SGN2005-00100 CI TY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 00100
_ �I DATE ISSUED: 4/20/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112AC 01801
BUSINESS NAME: OREGON BOLT ZONE: I -L
SIGN LOCATION: 14965 SW 72ND AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: \ FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 24'5 "X 24"
TOTAL SIGN AREA: 48 sq. ft.
WALL AREA: 466 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 11 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one 48.8 sq ft permanent wall sign. South Elevation
MATERIALS: FORMED PLAST
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: .
PERMITTEE SIGNATURE: 6
DATE: 4/20/2005
'i _l SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd.,.Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site Oregon Bolf FOR STAFF USE ONLY
,Tnc.
Address/ Street Actoress Permit No.: �.,+1.2e 'C 6V kf)
Location 14 9 S 6 w 72nd Ave . Expiration Date:
Suite /Bldg. # City/State Zip �_ ' Co 24 I l ,OR 97224 Receipt #: �, >%� _ `
Name Approved By: M /a
Property PKT - Enve_ `6 y1enfs LLG, Date: "1405
Owner Mailing Address Suite Map/TL #:
P0, Boy 23/75 Zoning: IL,
City /State Zip Phone
�i and Ol V, I `-0 I 1O'gQ4041 Electrical Permit Required? ❑ Yes [—No
Tenant or Na
Business Oreaor bolt the , Building Permit Required? ❑ Yes 10,
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign i gnC�ra --'T 1t' .',' 7 .. 1t E'l'jt'7r-/YJo.
Contractor Mat' Address Suite ' REQUIRED SUBMITTAL ELEMENTS
(Prior to permit po yox 2 3(o (Note: applications will not be accepted
issuance, a w ithout the required submittal elements)
copy of all City /State Zip Phone q
licenses are 75 q rd OP q7 ._ . q V9/6 ,
required if p Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City ofTigard's License# ) 5 - 5420 ( 1'22'05 ❑ 2 Copies of Site /Plot Plan Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 1
Sign ❑ Temporary all ❑ Electronic size requirement: 8 /z" x 11 ", or 11 " x 17"
(Check all that ❑ Other ❑ Billboard ❑Balloon ❑ 2 copies of elevations, drawn to scale
apply)
(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: a r 5 " X 2.40
❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): # 8.g 59 i cl i _
❑ $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 4 / / 25 ❑ Cit , Jurisdiction: y ❑
Urb
(Complete all Direction Wall Faces (circle one):
items in this � NOTES:
section) N (S) E W NE NW SE SW
Height to top of sign (feet): /1'14 " • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): / . ' but must include dimensions of wall face and
sign placement.
OREGON] So LT, 1 NC .
Copy: O opy:Materials: • Wall signs do not require site /plot plans.
�orvneel FlaShC • Freestanding signs over 6 ft. required a '
' sign have illumination? ❑ Yes ❑ building permit.
o • If work authorized under a sign permit has not ,
Toe: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that over ap a tenant space? BECOME NULL AND VOID.
❑ Yes No
If "yes ", a list or diagram of all sign dimensions and
_ square footage must also be submitted.
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 /2M day of k7// , 20 Q�
Signature of Ow er /Agent
kara) Cth4 573 � 9' % ?/
Contact Person l ame Phone No.
:ITV OF 11GARD
Approvei [X]
Co,,t_htionally Approv [ ;
Non-Illuminated Wall Sign the work as described in:
C-De Letter to: Follow 1 I
24'fi" Attach
i%ddr III 65 1.)
Datr-
OREGON BOLT INC_
24" Dlack #2025 Injection
molded Gemini Minnesota
letters, stud mounted to
OREGON BOLT INC. building facia.
Sign: 48.8 S. Ft.
-- IP -
Frontage: 466.25 Sc. Ft.
SOUTH ELEVATION
Froject: Oregon Bolt Inc.
14965 SW. 72fid Ave. SignCraft
Fortland, OR 97224 --44
Date: March 28, 2005 SIGNCRAFT ELECTRICAL ADVERTISING LLC. I
COMtact : Ron - n ema n 9033 SW BURNHAM FO BOX 23636 TIGARD, OREGON 97223
505-659-4910 F: 503-639-4999
Approved: email: siencrft@pcez.com
CITY OF TIGARD 4/12/2005
13125 SW Hall Blvd. 3:01:27PM
i Tigard, Oregon 97223
1 (503) 63 9-417 1
Receipt #: 27200500000000001620
Date: 04/12/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 - 00099 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2005 -00099 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2005 -00100 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2005 -00100 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $74.00
Payments:
Method Payer User ID Acct./Check No.Approval No. How Received Amount Paid
Check SIGNCRAFT ELEVTRICAL MS 2678 In Person 74.00
ADVERTISING LLC
Payment Total: $74.00
cReceipt.rpt Page 1 of 1