SGN2007-00017 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00017
TIG 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/24/2007
PARCEL: 25101 AA -09700
BUSINESS NAME: ACCURATE PAYROLL ZONE: MUE
SIGN LOCATION: 12585 SW 68TH AVE JURISDICTION: TIG
APPLICANT /AGENT: ACCURATE PAYROLL
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 26" X 8'4"
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: 896 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 12 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one 16 sq. ft. permanent wall sign.
MATERIALS: GOLD WRISCO
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
J
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 1/24/2007
1
S
1 SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Ny.me of Develop ent/Project
<cNr* -c Payro I / FOR STAFF USE ONLY
Site PA moa 0v. g. si`vCSS <er i.i r e 5
Address/ Street Addless Permit No.: ` j4N f917U7 - 000 /7
Location / j 5T S 5 W. 6 8 A ve .
Expiration Date:
Suite /Bldg. # City /State Zip
Tr‘54.rck 02 572-21/ Receipt #: 2-(--1 - U 303 •
Name Approved By: /- IP
Property Date: 7 /1-1/6c,
Owner Mailing Address Suite Map/TL #:
Zoning: 1.1 C
City /State Zip Phone
Electrical Permit Required? ❑ Yes Et No
N ame
Tenant or A, ci,t „ P ayro fl / & No
Business p Building Permit Required? El Yes
Pa u n 4Sr „ GSS .krir Ce5
Name J Rev. 7/1/05 is \curpin \masters\revised \sign permit app.doc
Sign &A ver •E Neal I
Contractor g
Mailin Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit 725To f Au us
issuance, a /' W, 9 U ” (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are an 4V” 02 5 700 6 5` - 65 9 - is -/y
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City atabase Ti ard's License # G S �i 6 /13 / r � — 2 o o g ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 1 "
Sign size requirement: 8 /2 x 11 , or 11" x 17"
• Sig
( Che all that ❑ Te mporary Wall ❑ El
apply) ❑ Other ❑ Billboard El Balloon ❑ 2 copies of elevations, drawn to scale
(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: z 6 it X ' 'ti 0
❑ s 00 Fee ,(Permanent sign, any size)
Total Sign Area (sq. ft.): 34 o'-
� El $18'.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft) O , g J urisdiction: ❑ C it y
b El U rb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
Height to top of sign (feet): �' $
•' • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Copy: I�,cra an M 6 rf ci e
sign placement.
�K • Wall sins do not re uire site/ lot lans.
6.144,,A Material G Wp,sco /s' " g q p p
2 ►-.a� ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes [t building permit.
No ! • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall_ signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes R
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
_A
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 y day of _TG "`N ✓'y , 20 O 7
Sig ture of Owner /Agent
6 /14 f/I/,ll "G;14--,s Svc- 6tt`7 /�`' /�
Contact Pen Name Phone No.
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CITY OF TIGARD
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For only the work as described in:
i PERMIT NO. 7 -a-rn -7 - tICIO I 7
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CITY OF TIGARD 1/24/2007
q 13125 SW Hall Blvd. 2:23:04PM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000000303
Date: 01/24/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00017 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2007 -00017 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
Line Item Total: $39.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check BEAVERTON NEON KJP 7558 In Person 39.00
Payment Total: $39.00
cReceipt.rpt Page 1 of 1