SGN2009-00129 %
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I' t _ ; ; CIT OF TIGARD SIGN PERMIT
s Permit #: SGN2009 -00129
COMMUNITY DEVELOPMENT Date Issued: 05/28/2009
TIGARO
;,,s,a,:;• . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101AD02400
Jurisdiction: Tigard
Name of Business:
Business Address: 12753 SW 68TH AVE
Applicant/Agent: GFU,
Work Description: Installation of (1) one 40 s.f. permanent wall sign
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 4'x10'
Total Sign Area: 40
Wall Area: 2760
Wall Face (Direction): North
Sign Height: ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: cer alum /plastic
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $40.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: f
Permittee Signature: y / v C/641;1 �- C`
,
' 111 11 SIGN PERMIT APPLICATION 111
N.
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
„„----`1 Phone: 503.639.4171 Fax: 503.598.1960
In OALID
GENERAL INFORMATION
Name of Development /Project
� U _ PU Y� r� lid `e v -o � FOR STAFF USE ONLY
Site (' 1, /(
Address/ Street Address Permit No.: J / t`' t'0 �1 �y
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Location + 2-753 5W lD Q } v'>✓
Expiration Date:
Suite /Bldg. # City /State Zip
I I9tit r I 97 223 • Receipt #: ✓
Name v J C I I Approved By: /�
Property C Pi'��G U VII Vti<5 f Date: S/L.. /h f
Owner Mailing Add s Suite Map /TL #:
4 14 'v' IV'bld`t Zoning.
City /State Zip Phone
Ne vJ he,►- 97/3 Z s03 538: s-3E3 Electrical Permit Required? ❑ Yes le
Tenant or Name
Business 6 ' i - Poyt ci c C +eir Building Permit Required? ❑ Yes
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign S L- E
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary [r Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon t " 11", 11"
apply) size requirement: 8 /z x 11 , or 11 x 17 "
[r New sign? " Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: , �/ (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
* 1 0S9 Pr ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) , x 27 IPC/ / r 'X3IGP ❑ $19.00 Fee (Temporary sign, any type)
(Complete all D eciion Wall Faces (circle one):
items in this NOTES:
section) S E W NE NW SE
Height to top of sign (feet): i Il /7 _ jZ o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): `12 i' must include dimensions of wall face and sign
Copy: See a1 (i,ed placement.
• Wall signs do not require site /plot plans.
Materials:
r (XG? fry7! G (,111 f Wll Y1 IA ivi jp lt{S h L • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes [x No permit.
Type: ❑ Internal ❑ 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
[1f Yes El 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.
DATED this t D day of /14 C4J , 20 U
O
Signatur o Owner /Agent
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Contact Person Name Phone No.
;2 tr s
new St litS
O D GEoRGE Fox
1 UNIVERSITY
PORTLAND CENTER
Sign for the south (main) building
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GEORGE Fox
UNIVERSITY
PORTLAND CENTER NORTH BLDG
Sign for the north building
CITY OF 'MARV)
Approved
CoridolonaNy Approved [
Fa oniy the wor .s described in:
P
EMIT NO. - 2—
See Letter to: Follow.
Attach
Job AcipeAs: _l_t_ 34)
y : A Date:
New Si qnaqe ?1acemnt:
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North Facing sign in parking lot, sign will be visible from SW 68/69th Ave. Top of sign =22'
Sign =40 sq ft Wall face =2760 sq ft (24'Hx115'L)
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SW Facing sign -69th Ave. Top of sign =12'
Sign =40 sq ft Wall face =816 sq ft (24'Hx34'L)
M P CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
ry .
e 503.639.4171
.T+sA'RP
Receipt Number: 173703 - 05/28/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00129 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00129 Sign Permit - LRP 100 - 0000 - 438050 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 074816 KPEERMAN 05/28/2009 $40.00
Payor: Janis Sanford
Total Payments: $40.00
Balance Due: $0.00
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