SGN2008-00009 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/11/2008
PARCEL: 2 S 112 DA - 00300
BUSINESS NAME: A COMMON THREAD ZONE: I -
SIGN LOCATION: 15230 SW SEQUOIA PKWY 100 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 5'X14'
TOTAL SIGN AREA: 70 sq. ft.
WALL AREA: 1,000 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 19 ft.
PROJECTION FROM WALL: 5 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) 70 s.f. permanent wall sign.
MATERIALS: CHAN /PLEX /NE
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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: ' � - --
DATE: 1/11/2 08
4..Lc3 -tea 7
IN q SIGN PERMIT APPLICATION
City of Tigard Pemmt Center 13125 SW Had Blum, Tigarc4 OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
Site
A C. o v" o vA T/iN re a A FOR STAFF USE ONLY
Address / Street Address Permit No.: 54 N 2 dot-0,a,, I
Location /5 2 3 0 S. (a) , 5eq u o i q PK'iy.
Suite /Bldg. # City/State 1. Zip Expiration Date:
/a Per{'la ndl, 0 `7727 it . Receipt # : 2-e — n O l Z"-C° 12
Name �✓j Approved By. /�
Property + A c Truk S 4 Date: l /'i f al - Owner Mailing Address Suite M /TL#
/5350 5. StgHa;e, / • O Zoning: , �
City/State Zip Phone
,�ort , 0 VZ 97Z 21 50344y-630o Electrical Permit Required? Yes
Tenant or Name q �" El No
Business A ( IMP 1 p ✓1 Building Permit Required? ❑ Yes E —No
Name Rev. 7 /5/06
Sign n �1 r
A ve , eo N is \curpin \masters \land use applications \sign permit app.doc
Contractor Mang Address Suite
(Prior CO permit 15 5,W , U I t _ L e
issuance, a AA
copy of all Gty/State rp Phone REQUIRED SUBMITTAL ELEMENTS
licenses are Note: applications will not be accepted
required if t VQ o✓i, 0( 9700 b s �3- `i n- 1S� /y w ithout the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City ase rd's 65 el_/ g - o g
database )
❑ Completed Application Form
Proposed dPermanent H ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ B alloon i
apply) size requirement: 8 /z" x 11 ", or 11" x 17"
[+New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: S t , 9 / (3 copies, if a building permit is required)
size requirement: 8 /" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 70 r }, y p , c,
Total Wall Area (sq. ft.) 'f E] x'00 Fee (Permanent sign, any size)
Sign Data /0 b d ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E C NE NW SE SW
Height to top of sign (feet): / V / ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 5 " must include dimensions of wall face and sign
Cre �w1 filer placement.
PY A 601046,4 141444 w +;,,r ♦ Wall signs do not require site/ lot plans.
Materials: 0 1 irex, kV # / orr g P P
' ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ["Yes ❑ No permit.
Type: ['Internal El External ♦ If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes [" No 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.
DAl 'ED this day of , 20
Signa e of Owner /Agent
E re M, L It iay.., 3 3- 6 - /5" If
Contact Per Name Phone No.
LA 4 1' OF TIGARD
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N A ll print and electronic art remain the sole, copyrighted Draped) el paciIlc /l.00 Comp.)) Ina era not to Or Oltir11/a1.d, copied. e•me,le d er ,,,narerad In an, •ar y,leou p,Ior +•ripen release /COT vac Neon Company.
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ii' - _ : CITY OF TIGARD 1/11/2008
Ait
a 13125 SW Hall 1.31“1. 4:30:32PM
- -4f .4 Tigard, OR 97223 503.639.9171
TIGARD
Receipt #: 27200800000000000126
Date: 01/11/2008
Line Items:
Case No Trait Code Description Revenue Account No Amount Paid
SGN2008 -00009 [SIGN] Sign Permit 100- 0000 - 437000 35.00
SGN2008 -00009 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2008 -00010 [SIGN] Sign Permit 100- 0000 - 437000 35.00
SGN2008 -00010 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
ELC2008 -00027 [ELPRMT] ELC Permit 220- 0000 - 431510 106.80
ELC2008 -00027 [TAX] 12% State Surcharge 100- 0000 - 207020 12.80
Line Item Total: $199.60
Payments:
Method Paver User ID Acct./Check No. Approval No. How Received Amount Paid
Check BEAVERTON NEON KJP 7751 In Person 199.60
Payment Total: $199.60
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