SGN2016-00022 a
CITY OF TIGARD SIGN PERMIT
COMMUNITY DEVELOPMENTssu d: SGN2216-00022
Date34 . . Issued: 03/03/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S112DD00500
Jurisdiction: Tigard
Name of Business: Oregon AirReps
Business Address: 15860 SW UPPER BOONES FERRY RD B15
Applicant/Agent: Payne, Hal
Work Description: Install new 18.6 sq. ft.wall sign.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 27.4"x 97.75"
Total Sign Area: 18.6
Wall Area: 840
Wall Face(Direction): West
Sign Height: 12 ft.
Projection From Wall: 0.5 in.
Illumination: No Illumination
Materials: acrylic, PVC
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.
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Approved By: Y , W, v j
Permittee Signature: � �,,
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City of Tigard RECEIVED
IIII COMMUNITY DEVELOPMENT DEPARTMENT MAR 0 3 2016
Sign Permit Application CITY OF TIGARD
T I G A R D PLANNING/ENGINEERING
SIGN LOCATION REQUIRED SUBMITTAL
Address:(50 6 O t),e«F,OOli6S f t Suite#: ELEMENTS
City/state: IJ - 0 -let tO l Zl t f-C> Zip: "j 1 O35— copies of elevations on 81/2'x 11"
Tenant or business: f) /4(L it-APs or 11"x 17"pages(Wall sign
elevations must include dimensions
Property owner name: {�cei�� ( of sign and wall face and show the
p
p location of sign on the wall.
Address: I S3 S 0 st4 S.QJ INP-- Q1L M`( Freestanding sign elevations must
City/state: ()Oil-MWO t c)IL Zip: D'Z ZZ.+ drawn to scale.)
Phone:@t0 ) be-(9300 Email: l JtrC) P -lK.0 sT ( w Je
copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
) pages 1`J Q-1 5t 6312-64)
pages(not required for wall signs)
Sign contractor: �
Er List or diagram of all existing sign
Address: [SDI 2- v•P(t& (22014E-A. re-4 limensions and square footage
City/state: 1-' 4- OV) t 06L Zip: •t7035-
p/J Application Fee
Phone:( ) Or/ -Sb.S(.Email: kci.J1.@,4:;tlskt t.C,t Sb A• 4514)\-
CCB License #: (5(0(04' 1 Expiration date: 5'l(b NOTES:
Contact person: v f Pr`.j( • 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.
El New sign
El Freestanding ❑ Electrical
• Building permits require 2 sets of
ArWall construction drawings and,if sign is
Alteration to l=1 Freeway freestanding,2 copies of site/plot plan
existing sign ClRoof ElOther and 2 sets of engineering must be
Sign#: submitted with building permit
application.
Sign dimensions:ZZ.'F (h) x (w) = C sq.ft. sign area
New sign: t$ .Co sq.ft. + Existing sign area 'C sq.ft. = 19.10 Total I Mt -i \i 1 I •••1i 0\11
r
lo
Total sign area:1 b• sq.ft./ 8 v building face sq.ft.= 7-.Z%of bldg face Case No.:50\12014- 00022-
Height to top of sign: II-- ft. Projection from wall: VZ in. Related Case No.(s): --
Materials: t f',P(l.l C. F-PctiES OIC 'Pq C SO(7Crt-tre Fee: it I -1, , Ob
Appli accepted:
Is the sign under 20 lbs.? IN" Yes LI No 1 rl,...cr l�e-t. 3131
�-
l. [T'E$� By: Date: i
(Building Permit required if over 20 lbs.)
App retermined compl te:
Direction wall faces (circle one): N S E 10 NE NW SE SW 3 3 14
By: Date:
Will the sign have illumination? El Yes l No
If yes,what type: ❑ Internal ❑ External 1.\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.
SIGA
A of each owner of the subject property,required.
. E
....Xe7
e1t3` 3 ((60
Applicant's signa e Print name Date
'- I' % '
••wner's signature Print name D.te
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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