SGN2006-00224 , NI CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00224
:TIGAA.D 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/18/2006
PARCEL: 2S 102AB -03600
BUSINESS NAME: STATE FARM INSURANCE ZONE: CBD
SIGN LOCATION: 12285 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT: STATE FARM INSURANCE
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X 8 - 1/2"
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: 708 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 16 ft.
PROJECTION FROM WALL: 8 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one permanent 4'h x 8' -1/2" x 8 "d wall sign.
MATERIALS: ALUM /ACRYLIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
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. A temporary sign shall expire 30 days from validity date. A b.11oon sign shall expire 10 days from validity date.
APPROVED BY:
I
PERMITTEE SIGNATURE: /k _ �.
DATE: 12/18/2006
,
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''ej4� 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 _'STK}Te t= Y}.VVL 1 IJS .
Address/ Street Address Permit No.: ,_56 m.4, - O d ZZ.,L
Location tz-2 S5 VA) I ST
Expiration Date:
Suite /Bldg. # City /State Zip
- n ED 02 4' -1P---b Receipt #: Zao ,o 597 2
Name Approved By: `<-
Property es P PrePFi FA k'S We, Date: / Z /173 ca,
Owner Mailing Address Suite Map/TL #:
1;52-2) StrtJSer$LV /v • Zoning: C , BD
I City /State Zip Phone /G 03' I
p 6R ?7,331 245 if 17 Electrical Permit Required? EI--Yes ❑ No
Tenant oi; \lame
Business 1 AR14 CREEVGY Building Permit Required? ❑ Yes L - No
Name / Rev. O1 -Jul -02 iAcurp1Mmasterslrevisedtsign permit app.doc
Sign 4&-*r SVi■I r,ORF
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit � a73(v�7 (Note: applications will not be accepted
issuance, a without the required submittal elements
c opy py o of all City /State Zip Phone r` phi) q elements)
licenses are 1
required if 174, RD aR q7/ ‘22e-- R2'5 ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # 0 Qp ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) j �r�7 ! / oZ rl7 6A` (3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign Temporary Wall ❑ Electronic
(Check all that ❑ Other Billboard ❑ Balloon 111 2 copies of elevations, drawn to scale
aPPIY)
(3 copies, if a building permit is required)
[ya New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: r t a
4 x Y2 w Y g D ❑ $30.00 Fee (Permanent sign, any size)
j Total Sign Area (sq. ft.):
$15.00 Fee (Temporary sign, any type)
Sign Da a Total Wall Area (sq. ft.) . ,
(Complete II Direction Wall Faces (circle one): NTES:
items in thi
section) N 0 E W NE NW SE SW
. Wall signs do not need to be drawn to scale,
Height to top of sign (feet): /6 tr but must include dimensions of wall face and
Projection From Wall (inches): e l sign placement.
Copy: \i f"' yL/ /hl lL . Wall signs do not require site /plot plans.
Materials:At„Vo f pj f yp / Ace /C • Freestanding signs over 6 ft. required a
Will sign have i mination? Yes 11] No
building permit.
Type: Internal External • If work authorized under a sign permit has not
Are there any existing freest nding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL.
�No BECOME NULL AND VOID.
❑ Yes
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. _ _
(OVER FOR SIGNATURES)
11 �
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
incompliance with the City of Tigard.
DATED this f day of b EC E-04 1 . , 20 06
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Signature o wner /Agent
1/1414--tr 503 5�— S o
Contact Person Name hone No.
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w.
• SOUTH ELEVATION ., r
ti c..,;:. --F' # I
Mark Creevey
(503) 6244633
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35 0 if 1 sq. •p4--
/7 '.' ' - °' _ TIGARD
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