SGN2004-00039 h. CITY OF TIGARD SIGN PERMIT
PER i 4, DEVELOPMENT SERVICES MIT #: SGN2004 -00039
-f� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/4/04
PARCEL: 2S 113AC - 00101
BUSINESS NAME: COPYTRONIX ZONE: I -
SIGN LOCATION: 16655 SW 72ND AVE 800 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18' X 2'
TOTAL SIGN AREA: 36 sq. ft.
WALL AREA: 1,440 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one wall sign. (18' x 2')
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.
APPROVED BY: (?t1� %(� cL
PERMITTEE SIGNATURE: .,� - 4- 4.4 --- -44.4 --- -4 - 1 --= - / - ,
f -1- e-) 17 ' " 7 u- o
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DATE: 3/4/04
.
c.W,''.�:lO` SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
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GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site CO P y DAJ 1 X
Address/ Street Address rte- Permit No.: .SC0.►J a15n((- 00031
Location /&&55 5 70 Expiration Date:
Suite/Bldg. # City/State Zip
800 - ri 6747z O 97224 Receipt #: bo 4 - 0 84(o
Name Approved By: �l -' £ �
Date: -�F�o�
Property P 1 �LIS i SAC - o r o f
Owner Mailing Address 15360 Suite Map/TL #: OS
I I d
S,tA1 Si✓QUot A. PKi vY 300 Zoning: I - P
City/State Zip Phone cJ 0
- rf .D 9 - 7 22 3 - b24 003 Electrical Permit Required? ❑ Yes ® No
Tenant or Name
Business Copy -y-�c X Building Permit Required? ❑Yes No
Name Rev. 30-.1u1 -01 i:lcurpin\masterskevisedlsign permit app.doc
Sign S1 C- S--t. Cri3 SySTtY
Contractor Mailing Address - a0 0 Suite REQUIRED SUBMITTAL ELEMENTS -
(Prior to permit �) I L -K N ,eO 2vv (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City/State Zip Phone S 6 3
licenses are
required Q 223 63 c/ , S 6 5 et Completed Application Form
required if *) �D -/
expired in the Oregon Const. Cont. Board Exp. Date 'y
City of Tigard's License # 2 Copies of Site /Plot Plan, Drawn to Scale
database) — 7 - 72 Co 3 4.g. 0 4 ["1 (3 copies, if a building permit is required)
size requirement 81/2" x 11", or 11" x 17"
Proposed @Permanent ❑ F estanding ❑ Freeway
Sign ❑ Temporary WWall ❑ Electronic (1( 2 copies of elevations, drawn to scale
(Check all that ❑ Other • ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement 8 x 11°, to 24" x 36"
�ew sign? ❑ Alter to existing sign? ❑ 31 , ' g Fee (Permanent sign, any size)
r ' M ' Sign Dimensions: „ r
9"
�, x j 8 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): r c NOTES: Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data c2.41 x, Cod 1 = /446 v but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement. .
items in this
section) N ® E 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): & / building permit. .
Projection From Wall (inches): t7,3 • If work authorized under a sign permit has not
Copy: Co py -r c (it been completed within ninety (90) days after
Materials: /4C,r?.ij -t ek K G the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes 'o
BECOME NULL AND VOID.
Type: ❑ Internal ❑ External -,
Are there any existing freestanding or wall signs at this (- Not all jurisdiction accept credit cards, please call jurisdiction for more information.
0 Visa 0 MasterCard
location, including wall signs that overlap a tenant space?
S Credit card number / /
[Z Yes ❑ No s e l leer c Expires
APetI. t
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
/nvFR FnR SIGNATl1RES1
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 4 day of , 20_04_ :
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Signature Own- A gent
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0 3. G39.56SIa
Contact Person Name Phone No.
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PACTRUST BUSINESS CENTER
1 1/17/00
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1" =200' •
A PAGTRUEIT PROPERTY
•
CTTY OF TIGARD 3/4/2004
13125 SW Hall Blvd. 11:39:31AM
i\ Tigard, Oregon 97223
AW . (50 3) 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 11488 In Person 124.00
GRAPHICS INC
Payment Total: $124.00