SGN2005-00351 1
C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00351
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/14/2005
PARCEL: 2S 115AB -01900
BUSINESS NAME: RITE AID ZONE: C -G
SIGN LOCATION: 16200 SW PACIFIC HWY D JURISDICTION: TIG
APPLICANT /AGENT: SECURITY SIGNS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 11' 2" X 1' 9"
TOTAL SIGN AREA: 22 sq. ft.
WALL AREA: 4,160 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Install one permanent wall sign. Addition to existing wall signage.
MATERIALS:
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 temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from validity date.
APPROVED BY:
C�
PERMITTEE SIGNATURE:
DATE: 11/14/2005
.., .
°, ° SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Developm nt/Project
FOR STAFF USE ONLY
Site cl 0 C 35 /
Address / treet Address Permit No.: , 7 G 0 :, W5 v O)
Location I(o2C::0 5 CA-C CE1 C tkC_.J` Expiration Date:
Suite /Bldg. # City/State Zip
Receipt #: ? cos - 503°
Name Approved By: CA-C,
Property Date: P
Owner Mailing Address Suite Map/TL #: :� S 1 15 AS —011D
Zoning: C " V
City/State Zip Phone
Tenant or Name Electrical Permit Required? gi Yes 1=1 No
Business ^ Building Permit Required? ❑ Yes No
Name Rev. 8/7/2003 is \curpin\masters \revised\sign permit app doc
Sign ��� L) ->rt( S) ( 5=si 9._13
C 3
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a Z `Ca 9 G tAcxLAgert a L p oo
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if ? 0 - 2 c £ YZ ict7ZCC l s 3 ?324172 ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # le -Z [1] 2 Copies of Site /Plot Plan, Drawn to Scale
database) C (3 copies, if a building permit is required)
Proposed ❑ Permanent El Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary a Wall ❑ Electronic
(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: 1 u t , ,
t — k - — ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): • (• S (Temporary g y typ
❑ $15.00 Fee sign, any type)
Sign Data Total Wall Area (sq. ft.) /' Jurisdiction: ❑ City ❑ 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): Vj 1 • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): (-2" but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have ill mination? ® Yes ❑ No building permit.
Type: [Internal ❑ External • If work authorized under a sign permit has not
I Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
1 location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes ❑ No
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.
DATED this day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
Page 1 of 1
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S' • • t Rite Aid #5355 Tigard, OR
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Install new illuminated bullet sign centered
8" below 'PHARMACY' bullet sign.
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Rite Aid 48" x 25' -0" = 100.00 Sq. ft.
Pharmacy 24" x 25' -0" = 50.00 Sq. ft.
Foodmart 21" x 11' -2" = 19.50 Sq. ft.
=7 1 Hr. Photo 21" x 11' -2" = 19.50 Sq. ft.
a '" "• - " Garden Center 24" x 15' -0" = 30.00 Sq. ft.
r- aim • 219.00 Sq. ft
• . F — _ / City allows signage at 15% of the building wall to which it is
attached.
' --�` Tenant space of 1 60' length x 26' high x 15% = 624 max sign area
•- allowed (405 sq. ft. available)
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Two pylon signs, both are the same size: 23 '' /z" x 10'- 11 -3/4" plex faces
with vinyl overlay
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P , iueoneons
® 9"
more AI0 Proposed — Radius Bullet Illuminated Wall Sign.
• ,_° • ur_1.�' am .161 Square Footage
•J 1; 1' -9" x 11' -2" (radius ends) = 21.88 Sq.Ftl
CITY : ' F ° IGARD
— • — Approved i
'._.._ .. s- ,_ Conditionally Apprc <d
[
For only the work as described in:
PERMIT NO. 56A.1,a O )5"-co3S
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See Letter to: Follow [ I
Attach ]
Job Address: 1 St.) pares w • �
By: - C'rrina Date:i
A i OF TIGARD 11/14/2005
13125 SW Hall Blvd. 2:59:38PM
' ll \ Tigard, Oregon 97223
-!. (503) 63 9 -4171 —
Receipt #: 27200500000000005830
Date: 11/14/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00350 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2005 -00350 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2005 -00351 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2005 -00351 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
ELC2005 -00892 [ELPRMT] ELC Permit 220- 0000 - 431510 53.40
ELC2005 -00892 [TAX] 8% State Surcharge 100 - 0000 - 207020 4.27
ELC2005 -00893 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40
ELC2005 -00893 [TAX] 8% State Surcharge 100- 0000 - 207020 4.27
Line Item Total: $191.34
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check SECURITY SIGNS, INC CAC 014413 In Person 191.34
Payment Total: $191.34
cReceipt.rpt Page 1 of 1