINEERING _ -A- i • 1 - - D)-- 1 I ---/.1-1.---- I • I , • • : 1 . f i ! I 1 1 i ' • L. . i : _ • • a.0' IT 1 1 1 • _ _____________________________I CITY OF TIGARb Approved l)( Conditionally Approved E For only the work as de§c_ribed in: - i 355 S,t4. ect,t1 clic It-104 pERNArrNo. SCsiN 4vIS --o(x)5 0 See Letter to: Follow Attach Job Address: 141355 g W Pot( tr /Y By