SGN2005-00029 CITY T I G A R D SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00029
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/11/2005
PARCEL: 2S 113AA -00600
BUSINESS NAME: GOODNIGHT ROOM ZONE: I -L
SIGN LOCATION: 16130 SW 72ND AVE B1 JURISDICTION: TIG
APPLICANT /AGENT: SIGNCRAFT
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 5' X 12' 4"
TOTAL SIGN AREA: 60 sq. ft.
WALL AREA: 960 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of a permanent wall sign.
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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 don in accordance with approved plans. A permanent sign must be
placed within 90 days from approval date sig permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expir640 •.k_ . r bra /A �--�_� v
APPROVED BY: ~' G n �� `�'
PERMITTEE SIGNATURE:
DATE: 2/11/2005
'- 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
FOR STAFF USE ONLY
Site (dOCb l 601.-k r--- ---cQVY\
Address/ Street Address Permit No.: 5 a UOS—bo0a`i
Location k0 i o ' T n
Expiration Date:
Suite /Bldg. # City/State Zip
716 A Pb 9 7� Receipt #: a00 s ; OJ8
Name / Approved By: L C'(.� ^ 4. t-t-o
Property PC) `7- 2()67` Date: a - I I - 0
Owner Mailing Address S Suite Map/TL #: o: S 113 R 0 — (7(.3 co
1S _ 5o Sept. iA 36)0 Zoning: -
ity /State p ip Phone
PO CT ne y zcx 9 Sa3 q'l Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name /
� / li r (,� n Building Permit Required? ❑Yes ❑ No
Business
Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Name 0,4\c-7--
Sign 'n
Contractor Mailin dress Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit Q 5h2 ?,,� („ _ i (Note: applications will not be accepted
issuance, a / 1�v ►IU without the required submittal elements)
copy of all City/State Zip Phone 503
licenses are q
required if (�4C-D 11t / 70D3 (039' —Z / q/ D ❑ Completed Application Form
expired in the Oregon Const. (;ont. Board Exp. D e
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) ��� `l�� 1 22/ °5 (3 copies, if a building permit is required)
Proposed ® Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary M Wall ❑ Electronic
(Check all that ❑ 2 copies of elevations, drawn to scale
apply) ❑ Other Billboard ❑ Balloon (3 copies, if a building permit is required)
a New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: s - / O x /a ; 9 I ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 111 $15.00 Fee (Temporary sign, any type)
C OO Sz - -T
Sign Data
Total Wall Area (sq. ft.) � O Jurisdiction: El city ❑ Urb
(Complete all Direction Wall Faces (circle one): ' NOTES:
items in this ��
section) N S E '% NE NW SE SW
• Wall signs do not need to be drawn to scale,
5
Height to top of sign (feet): /- 0 but must include dimensions of wall face and
Projection From Wall (inches): 3/ " sign placement.
Copy: L d 6006A 7/iT / 11/ 1 • Wall signs do not require site /plot plans.
Materials. / /4tS-/-; L • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes 3 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
❑ Yes [No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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.
7 .14
l �
DATED this // day of re 1, 01. ,20 `� `�
C.-
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S e of Owner /Agent
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Contact Person Name Phone No.
PLAN) FOIL. - )t)(\,)\r.2,-1.-cr -- fre6cp NA .
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GARD RECEIVED
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work as described in:
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1711 ArWERTISINIC.
''1111.11/011/
Non - Illuminated Wall Sign
12 '`x'
g o6 ' nii 1 ht
Non illuminated moon and letters
made of plexiglas over laminated
expanded PVC board, stud mounted
FILTERS I to building facia. Premium vinyl
graphics on face of moon in colors per logo.
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Project: Goodnight Room
Si nCraft
16130 SW 72nd
Oregon Business Park 1
Pate: February 7, 2005 SIGNCRAFT ELECTRICAL ADVERTISING LLC.
Contact: Jeff and Anne Scott 9033 SW BURNHAM PO BOX 23636 TIGARD, OREGON 97223
A roved: 503 - 639 -4910 F: 503 - 639 -4999
pp email: signcrft @pcez.com
CITY OF TIGARD 2/11/2005
13125 SW Hall Blvd. 2:01:17PM
G in,,, . M� _
1I � , Tigard, Oregon 97223
,.. Al l (503) 639 -4171
Receipt #: 27200500000000000582
Date: 02/11/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00029 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2005 -00029 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $37.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check SIGNCRAFT ELEC CAC 2523 In Person 37.00
ADVERTISING LLC
Payment Total: $37.00
cReceipt.rpt Page 1 of 1