SGN2017-00039 .01 CITY OF TIGARD SIGN PERMIT
I Permit#: SGN2017-00039
COMMUNITY DEVELOPMENT Date Issued: 04/04/2017
T I i;A l f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102AD03051
Jurisdiction: Tigard
Name of Business: ATTWELL
Business Address: 12790 SW ASH AVE
Applicant/Agent: Stocks, Cyndi
Work Description: Sign permit for Attwell off Main
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 18x 3.6
Total Sign Area: 63
Wall Area: 18028
Wall Face(Direction): North
Sign Height: 29.5 ft.
Projection From Wall: 8 in.
Illumination: Direct
Materials: LED
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $201.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By:
Permittee Signature: See application
RECEIVED
City of Tigard
:71 APR o 4 2017
. COMMUNITY DEVELOPMENT DEPARTMENT
Sign Permit Application OF TIGARD
TIGARD PLANNING/ENGINEERING
SIGN LOCATION fqo REQUIRED SUBMIT'T'AL
Address: L2.43.525-S ) AS/4 cite#: ELEMENTS
City/state: T14P72/O C$ Zip: 4-72-2--- 51 2 copies of elevations on 81/2"x 11"
Tenant or business: / ThCL L aft ip�A7At or 11"x 17"pages(Wall sign
P/249--n1 Uhl PRvei�u� n 4,97-40 LLC elevations must include dimensions
Property owner name: elf 'S*Dwe /94'YLr/11)n-.S , GL� of sign and wall face and show the
location of sign on the wall.
Address: /0/5- /1//) 7/ /92A 4 2 q3 Freestanding sign elevations must
City/state: /'D12TLRi160 aq Zip: l-7261 be drawn to scale.)
Phone: Email: 2 copies of site/plot plan,drawn
n. , to scale,on 8t/z"x11"or 11"x17"
Sign contractor:
SEdderTY S/ A/5/ five_ pages(not required for wall signs)
Address:
`121-1 HoL'1E el- VList or diagram of all existing sign
dimensions and square footage
City/state: /lO/Q-TIA'ND, OK Zip: 972o2 _� Application Fee
Phone:,J ' J5YA 7f0ZP �mail: "ern" �'S( $ter% 5/ M
CCB License #: /22009 Expiration date: D3130/ NOTES:
Contact person: G y va( S72 (5 • Freestanding signs over 6 ft.in height
and walls signs of which any element
weighs 20 lbs.or more require a
SIGN DATA(Complete all items in this section) If
building permit for wcoall
sign
weighs
any element of a wall sign weighs
70 lbs.or more,plans must be prepared
—/ TYPE (Check all thatatapply)aby a structural engineer.
1 ' New sign ❑ Freestanding IJA' Electrical • Building permits require 2 sets of
0 Alteration to ❑ Freeway [H"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#: k 1)rriJEL!r submitted with building permit
application.
Sign dimensions: /0 (h) x '114‘t(w) = 673 sq.ft. sign area
New sign:k2 sq.ft. + Existing sign area 0 sq.ft. = 6)3 Total FOR STAFF USE ONLY
Total sign area: 03 sq.ft.itgozebuilding face sq.ft.= < / %of bldg face Case No.: SC1 N 2-0%1 - 00039
Height to top of sign:2' ft. Projection from wall: a in.
Related Case No.(s):
Materials: `fUJ)fl/N,J/Y) LV Fee: 1201
Application accepted:
Is the sign under 20 lbs.? ❑ Yes 12"No By: in Date: 9) 4 It 7
(Building Permit required if over 20 lbs.
Direction wall faces (circle one): S/E W NE NW SE SW Application determined complete:L
Will the sign have illumination? M'5res El No By Date: y I"t I 1 7
If yes,what type: Le}' Internal 0 External I:\NRPI.N\Masters\Land Use Applications Rev.03/03/2015
O
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-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 arc 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.
S eyti 03!21/17
Applicat's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
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SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
APPLICANTS
NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work.
x 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.
d y J� e,Yn.c2-1 S SS D 312?/17
A.•hca�l�signature Print name Date
4
id_(34)(7
P7'�s signature 'rin name to
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2