SGN2004-00193 C ITY OF TIGARD SIGN PERMIT
0 DEVELOPMENT SERVICES PERMIT
8 5 2004 -00193
DATE
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AB 00600
• BUSINESS NAME: ANS PORTLAND ZONE: I -L
SIGN LOCATION: 16125 SW 72ND AVE BLD.B JURISDICTION: TIG
APPLICANT /AGENT: CLASSIC SIGN SYSTEMS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 24" X 48"
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: 4,752 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one permanent wall sign. (24" x 48 ")
MATERIALS: METAL /PLAS
• EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
diva/ G/`
PERMITTEE SIGNATURE:
DATE: 8/5/2004
�:
- cA
,,t.( SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
•
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site A N S Po iQ T (- /1 p..f 7
Address/ Street Address _ Permit No.: 5(2,AJ oZ 6 0 `{" - Wig J
Location /4)/ Z S Z W 7 Z V �
Expiration Date:
Suite/Bldg. # City/State Zip 6 U q - 3`I 7 8
T1 & 1Q D 9 712 9- Receipt #: a
Name Approved By: C. e
Property PA-C.r 12 i,LS I
Date: 6 -5 - o q
Owner Mailing Address / 5300 5 W Suite Map/TL#: - 2 ,1 713 A73 -- o a (p a 0
E"4 U G l !a PkWY 30 Zoning: / " C'
City/State Zip Phone 603
1 (/2D 9722'F 4 L`f . (03 00 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business A-N S' ,� r-rL ,�7V building Permit Required? El Yes ❑ No
Name , Rev. 30Ju1-01 j:lcurpinlmastersVevisedlsign permit app.doc
Sign Ci.i4 S-t. .(3 -r`) SYSTeVNS 1
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit 7800 SW J we HEN a 00 (Note: applications will not be accepted
issuance. a
copy of all City /State Zip Phone 503 without the required submittal elements)
licenses are
required if Ti 61 C l —1 223 40 39 -5 t:, 4 G 2 Completed Application Form
expired In the Oregon Const. Cont. Board Exp. Date
City of Tigard•s license # 7c�3 3 4 1 3 CJ &( t Copies of Site/Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
size requirement sve x 11 ", or 11" x 1T
Proposed �errnanent ❑ Freestanding ❑ Freeway /
Sign ❑ Temporary [swan ❑ Electronic U' 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ B�Iboard ❑Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2° x 11 °, to 24" x 36°
["New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: •4" 4 g,/ ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
8 . NOTES:
Total Wall Area sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data X / cg but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this Wall signs do not require site /plot plans.
section) N S D W NE NW SE SW
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): ,1 -4' building permit. .
Projection From Wall (inches): 1 /a,. , 1 ♦ If work authorized under a sign permit has not
Copy: ANS' p0Q - � P been completed within ninety (90) days after
Materials: i v,rnhPCL, t. p i.AS-i'lcS the issuance of the permit, THE PERM - I` WILL
Will sign have illumination? El Yes INo ,
BECOME NULL AND VOID.
Type: ❑ Internal 0 External
Are there arty existing freestanding or wall signs at this (Not all lurisdichons accept credit cards, please call jurisdiction for mom information.
1.3 Visa 0 MasterCard
location, including wall signs that overlap a tenant space?
Credit card number / /
❑ Yes E "No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
,Cardholder signature Amount
I/1VFR FOR SIGPIATl1RES►
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 (9 day of , 20 01
r
r.
Signature of owne gent
<c2_ O 3.10 3 9..S 6 S
Contact Person Name Phone No.
LY I<V OF .g HEARD 8/5/2004
13125 SW Hall Blvd. 10:48:32AM
i!,/m +', si Tigard, Oregon 97223
' : (50 3) 63 9-4 17 1
eceipt #: 27200400000000003478
Il ate: 08/05/2004 • .
Line Items:
Case No 'Tan Code Description Revenue Account No Amount Paid
SGN2004 -00193 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2004 -00194 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2004 -00195 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2004 -00196 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2004 -00197 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
Line Item Total: $160.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check CLASSIC DIMENSIONAL CAC 11908 In Person 160.00
GRAPHICS/DBA CLASSIC
Payment Total: $160.00
Approved t k )
Conditionally Approved [ ; �r�
For only the work as de oc 3
PE RMIT NO. -600
See Letter to: Follow [ 1 e-
Attach 1 1
Job Address: .1(,(a5 "..(•^) 7a "d Pave 'WA
A '' ' e. • ■
•
1
1 * f L ' `P 41 ✓ 1 ;•1 44 ' . .' • • Date:
.. • 4 •1 1' ..,• . , • 7/20/04
ii ' ' e • i .
i , . i f ' Client
I, - �" ANS Portland
w 24 fl A 1 � • ' , ` , r s • ' , + .„ .+ : _in.'.o ,
.;Y G - PORTLAND %.
; ' ' .t - / .• - . • " ■ . . /
24" t r. * .►' .. Contact:
it: , . I + ► 0 Jerry Boogaard
ill; r e , , ".-Nr..1+` , ''
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r .It Approvals:
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n " t"' E� 1 J s & _ , 7800 SW Durham Rd., Ste. 200
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s t n� •. Portland, OR 97224 -7577
1 H ! ` �., Phone (503) 639 -5656
Ili mow, : "" � # w= F -:.* _ �'•' Fax (503)624 -8706
email: classigns @aol.com
Creating Maximum Impact
For Business Identities
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