SGN2005-00280 CITY TIGARD SIGN PERMIT
PERMIT #: SGN2005 -00280
DEVELOPMENT SERVICES DATE ISSUED: 10/6/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DD
BUSINESS NAME: AIG ZONE: I -
SIGN LOCATION: 15495 SW SEQUOIA PKWY 140 JURISDICTION: TIG
APPLICANT /AGENT: HIGHLIGHT SIGN CO
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X 75"
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: 612 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 8 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of a permanent wall sign. (30" x 75 ")
MATERIALS: ALUMINUM
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: Q
/
PERMITTEE SIGNATURE:
DATE: 10/6/2005
,. 1';ii 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 Y T G
Address/ Street Address Permit No.: SCoNd0o S — 0 0.)--/3 0
Location f S Yi S Sal Si:auo rt.&..,4 Expiration Date:
Suite/81dg # City/State Zip O U -5
Receipt #:
0 1141-r1,60 `1 ? Z..2._-1 Receipt
By: e , 6cc.<, --�
Name
Property 1 AG TY'vt .S i Date: r0 - Co –0 s -
Owner Mailing Address Suite Map/TL#: of 67 (A 01) – 0 (t O a° -_.
I5 so �.-; 11cc =uo1 a prw 3W'C' Zoning: / —P - - --
Cit Zip Phone
Ti&rgicO OiZ 91 Zz`/ SO :+ l Z- 6 Zo`� Electrical Permit Required? ❑ Yes ❑ No
Tenant or Na1e Building Permit Required? ❑ Yes ❑ No
Business p Z 6
Name Rev. 30.1u1-01 cicurpt masterskevised\sign permit app.doc
Sign H ( 6 L l cr [t a" 5 r u- -,J C- OM 41 y
Contractor Mailing Address - Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
2 3 ��
issuance, a PO 17c;k
copy of all City /State Zip Phone without the required submittal elements) r
I
y7Z.G(
requi if 7 0X_ ''► 1) (c. 20_ P zO$ ❑ Completed Application Form
expired in the Oregon Coast. Cont. Board Exp. Date
City or Tigard's License # / e2 I t 5-4 1171c V ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
database) (3 copies, if a building permit Is required)
size requirement: 81/2" x 11 ", or 11" x 17"
Proposed Permanent ❑ Freestanding ❑ Freeway
Sign U Temporary wax Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other 0 Bitlboani 0 Balloon (3 copies, if a building pemdt is required)
apply) size requirement 81/2" x 11", to 24" x 36" "
Qi New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
30 " n 1 S ❑ $15.00 Fee (Temporary s any type)
Total Sign Area (sq. ft.): S y..5- 0' NOTES:
Total Wall Area (sq. ft.) y �. • Wall signs do not need to be drawn to scale,
Sign Data (� I Z but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement. i
items in this
section) N S W NE NW SE SW • Wall signs do not require site /plot plans. 4
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): I s `4 building permit.
Projection From Wall (inches): 8 • If work authorized under a sign permit has not
Gopy: yS & been completed within ninety (90) days after
Materials: S Arw F-1/ i, w•1 �,a,r,,, the issuance of the permit, THE PERMIt WILL
BECOME NULL AND VOID.
Will sign have illumination? ® Yes ❑ No —
_ Type: VI Internal ❑ Extemal
Are there any existing freestanding or wall signs at this No all jurisdictions accept credit `ands. please can jurisdiction for more information.
O Visa ❑ MasterCard
location, including wall signs that overlap a tenant space?
Credit card number Expires/
Si Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
t Cardholder signature Amount
rnvFR FnP SI(�NATIIRFSI
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 -1 day of , 20 '.
it a f�
Signature of Owner /Agent
() T 4/ b t f S�
Contact Person Name Phone No.
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C Y OF TIGARD
Approved
Conditic nally Approved [
For only the wo`k as described in:
PERMIT NO. -5
See Letter to: Follow [ J
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By: C, C�.t%�.a. _ Date: /u x —oS
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Store footage is 75'
fiese plans. pitons o r er i
the e exclusive of properly of � S and the result of the origin d work of its employees. They ae sibmilted these to your company far the sole purpose of your consideration of whether to purchase plans or to purchase from Classic Sign Systems a sign manufactured according to these
p lan b m yore other rian employees of your company, a use of these plans to construct a smitar sign is egaressty forbidden. In the event exhibition occurs Classic Sign Systems expects to be reimbursed $500 for time and effort in creating these plans.
Date: October 4,2005 CLASSIC SIGN
" Client: B &K CONSTRUCTION S •'1 S T F •M S
Contact: Michael PattUllO 7800 SW Durham Rd. •
Ste. 200
'� Portland, OR 97224 -7577
Project: AIG Phone: 503- 639 -5656
Fax: 503- 624 -8706
• email: classigns.com
CITY OF TIGARD 10/6/2005
13125 SW Hall Blvd. 2:19:54PM
oH�,,�� „, i �, Tigard, Oregon 97223
((503) 639 -4171
Receipt #: 27200500000000005038
Date: 10/06/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00280 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2005 -00280 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
ELC2005 -00754 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40
ELC2005 -00754 [TAX] 8% State Surcharge 100 - 0000 - 207020 4.27
Line Item Total: $95.67
Payments:
Method Payer User ID AcctJCheck No.Approval No. How Received Amount Paid
Check CLASSIC DIMENSIONAL CAC 12845 In Person 95.67
GRAPHICS, INC
Payment Total: $95.67
cReceipt.rpt Page 1 of 1