SGN2005-00037 C ITY OF TIGARD SIGN PERMIT
�� � DEVELOPMENT SERVICES PERMIT #: SGN2005-00037
"''� -I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/17/2005
PARCEL: 1 S 136DD -02600
BUSINESS NAME: MULTIPLE ZONE:
SIGN LOCATION: 11705 SW 68TH AVE JURISDICTION: TIG
APPLICANT /AGENT: ELITE SIGNS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 48 "X 62"
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 5 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of a permanent, freestanding sign. (48" x 62 "')
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 37.00
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 temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY "A ( (
PERMITTEE SIGNATURE:
DATE: 2/17/2005
,
Alk1/4
..,41. Ai.) 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
r/ n FOR STAFF USE ONLY
Site /i/foL— ,II ct.in rcic: /l!' vci,;1
Address/ Street Address / • Permit No.: -5 G N 5 --
O oC)C C)3 7
Location r 1 7-0 S S 60 6k P . Expiration Date:
Suite /Bldg. # City /State Zip
Receipt #: ,200 `v(g
Name �l Approved By: (! • (ci,%v►'Ub�%
Property O ec ..1. g # 1, 1 17 1 • Date: .-1 1 7 - 0 5
Map/TL#: 1S 13(0DP -- ( 0`-
Owner Mailing Address Suite p
( 170S— sw (.,Crib. Zoning: M WE —
City /State Zip Phone
Tc,C, rd `r i- a` } Electrical Permit Required? ❑ Yes ❑ No
Tenant or Nagle ` 1 '► Y4� /� (� /�A k A A' Building Permit Required? ❑ Yes ❑ No
Business /11Irht,,.,1a; ;'4i L /1
Rev. 1/3/05 is \curpin \masters \revised\sign permit app.doc
Name
P. s) (Attri 0 • C44
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit - 1. ? S G- P. vi S /gin (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are n , 41o' U � ?I-2 lc b ! S°3 5 ._
�� 3�
required if �, l ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # / 111 2 Copies of Site /Plot Plan, Drawn to Scale
database) 8.s..4 �l� (3 copies, if a building permit is required)
Proposed ] Permanent Freestanding El Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary Wall ❑ Electronic
(Check all that I 2 copies of elevations, drawn to scale
apply) ❑ Other ❑ Bil ❑ Balloon (3 copies, if a building permit is required)
7\ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: y iX Y J $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /4 ❑ $17.00 Fee (Temporary sign, any type)
Sign Data
Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): $ ' 0 " but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: A t_ uM rA/ ei A d/F ( /Pvs r • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes [g No building permit.
Type: ❑ 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
BECOME NULL AND VOID.
0 Yes ❑ No
If "yes ", a lis r diagram of all sign dimensions and
square fo g must also be submitted.
) 0) L.1.14 It 6i✓ 17 5j Ft- (OVER FOR SIGNATURES)
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.
DATED this C ' ' day of V f u y , 20 L //
Signature o O er /Agent
b earp2 Ce 47�s so -73' -/6
Contact Person Name Phone No.
48"
11 705 J
2 -sided aluminum
A li k I PA
MOUNTAIN monument sign
s
- IFIC 2.5 "x3.5" aluminum posts
P
s et in concrete footing
MACHINERY g
48't
II
,,
Digita 62 ' � M I,
1,
,,
1 ..%
R
1
1 of rh
1
2 SIDED MONUMENT G
1
II
l
IU
1 I
I I I
concrete CITY OF TMAF D
, ;� p(3
footings
36" ) Voved onall Approved i
L ;x'only the work as described k d in'. X3 V
MIT NO.Sf��) �0
IF .o Letter to Follow [ 1
Attach `
l <'.cfTres:,: T11U6 Su.) fo 94-'" -�1
L -Scams -- _ > 1 —vS
,�' "
a
— o ... . . .. �_ �
s
' r
0 :
EX/ 5 7/r-/q 4504.1.7///q i _
- 1 f r . 1
(k)c r ) 0 :-(_'''Y' I
( 4bfri ( deci)h)i,c si. ,
•541 C t....-cf 9
- , _ o-
4. r>F SW- 623 Ava .
o
c 0 3/ T PGA H 1..
Showing Baylor Street Cul-de-sac
,i
N
V