SGN2018-00089 CITY OF TIGARD SIGN PERMIT
III �, Permit#: SGN2018-00089
COMMUNITY DEVELOPMENT
Date Issued: 10/11/2018
TI C'A It I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102AB01901
Jurisdiction: Tigard
Name of Business: Oregon Restoration
Business Address: 9350 SW TIGARD ST
Applicant/Agent: Rumford, Mark
Work Description: New wall sign, approximately 88 square feet in size located at 9350 SW Tigard Street on
the northeast facade. The sign will not be lit.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 69"x 86"
Total Sign Area: 88
Wall Area: 1200
Wall Face(Direction): Northeast
Sign Height: 24 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: ACM& PCV Letters
Electrical Permit Required: No
Building Permit Required: Yes
Total Permit Fee: $218.00
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: .1!� i'.
Permittee Signature: //� `,
City of Tigard
•
COMMUNITY DEVELOPMENT DEPARTMENT
III I
r i GARD Sign Permit Application
'3IGN A-
immomminism
SIGN LOCATION
Address: 6t 3 60 5 kil 11SC-suite#: REQUIRED SUBMITTAL
l Q ELEMENTS
City/state: 1-1 e.,--,A.R99 �` Zip: -i 7 223
�IZE6� TA_+ ❑ 2 copies of elevations on 8'n2"x 11"
Tenant or business: d4�►L(J►V or 11"x 17"pages(Wall sign
-• elevations must include dimensions
Property owner name:/71/7‘1/1. , tii _Zet161129
' of sign and wall face and show the
%' 1W--t(
_ location of sign on the wall.
Address:
/S ,'C� e 1 7' � Freestanding sign elevations must
City/state: -T,A �{iE Zip: 722 be drawn to scale.)
Phone: 5 L ��c c?'Email: 1:12 copies of site/plot plan,drawn
to scale,on 81/2"x11"or 11"x17"
Sign contractor: St(_ -+�S BY ,§) Sl pages(not required for wall signs)
Address: Q�+ ' 91,1iv ❑ List or diagram of all existing sign
dimensions and square footage
City/state: REAL)E Q4b p4 Q 1. _.I Zip: 1 7oo5 ❑ Application Fee
Phone:LbS 030104 Email: , +,till /7. . '.,—/,
CCB License#: Ex•iratio date: _ NOTES:
Contact erson:
p ALA_ kurvi,i �,+ • 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) building permit for construction.
If any element of a wall sign weighs
70 lbs.or more,plans must be prepared
TYPE(Check all that apply)
New sign by a structural engineer.
❑ CI Freestanding El Electrical • Building permits require 2 sets of
Alteration to Ci Freewa ��/
y L� Wall construction drawings and,if sign is
existing sign
Ci Roof CI Other freestanding,2 copies of site/plot plan
and 2 sets of engineering must be
Sign#: �9, submitted with building permit
�'• application.
Sign dimensions: g4G
(h) w) = r r�
Qsq. sign area
New sign: [16 sq.ft.+ Existing sign area •.b(q.ft,=_Total To•C 1-012 S 1-'d 1 t M. 0\r_1
Total sign area:_ it./)building face sq.ft._g, Q of bldg face ��(9N�t ,���
Case No.:
Height to top of sign: ZS ft.Projection from wall: I in.
�.�f Related Case No.(s):
Materials: It-ca 4- PW TrEes iicvziffitt9 Fee:
Application accepted:
Is the sign under 20 lbs.? Yes Q No
(Building Permit required if over 20 lbs) E I p1 • ByDate: t
Direction wall faces (circle one): N S E W ,14 SE determined complete:
SE SW `�
Will the sign have illumination? ❑ Yes C No By: 'lv Date: N+itt\a
If yes,what type: ❑ Internal ❑ External l:\community Development\Land Use Applications\02_Fotms and
Templates\Land Use Applications Rev 12/14/2017
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gav • 503-718-2421 • Pae I o
Page 2 f
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.
SI •/TU;. .f each o' • • sof .1 subject property requir
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Appli
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Print name Date
Alt/11, AtfM., 0/9-6C- 22
Owner's signature P / /
tint name Date
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
Business name/dividing line
to be dimensional
cm? OFTiIGARD 0 REGON
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