SGN2006-00104 Er CITY Y OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00104
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/23/2006
PARCEL: 25101 DA -00104
BUSINESS NAME: FARMERS INSURANCE ZONE: MUE
SIGN LOCATION: 13333 SW 68TH PKWY 4TH F JURISDICTION: TIG
APPLICANT /AGENT: FARMERS INSURANCE
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 7'X6" X 13'
TOTAL SIGN AREA: 146 sq. ft.
WALL AREA: 3,600 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 60 ft.
PROJECTION FROM WALL: 8 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one permanent 146.25 sq. ft. wall sign
MATERIALS: ALUM /PLEX
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.
APPROVED BY:
PERMITTEE SIGNATURE: .�=
DATE: 6/23/2006
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�,�,� lt. SIGN PERMIT APPLICATION
CITY OF TIGARD /3125 SW Hall Blvd., Tigard, OR 9223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site: - _ - 15 . /.1ra -A. e''
Address/ Street Address �! 6
Location
Permit No.: 6A ?
' .—)` -3 L k-- ° " ", r kvt_� ' Expiration Date: '
Suite /Bldg. # City/State t Zip
Name ' C� "-Arts r i �l .J V C / 5 Approved • K
L pP ripe# B Y
Property G _�i�'`� : v 1 J ti Date: ' G/Z / be •
ow Mailing Address - Suite Map/TL #:
03;460. (p , Zoning:
City/State Zip Phone '
, 1 1 1 1 402.9 Pie , fien ~nt or Name * /8' , - Electrical Permit Required? 1:1 Yes [1] No
Bus
i ess �� ! Building Permit Required? ii] Yes Ill No I
Name Rev. O1 - Jul - 02 is \curpin\masters\revisedlsign permit app.doc
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JJ 0.---N 0.---N Sign j` C 11..((G14-Cl ..�.);P5At j r�
Contractor Mailing A'dd ss ii Sue
(Prior to permit �--� REQUIRED SUBMITTAL ELEMENTS
issuance, a ' it), : r�(,- � (Note: applications will not be accepted
copy of all Ci /,State / ( Zip% Phone without the required submittal elements)
licenses are
required if t ; ( ft) tAb
expired in the O,reg n Const. C nt. Board Exp. D to [7] Completed Application Form
City of Tigard's Lie e #/
database) 1c - �- / D f 7/2)7 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed Permanent Freestanding ❑ r Freeway size requirement: 8 x 11 ", or 11" x 17"
g Temporary Wall t_J1 Electroni
(Check all that ❑ Other ❑ Bi
apply) ❑ Balloon ❑ 2 copies of elevations, drawn to scale
n? (3 copies, if a building permit is required)
New si
g ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
' 3 Sin Dimensions: r 1
,, x � ,„,�� ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
i Lo. I ❑ $15.00 Fee (Temporary sign, any type)
Sigi Data Total Wall Area (sq. ft.) - PD 0 4/ 1 .
(Com lete all Direction Wall Faces (circle one): NOTES:
items.in this
section)
t'
G C) E W NE NW SE SW
P ,l Height to top of sign (feet): p • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): 4 g ' • sign placement. J
Copy: 'FAaMg44 • [.o, o ' • Wall signs do not require site /plot plans.
Materials: AwiUA• P1-04. • Freestanding signs over 6 ft. required a
Will sign have illumination? 13--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
BECOME NULL AND VOID.
Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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I hereb,' acknowledge that I have read this applic tion, that the information given is
correct that I am the owner or authorized agent of the owner, and that plans submitted are
in com Iiance with the City of Tigard.
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DATED this o� � - day of ,.._
(,----,---------) ,
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Signature of Owner /Ag
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„of 400 C. ta¢�t P eo n ame _
�� Phone No.
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45' -O"
1 SIGN SQ. FT. 146.25
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ELEVATION SQ. FT. 36OO
FARMERS , � t �.�3 ;�� ,( "� �� , � i
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CITY OF TIGARD
Approved . t ,Si
Conamonatly Approved [ )
For only the wok as described i
PERMIT NO. 7/S .1--(3°' 6 — O� . --
See Letter to: Follow [ )
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IIighliht PROJECT CONTACT FILE
FARMERS INSURANCE This artistic rendering
MRL JOE WENDS FARMERS INSURANCE.CDR is the exclusive property
of HIGHLIGHT SIGN
SIGN LOCATION
until purchased Any
1333 SW _68TH PKWY SALESMAN DATE unauthorized reproduction
— -- — — for any purpose l
TIGARD OR. 97223 MIKE CLEARY _ 06 23 / 06 _ -__ _ legal action Copyright 1997
503 - 620 -8205
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SIGN LOCATIONS
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2 SCALE: NOT TO SCALE
Hi PROJECT
CONTACT FILE This artistic rendering
FARMERS INSURANCE,
MRL JOE WENDE FARMERS INSURANCE.CDR is the exclusive property
ot HIGHLIGHT SIGN
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until purchased. Any
S 1 G 11 LOCATION
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1333 SW 68TH PKWY SALESMAN
MIKE CLEARY DATE
06 / 23 / 06 unauthorized reproduction
for any purpose will incur
TIGAR D_OF.L.-97.223_ legal action.Copyright 1997
503-620-8205
CITY OF TIGARD 6/23/2006
11 - " 13125 SW Hall Blvd. 12:38:04PM
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Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000003097
Date: 06/23/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00103 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2006 -00103 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00104 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2006 -00104 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
ELC2006 -00351 [ELPRMT] ELC Permit 220- 0000 - 431510 106.80
ELC2006 -00351 [TAX] 8% State Surcharge 100 - 0000 - 207020 8.54
Line Item Total: $191.34
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check HIGHLIGHT SIGN CORP DER 5559 In Person 191.34
Payment Total: $191.34
cReceipt.rpt Page 1 of 1