SGN2006-00073 .1 CITY OF T I G RD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00073
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/4/2006
PARCEL: 2S 112DD -01600
BUSINESS NAME: HSM ELECTRONIC PROTECTION SERVICES ZONE: I -P
SIGN LOCATION: 15495 SW SEQUOIA PKWY BSMNT JURISDICTION: TIG
APPLICANT /AGENT: HSM ELECTRONIC PROTECTION SERVICES
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 44" X 101"
TOTAL SIGN AREA: 31 sq. ft.
WALL AREA: 1,560 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 2 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign 44" X 101"
MATERIALS: SYN /METAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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 days
from validity date. 41tity APPROVED BY: J ( ` 2 l
PERMITTEE SIGNATURE: Cnk-J04 ""' �
DATE: 5/4/2006
Atv,,,,,, . 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 •
e -- p� C
i-•?, FOR STAFF USE ONLY
Site f' ` - r —o f eCt ate, Nr>,l
Address/ Street Address r» 00 Permit No.: -'t ' a (o 6)-ITU 7-3
Location / 54c/ 5 SSL4) Se.co i o� P,,L4-v Expiration Date:_
•
Suite /Bldg. # City/Staid Zip
/ O 0 . `
i iLl - C�, 77,7_21- Receipt #: � /9 �,
Name (� Approved By: Ca - _——
Property Pa-e...----17-1_A-S. Date: 51e-106
Owner Mailing Address / S 3 so Suite Map/TL#: ,y25 ( / 01 D (b 0- 0
-S cci Se i a-f Kiev 3 o 6 Zoning: l P
City /State Zip Phone 503
� &)-1 (�, 3 0 4 Electrical Permit Required? ❑ Yes No
Tenant or e
Business x,991 E JeC` . pr—crt � ,rUc Building Permit Required? ❑ Yes No
Name Rev. 30 -Jul -01 is \curpin \masters \revised\sign permit app.doc
Sign C- t c-S i C_, S /S -f t
Contractor Mailing Address s) S0 d Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (a Q U (Note: applications will not be accepted
issuance, a Z IN ..4-4-11C/11 gel without the required submittal elements)
copy of all City/State Zip Phone ` Jb3
licenses are PO f - 1 G „ „/ •
required if / 7Z (M '`� r o3�f f� G� Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ; .- ) ,.. 1 �.� 3 4 - / 3 • 0-7 (� 2 Copies of Site /Plot Plan, Drawn to Scale
database) J \ (3 copies, if a building permit is required)
used size requirement: 8 x 11 ", or 11" x 17"
Pro
P — Permanent ❑ Freestanding ❑ Fr eeway
Sign ❑ Temporary Wall ❑ Electronic 2 copies of elevations, drawn to scale
(Check all that (3 copies, if a building permit is required)
❑ Other Billboard ❑ Balloon
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: " x /CV' /
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 3 ( >d NOTES:
Total Wall Area (sq. ft.) r � t • Wall signs do not need to be drawn to scale,
Sign Data .4 r ,
x r 1 5 (0 0 Y but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this t
section) ,N S [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): /8 1 building permit.
Projection From Wall (inches): V.2.-t„ c „1, 0 o If work authorized under a sign permit has not
Copy: S .. U _c -QC- been completed within ninety (90) days after
Materials: 5y/, ii-.,zd - ■t.5 /mote 1 ca - the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? tS1 Yes ❑ No
Type: 0 Internal ❑ External
Are there any existing freestanding or wall signs at this / Not all jurisdictions accept credit cards, please call jurisdiction for more information.
Cil
location, including wall signs that overlap a tenant space? visa D MasterCard
❑ Credit card number / /
Yes 14 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
(OVER FOR SIGNATURES)
r
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 , 200 C0
Signature of Owner /Agent
Contact Person Name Phone No.
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Client:
4. jefk r
!!1 _ , • HSM Electronic
i I • _ ._ P . tom, Protection
�� P ,t ' ' a';:• . Services
; 1 z• ar( 1 r • � i I t ,. �I�►• , Contact:
ta 1 . " Melody Christensen
t + '1j " „ Beth Tarnoff
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P.• • •.. *+i /�' ; 1 rT �,.. ji Please initial & date
+ >,i r, W c w� ' , Colors:
" '. t . ' C.rnttst+onali y Approved ... Spelling:
-- For only the wo s descr' ed in �3 Graphics: P.6114. 1
PERMIT NO. t)-(74 24" Electric G9r .fl. tt @P;ollow [ ]
49 Attach ��
Job Address: / �` _ -g5 A2 4t' iti• Dated:
E]agtao n ? p n S(�[ cs2 9" NON illuminafed Imes o al Le tf ers Date: � �0 Cv
These plans are the exclusive properly of Classic Sign Systems and The result of the original work of its employees. They are submitted to your company for the sole purpose of your consideration of whether to purchase these
plans or to purchase from Ckxulc Sign Systems a sign manufactured according to these plans. Distribution or exhibition of these plans to anyone other than employees of your company, or use of these plans to construct a
similar sign Is expressly forbidden. In the event exhibition occurs, Classic Sign Systems expects to be reimbursed $500 for time and effort In creating these plans. Scale: 0" = 1'0"
• 1 /0 /" l
CITY OF TIGARD /L /GUVO
Er
'" 13125 SW Hall Blvd. 10:26:42AM
Tigard, Oregon 97223
TIGARD (503) 639 - 4171
Receipt #: 27200600000000001996
Date: 05/02/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00073 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2006 -00073 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00074 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2006 -00074 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $76.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check CLASSIC DIMENSIONAL ST 13255 In Person 76.00
GRAPHICS
Payment Total: $76.00
citeceipt.rpt Page 1 of 1