SGN2016-00014 CITY OF TIGARD SIGN PERMIT
COMMUNITY DEVELOPMENTssu d: SGN2216-00014
Date Issued: 02/08/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101DC03702
Jurisdiction: Tigard
Name of Business: Allstate
Business Address: 7185 SW SANDBURG ST
Applicant/Agent: Lanphere, David
Work Description: Wall sign, 2/5'x 10' (25 square feet)-poly panel
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 2.5'x 10'
Total Sign Area: 25
Wall Area: 2816
Wall Face(Direction): South
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: poly
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $197.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By:
Permittee Signature:
City of Tigard
14 ~ COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Sign Permit Application
SIGN LOCATION
REQUIRED SUBMITTAL
Address: 7/8s 541 siisiwo,i , Suite #: /z.o ELEMENTS
City/state: T1(74 012 97223 Zip: '72-Z3 ❑ 2 copies of elevations on 81/2"x 11"
Tenant or business: 11-1Z.1741E or 11"x 17"pages (Wall sign
elevations must include dimensions
Jt�►% of sign and wall face and show the
Property owner name: /hog)�.../
location of sign on the wall.
Address: /o 8D$ jwy/ Freestanding sign elevations must
City/state: Po) O/L- Zip: 972-8C) be drawn to scale.)
Phone: 03 L33 t?yr Email:
❑ 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
Sign contractor:
Hannah Sign Systems, Inc. pages (not required for wall signs)
1660 SW Bertha Blvd.
El List or diagram of all existing sign
Address: dimensions and square footage
Portland,OR 97219Ci /state: Zip:
❑ Application Fee
Phone: 5039468373 Email: davel@hannahsignsystems.com
CCB License #: 203638 Expiration date: 07/23/2016 NOTES:
Contact person: David P Lanphere • Freestanding signs over 6 ft.in height
and walls signs of which any element
weighs 20 lbs.or more require a
1 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.
X. New sign ❑ Freestanding ❑ Electrical • Building permits require 2 sets of
❑ Alteration to ❑ Freeway '4 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: Z. t (h) x /0 (w) = Zs sq.ft. sign area
New sign: sq.ft. + Existing sign area sq.ft. = Total FOR STAFF USE ONLY 1,
Total sign area: sq.ft./ building face sq.ft. _ %of bldg face Case No.: 3€,K100�!
Height to top of sign: ft. Projection from wall: in. Related Case No.(s):
Materials: Fee: 111 • 00
Application accepted:
Is the sign under 20 lbs.? fil, Yes filt No By: eitt." Date: a — eL-1 i•
(Building Permit required if over 20 lbs.)
Application determined complete:
Direction wall faces (circle one): N V E W NE NW SE SW
By: Date: 0" a_1 te
Will the sign have illumination? ❑ Yes [2.. No
If yes,what type: El Internal ❑ External I:\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 "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.
David P Lanphere Z-N/(p
Applic is signature Print name Date
e^� i rac
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
PHILADELPHIASIGN
BRINGING THE WORLD'S BRANDS TO LIFE
Philadelphia Sign Company • 707 West Spring Garden St • Palmyra,NJ 08065
Re: SitelD OR286
Craig Jarrett
7185 SW Sandburg
Ste. #120
Tigard, OR 97223
AUTHORIZATION AND CONSENT FORM
By my signature below,I hereby represent that I am the owner of the property indicated above or otherwise
duly authorized by the Lease to grant authorization for Philadelphia Sign Company and/or their sub
contractor to apply for permits and install new signage at the above referenced location.
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LANDLORD APPROVAL
Signature Print Na /141 Date A27"1-
Title Y \ email �~4
Address 99// Phon
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Return Form to: Philadelphia Sign Company
707 West Spring Garden St
Palmyra,NJ 08065
email (Preferred): Itedesco@philadelphiasign.com
or FAX to: (856)829-8549 attn: Laura Tedesco
128a rITY OF TIGARD
ALLSTATE Approved by Planning
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*This artwork is final-please review for errors before signing. If the final product matches the signed artwork and is incorrect we will remake it on a time and material basis
Prepared For. Project Manager: Revisions
'MINA. Dave Lanphare No. DeacApGon Daces Approval 0 Copyright 2007 Hannah Sign Systems.
This original design and specifications are
G �roJsot Numbs- _ Client Signature theexclusive property of Hannah Sign Systems.
AI I state Date:1/28/78The use of this design to produce a similar
sign without written authorization from
Gula NTB ___ - T- - Hannah Sign Systems is strictly prohibited
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ANNA , Prepared For: Protect Manager Revlalona
Dave LamphereNe.�De�^P�^—
_ Data Approval Copyright 2007 Hannah Sign Systems.
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Prepared For: Project Manager. KedelormMINA nf�
Dave Lamphere No. Deet PG on — Data Approval f Copyright 2007 Hannah Sign Systems.
This original design and specifications are
Allstate
Project Number. Client Signature the exclusive property of Hannah Sign Systems.
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