SGN2004-00173 CITY OF TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00173
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 7/26/04
a v -
PARCEL: 2S103DD -00800
BUSINESS NAME: ANDREWS AGENCY LLC ZONE: C -G
SIGN LOCATION: 13815 SW PACIFIC HWY 60 JURISDICTION: TIG
APPLICANT /AGENT: ANDREWS AGENCY LLC
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 27" X 185"
TOTAL SIGN AREA: 35 sq. ft.
WALL AREA: 368 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one permanent wall sign. (27" x 185')
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
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: a
PERMITTEE SIGNATURE:
DATE: 7/26/04
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"t �� o1,� 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
Site 6 / 11"QO E P!+ c f 1.7-7(c FOR STAFF USE ONLY
Address/ Street Address Permit No.: SG 4400 4 - 00/7
Location / 35/S si-s PA-C i / /c d
Expiration Date:
Suite /Bldg. # City /State Zip
6 9 f IG A'Rop 0R Receipt #: adoq_ 3a8C°
Name Approved By: C
Property S / v i 2 S e„.0 Date: 7 - .26 o
Owner Mailing Address Suite Map/TL #: AS /63 DD - 0o 1500
Li 7- 30 sv pi/}c/4..04 r/ /0 / Zoning: C - G
City /State Zip 14131 Phone 5 3
0 R LA- N.O c7 / 3 2 6 o Electrical Permit Required? X Yes ifif No
Tenant or Name
Building Permit Required? ❑ Yes (g No
Business f) A/.02 eQS A 6 6/VC L._ c
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Name Rev. 7 /1/04 is \curpin\ masters \revised \sign permit app.doc
Sign 7 I3p
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if X Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary Z Wall ❑ Electronic
(Check all that 2 copies of elevations, drawn to scale
apply) ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
X New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign i nsios� „ :2 $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
„ • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): ;,2 1 3 but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? Yes ❑ No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding 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
❑ Yes 1:1 No BECOME 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 26 day of 7-fr`17 , 20 0 `-/
•
Signature of Owner /Agent
Contact Person Name Phone No.
ilk, CITY OF TIGARD 7/26/2004
13125 SW HaI1 Blvd. 2:50:57PI■1
AtAto Tigard, Oregon 97223
1. (503) 639 -4171
Receipt #: 27200400000000003286
Date: 07/26/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00173 [SIGN] Sign Permit 100- 0000 - 437000 32.00
Line Item Total: $32.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check ANDREWS AGENCY LLC CAC 1003 In Person 32.00
Payment Total: $32.00
Page 1 of 1 cReceipt.rpt
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Size
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27 inch
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Nationwide
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Color option #1 - (referred to as white/white)
White faces that illuminate white at night. This is recommended for a dark
colored building.
Note: The raceway is 8" high.
Size
21 inch
27 inch
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