SGN2005-00252 CITY TIGARD SIGN PERMIT
4 1,1
' DEVELOPMENT SERVICES PERMIT #: SGN2005 -00252
-�f 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/29/2005
PARCEL: 1 S136CD -00100
BUSINESS NAME: H & R BLOCK ZONE: C -
SIGN LOCATION: 11705 SW PACIFIC HWY K JURISDICTION: TIG
APPLICANT /AGENT: HIGHLIGHT SIGN CORPORATION
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: SEE ABOVE
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: 150 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 12 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Install one permanent wall sign. (10' 3.5" x 15" / 30" x 30 ")
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. 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 temp ° a sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY:
-- '� Q . C
PERMITTEE SIGNATURE: /
DATE: 8/29/2005
. c_ 2,61o5 -00C,, a_3
„ . 1l SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
� E' FOR STAFF USE ONLY
Site W `.
Address/ Street Ad ress Permit No.: 5 G Naoas - 0 o a5 2
Location 1 loo CLi) , PA- )SY Expiration Date:
Suite /Bldg. # City /State Zip
I� t� Receipt #: a ob S — 41 CI 7
Name
� J Approved By: CA-C-- ` f
Property S� "4 1 Date: 0 -ok. G( SUS
Owner Mailing Address Suite Map /TL #: 151 3 (o c.A) -- 00100
5)al-t r gA ,IQ" ,tn/' Zoning: C,
City/State Zip Phone
Electrical Permit Required? [Yes ❑ No
Tenant or Name
Building Permit Required? ❑ Yes 0- No
Business 4 g- t.
Name G � Rev. 7 /1/04 is \curpin \masters \revised \sign permit app.doc
Sign 'tom‘ 5 1g 1,3 �eig � ,
Contractor 4 ailin• Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit '0, ®, (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
required are G fyr f��! �
required if �6/ % t (.,�`r �3
� '� 414-2x5 Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # /059 e2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed IR Permanent 111 Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign El Temporary ,L' Wall R Electronic
(Check all that ❑ Other - EA 2 copies of elevations, drawn to scale
apply) ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: „ ,r
9 y .�N � C15 SO � ` I % $32.00 Fee (Permanent sign, any size)
Total Sign Ar Z. ea (sq --e � ft.): t 3 4 G . �� $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 1 56 Jurisdiction: ❑ City 1 1 Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this /�^�
section) (:"/ S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): I/ . but must include dimensions of wall face and
•
Projection From Wall (inches): / f ,t) sign placement.
Copy: tWi< • Wall signs do not require site /plot plans.
Materials: p,y • Freestanding signs over 6 ft. required a
Will sign have illumination? a Yes ❑ No
building permit.
Type: Lk Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes No BECOME NULL AND VOID.
ISZ I
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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.
DATED this da f_.._ = - ,NLXl cuLSi , 20e"1
Signature of Owner7Agent
('� • Ri ac)
Contact Person Name Phone No.
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FRONT ELEVATION
34.48 sct.ft. 165.5"
30" 1 10'-3 1/2"
10' RACEWAY {
EQ.
30" P. o�r� -V� 15.,
J.L-1°1-1Ett Approved , 'EQ.
102122 -FS Conditionally Approved
15" ILL CHNL. LTRS & 30" BLOCK ON R/�F�11e w °rk as described in:
i.. _F -:
vo..56Nao ''s coc s
See Letter to: Follow
- Q Tr 1 Atttach ack ) WALL
- FACES 3/16" WHITE ACRYLIC 47328
Job Address. . G c— ,0
TRIM CAP 3/4" BLACK By: Date' -_ __ 9 ,:_� p
- F'ETURNS . 040 ALUM WRAP. 5" PEEP, PTM PMS 4305 C SATIN CHANNEL —N.,
BLOCK LETTER
- FACE 3/16" WHITE ACRYLIC #7328 w/ 3M 3630 -106 BRILLIANT GREEN OVERLAY
- TRIM CAP 3/4" PTM MS 376 GREEN °O.
- RETURNS .040 ALUM. WRAP. 5" DEEP. PTM PM5 #376-C
LETTERS & BLOCK
RACEWAY .063 ALUM. 7 1/2"H x 7 1/2 "D. PTM PMS 430C "IJ�I_
INCLUDES DISCONNECT SWITCH RACEWA
NEON 6500 WHITE.60ma REMOTE GFI NEON TRANSFORMERS
• ALL ELECTRICAL COMPONENTS ARE UL LISTED. TRANSFORMERS SIDE VIEW
ARE UL #2161 GROUND FAULT COMPLIANT.
INSTALL AS SHOWN Co .2-o— 1 (Z r) 1 I. L qG
FIELD VERIFY ALL MEASUREMENTS BEFORE BEGINNING ANY WORK.
INSTALLER TO VERIFY MOUNTING SURFACE PRIOR TO INSTALLATION.
'DRAWING 16 NOT TO SCALE BUT I5 PROPORTIONATE TO ACTUAL BUILDING'
H &R BLOCK .,. I . I' "' , , I ._. ,. I . I ..: I F
'Weller Meye .
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