SGN2019-00128 CITY OF TIGARD SIGN PERMIT
1 Permit#: SGN2019-00128
COMMUNITY DEVELOPMENT Date Issued: 11/21/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110AA01100
Jurisdiction: Tigard
Name of Business: The Gardener's Choice
Business Address: 14240 SW PACIFIC HWY
Applicant/Agent: Bates, Stephen
Work Description: One(1)24-square-foot banner sign.Valid from 11/22/19 to 12/22/19.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions:
Total Sign Area: 24
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials: 0
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $72.00
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:
City of Tigard RECEIVED
:1111 ii
I COMMUNITY DEVELOPMENT DEPARTMENT
Sign Permit Application NOV 2 1 2019
TIGARD
.m T OF TIGARD
PLANNING/El G.,' ' ,, G
SIGN LOCATION
REQUIRED SUBMITTAL
Address: /2 yO S!J AfrjeG fl to#: ELEMENTS
City/state: 7-1 fa rd, da. Zip: 972.zS 0 2 copies of elevations on 81./2"x 11"
Tenant or business: ne 61,17 4 4 p r+5 ('jj D I CeJ Ce -tic or 11"x 17"pages(Wall sign
elevations must include dimensions
Property owner name: 1►? F}
of sign and wall face and show the
location of sign on the wall.
Address: •I 3 �W. ;I/IeN,J► 7 rru,~ . Freestanding sign elevations must
1
City/state: iaO, Zip: <'7, be drawn to scale.)
Phone: 51!) Email: .. --116.9c�C... e) bth,,elt C M 0 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
' S-w qk pages(not required for wall signs)
Sign contractor:
0 List or diagram of all existing sign
Address: dimensions and square footage
City/state: Zip: 0 Application Fee
Phone: Email:
NOTES:
CCB License#: Expiration date:
• Freestanding signs over 6 ft.in height
Contact person: 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)
❑ New sign by a structural engineer.
0 Freestanding 0 Electrical • Building permits require 2 sets of
❑ Alteration to 0 Freewa 0 Wall construction drawings and,if sign is
existing sign y freestanding,2 copies of site/plot plan
❑ Roof Other der- and 2 sets of engineering must be
Olt
Sign#: ��� ' submitted with building permit
g r application.
Sign dimensions: 2 (h)4v) = v?'( sq.ft. sign area
New sign: sq.ft.+ Existing sign area sq.ft.=_Total FOR STAFF USE ONLY
Total sign area: ,AI/' sq.ft.
_ fi�r,,
sq.ft./ building face sq.ft. _ %of bldg face Case ho.: 'f4. '"'
Height to top of sign: (, ft.Projection from wall: / in. Related Case No, o::
Materials: V/fl/
Fee:
:application accepted:
Is the sign under 20 lbs.? b$ Yes 0 NoBV: apr
Date: +t 2/
(Building Permit required if over 20 lbs.)
Direction wall.faces (circle one): N S F W NE NW SE 40 1ppllct ren determiners complet�:
Will the sign have illumination? 0 Yes lik No B "\-' Date:
If yes,what type: 0 Internal 0 External I\Community Development\land Use Opp mations\02 For, and
Templates\Land Use Application, Rev 12/14/2017
City of Tigard • 13125 SW 1 fallBl d. • 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 APPLICANTS)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 eeaach owner of the subject property required.
`- • de i-e09 id el. 679-res /1/:21/0)
Applican s signature Print name Date
Owner's gnature 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