SGN2004-00170 C ITY OF TIGARD SIGN PERMIT
u°1 I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00170
Ali c�i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/23/2004
PARCEL: 1 S136AD -04000
BUSINESS NAME: PREGNANCY RESOURCE CENTER ZONE: C -G
SIGN LOCATION: 11507 SW PACIFIC HWY D JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X96"
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: 377 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 10 ft.
PROJECTION FROM WALL: 10 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 20 sq. ft. permanent wall sign.
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 32.00
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 da s from validity date/
• •
APPROVED BY: +
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PERMITTEE SIGNATURE: ' I - C
DATE: 7 3/2004
„. I 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 pce clover R4Sr a rfn Ic 'S C
Address/ Street dress Permit No.: $ 9 iL 'L-c �/ - CO i 7 L''
Location I I SD - 5w PA e A I'' 14
C `( Expiration Date: •
Suite /Bldg. # City /State Zip
D Iliac-a- o2 5 7,22? Receipt #:
Name I Approved By:
Property CJ eCyL : rel'ec0 Date: 7/,. 3 cl V
Owner Mailing Address Suite Map /TL #:
507 sw P•cX c liw D Zoning: C___C7
City /State Zip Phone
Ti fAr o _ c i7a 2 .3- 374 Electrical Permit Required? Ids ❑ No
Tenant or Name
Business Pity-AO-67 f e � vrce C
Building Permit Required? ❑ Yes [I-fdt
Name /� ,� Rev. 7/1/04 iAcurpin \masters \revised \sign permit app.doc
Sign ,�ly'ro-trl 5,1 (vs L.G.C,
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a a 413 , 44 t Lt iA - g o y-- without the required submittal elements)
copy of all City /State Zip jtd Phone
licenses are
required if Wee MA „J IA /g1,7y 3(00 aas" ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # Ill 2 Copies of Site /Plot Plan, Drawn to Scale
database) I S 7IN (3 copies, if a building permit is required)
Proposed El. Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ® Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
[' New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: -30" X 9` �i ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): aO ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft 3 . 7 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): /p (o but must include dimensions of wall face and
Projection From Wall (inches): /Q '' 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: ik 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
III Yes ❑ 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 day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
®YEagiB 96.
Your Electrical Sign Source
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Approved _ VC)
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SHERWOOD, OREGON Condiiti.. Aror7 ;i. ( )
603- 720 -6410 For on., •
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PERMIT r�t - V �0 17 O
b See Letter = . [ )
CUSTOMER Job Add =�.. 501 _ I A..1:14,1
Knowledge Points By: �/ _ . _' ;. _7_2_,/
ADDRESS
Lake Oswego, Or
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JOB FILE NUMBER -' '' "'
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K f LAG BOLTS
DATE 9 t � . * '�
041404 _ � ° - x r LEXAN FACE LAMPS
de DESIGNED BY SOCKETS
Designer ` RETAINER — WIREWAY
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REVISIONS 13 FLEX CONDUIT
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j $11105 f
v CABINET -' 4.
503 - 310-0999 f WALL
...... A l* Iplp. aLl .1 . tik
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- $ , TO 120 VAC
Sign in photo approximate
THIS DRAWING IS THE
PROPERTY OF YOUR
ELECTRICAL SIGN SOURCE,
AND IS NOT TO BE
REPLICATED OR USED MANUFACTURE AND INSTALL (1) INTERNALLY ILLUMINATED EXTERIOR WALL SIGN
IN ANY MANNER WITHOUT
EXPRESS WRITTEN CONSENT CABINET FABRICATED FROM ALUMINUM- PAINT Oracale 651 Purple
ILLUMINATION - - -- FLUORESCENT LAMPS
ATTACHMENT ATTACH TO EXISTING WALL FASCIA
CUSTOMER APPROVAL OF LOGO, COLORS, DIMENSIONS REQUIRED BEFORE MANUFACTURING
Rev. 1
1