SGN2017-00002 CITY OF TIGARD SIGN PERMIT
i Permit#: SGN2017-00002
COMMUNITY DEVELOPMENT Date Issued: 01/03/2017
TIC;;1 It D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110AC01101
Jurisdiction: Tigard
Name of Business: Jacksons Shell
Business Address: 11290 SW BULL MOUNTAIN RD
Applicant/Agent: Kimmel, Dave
Work Description: New 30-square-foot wall sign on south-facing wall. Single-element less than 20 pounds.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions:
Total Sign Area: 30
Wall Area: 324
Wall Face(Direction): South
Sign Height: ft.
Projection From Wall: in.
Illumination: Internal
Materials: Plastic
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $201.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: < -'� ,/_
Permittee Signature: /G� _ vim»
RECEIVED
City of Tigard JAN 0 3 2017
i1111 COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGARD
Sign Permit Application PLANNING/ENGINEERING
TIGARD g PP
SIGN LOCATION /
Jc7/(% / G) Cc. L�/��st Suite#: REQUIRED SUBMITTAL
Address: ELEMENTS
City/state: Ar d l 0 Zip: 12 copies of elevations on 8'/2"x 11"
Tenant or business: ,Ta SD/1 S SSjcfs or 11"x 17"pages(Wall sign
elevations must include dimensions
/_ ' �� of sign and wall face and show the
Property owner name: Q Pi.)B Eife �/� location of sign on the wall.
Address: 3450 //£ l, �/ sin i'P-1-a.I Freestanding sign elevations must
City/state:/t-'e r/r(i a eit .4-7) Zip: fb3 Zoi-Z- • 'be drawn to scale.)
Phone:,20$—S3O-72SgEmail: copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
V
pages(not required for wall signs)
Sign contractor: 6SCo r- List or diagram of all existing sign
Address: 4/6E 4/ ST dimensions and square footage
City/state: Z Ol 5 -e- 1 S 17 Zip: 9,37/¢ Application Fee
Phone:.OPS-.315-2 SS L Email: , r .- i, 7 _ 5
CCB License #: Iosot 5 Expiration date: NOTES:
Contact person: Er i c w til 1 4 in•S
• • Freestanding signs over 6 ft.in height
and walls signs of which any element
weighs 20 lbs.or more require a
Com lete all items in this section)
building permit aor construction.
SIGN DATA
(Complete If any element of a wall sign weighs
70 lbs.or more,plans must be prepared
‘y1 TYPE (Check all that apply) by a structural engineer.
New sign
0 Freestanding Electrical • Building permits require 2 sets of
alteration to 0 Freeway Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign 0 Roof 0 Other and 2 sets of engineering must be
Sign #: submitted with building permit
,s� application.
Sign dimensions: S (h) x /t� (w)��_���.50 sq.ft`siign area
New sign: —4_,slq.ft. + Existin sign area Yom` s f = Total l t>tt -,INI I "I 0\1.)
�y��
Total sign area: / sq.ft./ s wilding face sq.ft. = c o of bldg face Case No.: .97/V•20]. —a..1 0
Height to top of sign: ft. Projection from wall: in. Related Case (s):
Materials: .20/
Fee:
Application accepted: h. '"-Is the sign under 20 lbs.? C Yes ❑ No By: LS Date: //3
(Building Permit required if over 20 lbs.)
Direction wall faces (circle one): N W NE NW SE SW Application determined comp
let
��
:
Will the sign have illumination. Yes
0 No By: i--• Date: ,
I:\CURPLN\Mes[ers\land Use Applications Rev.03/03/2015
If yes,what type: Internal 0 External
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 am 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.
SIGN TURES of cath owner of the subject property required.
�� , )00 tie /i A7el / ' 3/ea
Applicant's si ature Print name Date
. A< 1,( )4 v 15 4Z-27-,e
.0s 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
FABRICATION SPECIFICATIONS
f 1 0'-0„ 1 A CABINET_ TYPE SIFHITE ILLUMINATED j ■
'
(PAINT COLOR W111
TEXTURE ,SEMI•GLOSS
{-•••.1 / FACEIBKGD_ )TYPE 3116'CLEAR ACRYLIC
/ rlsA VINYL RED 3630.33.2ND SURFACE Y E S C O
WHITE DIFFUSER•3R0 SURFACE
Northwest
LYWOOD N O FACEILETTERS WHITEEOIFFUSERLI ST SURFACE Region
(4)#1 O X 3"SCREWS
'NOTE
wro STUDS � ;GLUE PLEK LETTERS TO BKGO
LIGHTING TYPE [IED
1
COLOR WHITE
ALUM RETAINER 416 E B 41se1 Sircet
FRAMING ; ATTACHMENT MATERIAL X1013"1 SCREWS INTO STUDS Boise,ID 83714
,
208345 2982
WHITE LED B
ILLUMINATION '-- ELECTRICAL
' ---.---------,_PLEX FACE 2 AMPS @ 120 VOLTS
2X4 STUD
HF STUD GRADE
ASSUMED
(4)#1 O X 3"SCREWS •1110=11WWW.ye5C0.Coi11
- INTO STUDS CITY F TIGARD
1 Ilk
MAT
b PI nning JACKSON5530
#8 SCREWS 00L 1 Yz"X1 'h"X.063 L1 '/z"X1 '/z"X a/te" #10 SCREWS 3"LONG
ADORE ss
ALUM RETAINER ALUM FRAME INTO WOOD STUDS pate: 11290 SW BULL MNT RD
12.'0.G. ATTACHED W/#8 SCREWS (4)TOP AND(4)BOTTOM A
AT 12"0 MINIMUM S
Initials: -- CITY I STATE TIP
TIGARD,OR
ACCOUNT EXECUTIVE
1 CONCISE ONE-LINE SCOPE OF WORK SCALE:318" = 1'-0" ERIC WILLIAMS
QUANTITY: 1 MANUFACTURE &INSTALL DESIGNER
ALSAGER
UPERIMPOSED ON PHOTO••SHOWN AT APPROXIMATE RELATIVE SCALE
OMNI!DATE
11111116
CUSTOMER APPROVAL
Client Signature I Date
i,‘
r 1!+
_- _ -1 lendIord Signature I Date
'77-71,-,,911.11
1 -- -- -- NOTE UNLESS OTHERWISE NOTED.ELECTRICAL
_"' �"`•'- ''-- RUNS OR FINAL ELECTRICAL CONNECTION
CHARGES ARE NOT INCLUDED. ILLUMINATED
laow -...111WimionsoumminiAir.....
WM
Ill DISPLAYS WILL 81 WIRED FOR Re VOLT POWER
UNLESS OTHE RWISE INDICATE 0.
opillar- 'NW 4 1 i 'f a ra MI 1 Ka ID ROE,W4AIE WWI e0t4E W RI
iii.
6 4 di + 111 11111 IIP' VOLTS AMPS
i
(Jcicksoris) .7;: .•..... eESC015 A Ul REC06MRE0
�, • MANUfACTURER
E ' 1N1$SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS Of
I_ - .tL,La i lcI -' Ill., .,.__..� T 's• ARTICLE 5000f THE NATIONAL ELECTRICAL CODE
tI r '� ANN OR OTHER APPLICABLE LOCAL.CODES THIS
lt'It :4'.I
I'_ ,.1 • INCLUDES PROPER GROUNDING AND BONDING
L:) 11 Iroe �� f-� Of THE SIGN
1 III I I a I .I 1 uRv I F 1
.. I ;I I fd�lill �l A Fn DIATE REVISION
WTE REY6410M OESIGMN
PRODUCTION READY
318140
318140
PGCE
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