SGN2016-00085 y „ CITY OF TIGARD SIGN PERMIT
It; Permit#: SGN2016-00085
COMMUNITY DEVELOPMENT Date Issued: 08/24/2016
T[GARID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S112DD00300
Jurisdiction: Tigard
Name of Business: 76 Gas Station
Business Address: 15900 SW 72ND AVE
Applicant/Agent: Kinnee, Lisa
Work Description: Reface one existing freestanding sign that is taller than 6 feet.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions:
Total Sign Area:
Wall Area:
Wall Face(Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials: Aluminum, Plexiglass
Electrical Permit Required: No
Building Permit Required: Yes
Total Permit Fee: $201.00
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: Not Present
City of Tigard
RECEIVED
Erii COMMUNITY DEVELOPMENT DEPARTMENT AUGG/ENGINE15 2016
Sign Permit Application PLANNIN OFTIGARD
ERING
SIGN LOCATION
...�, „- ,� ,•-., REQUIRED SUBMITTAL
Address: I iCL> 'J '( & :NIES' —` Suite #: ELEMENTS
City/state D �%1?— Zip: ql 2-'s 5 2 copies of elevations on 81/2" x 11"
Tenant or business: C iS C145 S '111.,WV or 11"x 17"pages (Wall sign
elevations must include dimensions
` _ _ � of sign and wall face and show the
Property owner name: j`1—.. location of sign on the wall.
Address: 1•13 i I 5. ti/!Art,-.,; S7 (_ Freestanding sign elevations must
"' 'f drawn to scale.)
City/state:(9 l3-t�7%fit i A-- CA-,_ Zip: 61(..)2'1-
L copies of site/plot plan,drawn
Phone:-fit� �� .���•� Email: NIA- 2 ot P P
t scale,on 81/2"x 11 or 11"x 17"
r7 v r ages(not required for wall signs)
Sign contractor: i-f lA 5A- Y S L(_�V
r� 'T�c y _ ��. List or diagram of all existing sign
Address: tL% . .erasions and square footage
City/state: ?C;j?TL 't" C:i7--- Zip: Cr 7 2 D (.0 implication Fee
Phone:`'75-37e -0`+%!2- Email: i.--i 5 A�c -r i c(c- � �1
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.;_ ?."j NOTES:
CCB License : u: t Expiration date:
Contact person: 2--1`?a )4t ' l`."".-I- - • 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.
Freestanding • Building permits require 2 sets of
Alteration to ❑ Freeway ❑ Wall construction drawings and,if sign is
freestanding,2 copies of site;plot plan
❑ Roof and 2 sets of engineering must be
existing sign
Sign #: '
submitted with building permit
application.
Sign dimensions: _ (h) x (w) = sq.tt. sign area
New sign: sq.ft. + Existing sign area sq.ft. = Total FOR R S I 11-'1' t SI ONLY
Total sign area: sq.ft. building face sq.ft. = °,°of bldg face Case No.: .S A) 2(1)� [ 7- copes-
Height to top of sign: ft. Projection from wall: in. Related Case No.(s : 20/1-202011e, 69&79-9
Materials: A—Li kt NI "1 f I-e-1�i C)! `7S �
Fee: 01
Application accepted:
Is the sign under 20 lbs.? ❑ Yes 1$, No By: gl__ f
S Date:
I (Building Permit required if over 20 lbs.)
T NW Application determined complete:
Direction wall faces (circle one):) SSS NE SE SW / �
By: !S Dare:complete:
Direction
Will the sign have illumination:' do
If yes,what type: elii.iliairmigit External I,\CURPLN\Masters`Wnd 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"\an:Icant ' sra::he designated•'Derr nice"end sitar provide rin;ncla:assurance for w'.,r;:
•.�AK;^. ;'w!]::at_^ _ 1:71�7C�. �S:......�CT. ^h,�.' � �1C..1?:T:la'^: ... -r:. _ _ •.t
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err. `tltr!ir VT:71: lL:!i..r✓] -lr ,r,7. .17y".l[:•t....
THE APPLICANT(S)SHALL CERTIFY THAT:
• Ii the appI cation Is granted.the applicant Will L_Nerasc the:putts gramu: accordance•,7.:ti t z zer'rr and s JI: ec:-c ar the
conditions and limitations of the apprcva.
• _i::of the above=tatemer:s:s.: ±e ststernen In the a:n:pian. a:;ach.•rlen:s.and ex :o::< :-ansm;.ec aere•.:-ith. :.re :.r.0
the applicants sr.arl(.'ZCZr1ci:ge-.ha:an• permit issued.based or. tin, A71.►icatior..ma: '_e rcv,,;.ed:: 1':. :c fid tna: qui:
starernent: ere false
• The applicant has read tl:e entire contents of the appiicaton.incInning the policies and cztena.and cnderstar.ds tae
requirements for apprcn n:g or der.-Ing the applicator.
I hereby acknowledge that I have read this application. that the information mer. is correct, that I am the owner
or authorized agent of the owner,and that plans submitted are in compliance with the Cin of Tigard.
SIGNATURES of cact owner of the subject property required.
/ x.�—Z� j A tl-., ;1 - 'L;
gnaturc tint name D2Tt
egiG sP /22,4 G,
Own ' signature Print name Date
. •ire name D�_s
SIGN PERMIT APPLICATION
City of Tigard • i i .5W;r•}1 Blvd • a:d C� -
.":g regor. ' _-- • ;ztz,tigarC-os.{cn• • 5 _ '6 _.:' • Page 2 of 2
1
i/
PACIFIC
August 22,2016
Pacific Realty Associates
15350 SW Sequoia Parkway. Suite 300
Portland.OR 97224
RE: Sign Panel Upgrades
15900 Upper Boones-Ferry Rd.
Tigard,OR 97223
Dear Landlord.
We are in process of upgrading our current signs at the above referenced location. Pursuant to the lease:Apro,
LLC as your tenant is responsible for all costs involved for the sign upgrade and installation at no expense to
you as our Landlord.
The signs shall consist of the following:
Gas Canopy Sign-Record u SGN2016-00079
• Two new 7-square-foot signs on existing canopy(NE and SW facades). Each sign is a single element.
less than 20 lbs.
• Two new 7.5-square-foot signs on existing canopy(NE and SW facades). Each sign is a single
element, less than 20 lbs.
Monument Sign-Record u.SCiN2016-00085:
• Reface one existing freestanding sign that is taller than 6 feet
In keeping with City of Tigard regulations.owner approval is required in order to obtain final permits and
proceed with the installation.
Your signature below will confirm your authorization to proceed accordingly.
Thank you.
Linda Garcia
Property Manager PACIFIC REALTY ASSOCIATES,L.P.
ACCEPTE) •ND APPROVED:
Eric Sp. e,
Its:mer
v1 p,z.toC 17EM'T
www.umtedpacific.com
310-323-3992 17311 Soutn Man Street. Gardena.Caofornia 90248 310-323-3483
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