SGN2004-00254 ' CITY OF TIGARD SIGN PERMIT
,�ik DEVELOPMENT SERVICES PERMIT #: SGN2004 -00254
�` ' Al 13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/21/2004
PARCEL: 2S112DA-00700
BUSINESS NAME: SAIF CORPORATION ZONE: I -P
SIGN LOCATION: 15333 SW SEQUOIA PKWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 600 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 20 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 sq ft temporary banner.
MATERIALS: BANNER,WOOD,
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 d validity date.
APPROVED BY: �-'
PERMITTEE SIGNATURE: 6r14.----C -�'' 'r - ii )
DATE: 9/21/2004 �!
0 THU 13 :48 FAX 5033153036 ASD Fax 2002/005
06/ 16= 29 FAX 5035981960 CITY OF'TIGARD 2002
Att.. SIGN PERMIT APPLICATION
CITY OF TiGARD 13125 SW Hann Blvd., 7tgard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION'
Name / of � Development/Project •
F OR STAFF USE ONLY
Site L V �r ( v-p) ✓ 4 a ✓■ ��\\
Address/ Street Address V Permit No.: S N 7-An - 03 2-5-
Location � 3.3.E 2 sx it K i rA Expiration Date: 77Z,- AV -- //z ,1,5.
5ultoBldg. ft Clty/State Zip
/1 ee 0 Receipt #:
Name o‘, t •Approved By: >�
,P / Date: ,, 1 /z-!
Property , • M < - ' A .AA_.
Owner Matliig Address - n , , su rre ,, I MapTrL #:
/535o �,3 Z Keke - ,� J Zoning:
pity/State Phone 1
04tair PO 9ei (, t (�ot!- 779'j (= lectrlcal Permit Required? 0 Yes E (o
Tenant or Name
Business a t , �� t , ��e Building Permit Required? ❑ Yes B._ 4
Name - { Rev. 8/7/2003 i:�r_urpin\m=terereviseet\slpn permit app.doc
Sign AIA - -� - -
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permIt (Note: applications will not be accepted
issuance, a
copy of all Clry /State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City ofTIgard'a LiaonsoSP ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
databa )
,,� J ,� (3 copies, if a building permit is required)
�" "`Pr ed ❑ Permanent ❑ Freestanding C3 Freeway size requirement: 8r /z" x 11 ", or 1 1" x 17"
Sign ff Temporary ❑ Wall ❑ Electronic CI copies of elevations, drawn to scale
Check all that Other ❑ Billboard ❑ Balloon
appt (3 copies, if a building permit is required)
►nt New sign? ❑ Alter to existing sign? size requirement: 81" x 11 ", to 24" x 36"
Sign Dimensions: 3 1 /
1( �{ ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq_ ft.):�, / ❑ (Temporary g y t yp )
`r $15.00 Fee sign, any e
Sign Data Total Watt Area (sq f t- ) �(XL� Jurisdiction: ❑ City ❑ Urb
(Complete en Direction Wall Faces (circle one);
items in this NOTES:
section) N a E W NE NW SE SW
Height to top of sign (feet)_] i • • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: J J ' - / ,e4e6,,,,,t tayei q t Freestanding signs over 6 ft. required a
00 Wile sign have illumination? ❑ Yes No building permit.
' . Type: 0 Internal 0 Extema • If work authorized under a sign permit has not
Are th- re any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wail igns that overlap a tenant space?
Yes ❑ No the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
•
ff "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
OQ-/16/2064 THU 13:48 FAX 5033153036 ASD Fax
Z003/005
08/ 21,72004`-'1$: r FAX 5035981960 CITY OP''1 T ARD • - • Z003 - . .
I hereby acknowledge that I have read this application, that the information given is
correct, that 1 am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this ) ( k � day of , 20_0 L/
Signature Owner /Agent
(5a 3/5 36
Contact rson Name Phone No.
•
•
CITY OF TIGARD 9/21/2004
40 13125 SW Hall Blvd. 4:27:54PM
Tigard, Oregon 97223
� 1 (503) 63 9-4 17 1
Receipt #: 27200400000000004195
Date: 09/21/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00254 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
• Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check CONNIE J MUSIC KJP 082544 In Person 15.00
Payment Total: $15.00
Page 1 of 1 cReceipt.rpt