SGN2004-00041 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00041
ad c ' -- ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE .ISSUED: 3/4/04
PARCEL: 2 S 113AC - 00101
BUSINESS NAME: COPYTRONIX ZONE: I -P
SIGN LOCATION: 16655 SW 72ND AVE 800 JURISDICTION: TIG
APPLICANT /AGENT: CLASSIC SIGN SYSTEMS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18" X 14'
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: 720 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one wall sign. (18" x 14')
MATERIALS: ALUM /PVC
EXISTING SIGNS: 2
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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. p.,,
APPROVED BY: C� (
PERMITTEE SIGNATURE: /
DATE: 3/4/04
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;,%`4 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 COPyT)evti) ( X
Address/ Street Address 1� Permit No.: S� N b oo+( - - 01504 j(o(r
Location , SS t 4) r Expiration Date:
Suite/Bldg. # City/State Zip
PCB 1 - 16-; n 97 2.24 Receipt #: e _.2 004 — d84to
Name Approved By: C .Ca.
a. -nw
Property Pic-C I I2 uST Date: 3-41 -o`f
Owner Mailing Address 1 3 00 Suite Map/TL #: c /1 3 P - 00
$W S egUo /A PKwf 300 Zoning: / — P
City/State Zip Phone 6103
11601/2.13 q - 1223 X0.14 • 030 O Electrical Permit Required? ❑ Yes (Sa No
Tenant or Name
Business Co pN t X Building Permit Required? El Yes 11 No
Name Rev. 30Jut -01 Bcurptn\masters\revised\sign permit app.doc
Sign C I- 14S5 t c .S-1 C.9--v../ SYS
Contractor Mailing Address -78 C� Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit applications will not be accepted
issuance. a , City K - �D without the required submittal elements)
copy of all City/State Zip Phone
licenses are
required if Tlt'*/eD d ) 2.23 /n39 m bS Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date �--
City of Tigard's License # [M 2 Copies of Site/Plot Plan, Drawn to Scale
database) - 7 - 78 (n 4 - 8 .04 (3 copies, if a building permit is required)
size requirement: 8 x 11 ", or 11" x 17"
Proposed IV ❑ Fpestanding ❑ Freeway
Sign ❑ Temporary wall ❑ Electronic 2 copies of elevations, drawn to scale
(Check all that ❑ other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
appy) size requirement: 8W x 11 ", to 24" x 36"
3 1 E"New sign? ❑ Alter to existing sign? ❑ %kW % 3W Fee (Permanent sign, any size)
Sign Dimensions:
/8 /Q ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 0 j ix NOTES:
Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data ,4' x 36 i = 7 a 0 US but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N S 0 W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): ,g building permit. •
Projection From Wall (inches): / /a' 1 ♦ If work authorized under a sign permit has not
Copy: Co Py -- 1-20 NJ 1 S been completed within ninety (90) days after
Materials: At, kA vv. , * e v G - the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes n No
Type: ❑ Interval ❑ External
Are there any existing freestanding or wall signs at this Not all jurisd ictions accept credit cards, please cell jurisdiction for more information.
0 Visa 0 MasterCard
location, including wall signs that overlap a tenant space?
NO SEt: Credit card number / /
® Yes ❑
S eYJQ1'ie. ` - Expires
If "yes ", a list or diagram of all sign dimegls�oks ry 8�� 1' N ame of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
IM/FR FAR SIGNATIIRESI
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 day of - an C■.. , 20C
Signature of Own ent)
5 03 (03/• S(
Contact Person Name Phone No.
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PACTRUST BUSINESS CENTER
11/17/00
4 0 1
1" =200' .
A PALTRU9T PROPERTY
CITY OF TIGARD 3/4/2004
13125 SW Hall Blvd. 11:39:31AM
Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200400000000000846
Date: 03/04/2004
Line Items:
Case No Tran Code Description • Revenue Account No Amount Paid
SGN2004 -00039 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2004 -00040 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2004 -00041 [SIGN] Sign Permit 100 - 0000 - 437000 31.00
SGN2004 -00042 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $124.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check CLASSIC DIMENSIONAL CAC 1 1488 In Person 124.00
GRAPHICS INC
Payment Total: $124.00
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