SGN2004-00182 CITY OF TIGARD SIGN PERMIT
�'7' DEVELOPMENT SERVICES PERMIT #: SGN2004 -00182
�`--�° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 7/29/2004
PARCEL: 1S12600-00300
BUSINESS NAME: WASHINGTON SQUARE PARKING GARAGE ZONE: C -G
SIGN LOCATION: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE JURISDICTION: TIG
APPLICANT /AGENT: NATIONAL SIGN CO
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: SEE ABOVE
TOTAL SIGN AREA: 692 sq. ft.
WALL AREA: 7,152 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of permanent wall sign. (9' 2" x 31' 11 ") (20' x 20')
MATERIALS: ALUMINUM
EXISTING SIGNS: 2
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
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.
a ea,
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 7/29/200
AIX Ai 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
Site f Lffj(' 5Qh/It2f FOR STAFF USE ONLY
Address/ Street Address Permit No.: SG N.1 4 - (DO / e)...._
Location q r 5,v, W�h1 %4✓se. !Zp Expiration Date:
Suite /Bldg. # City /State Zip
T16/ P 0 /1 Receipt #: a DO 4 - 3 3(o '
Name Approved By: C • C ,..t...2-
Property w ffi IGil Date: - 7 - a 9 - 04
Owner Mailing Address ./ Suite Map/TL #: 1 S (a (0 00 - oc23 a
l 4 5 /1'1 7L/ S(• Zoning: G G
City /State Zip Phone
goreiP 7861 6 �5) 9 67 -0805 Electrical Permit Required? El Yes ❑ No
Tenant or Name
I/✓tpN1� - 4't P I� � � JbC
, Building Permit Required? ❑Yes C] No
Business
Name /p Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Sign r/f 1"/JL S161f Co,
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (ZSS N 1 4( / • (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Ph e
licenses are stet( 1,4 1 p j t � n � Z p n -o a
required if 7 I►II � G D `� LV 0 G 7 0 ;CCompleted Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # / /3 y 2 Copies of Site /Plot Plan, Drawn to Scale
database) �/ 0 3 / y 17/7/e1
(3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary Sr Wall ❑ Electronic
(Check all that 2 copies of elevations, drawn to scale
apply) ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
New sign? ❑ Al to ex }stigg sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: 7 -t � I X 51 f /% 27 \ X $32.00 Fee (Permanent sign, any size)
20 -a X70' s you
Total Sign Area (sq. ft.): ,-, L ❑ $15.00 Fee (Temporary sign, any type)
Si Sign Data Total Wall Area (sq ft / n / Jurisdiction: ❑ City ❑ Urb
9 .17 - 3 X2-7( = 01701 If
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N )r E W NE NW SE SW
Heigh top o sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): ti/ // but must include dimensions of wall face and
sign placement.
Copy: 1 ,,/ 4510 4 toi/ 5 •epaii • Wall signs do not require site /plot plans.
Materials: lopmeeki • Freestanding signs over 6 ft. required a
Will sign have illumination? Yes ❑ No building permit.
Type: `Internal ❑ External • If work authorized under a sign permit has not
Are there any existing frees anding 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
1 4A ❑Yes El 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 the o wnerhand that plans a submgt e d are
correct, that I am the owner or authorized ag ent of
in compliance with the City of Tigard.
DATED this day of 1
Signat i f of owner /Agent
�r t r✓ 2-0 282-
�Tv'1 2��
Contact Person Name P one No.
CITY OF TIGARD 7/29/20
13125 SW Hall Blvd. 12:28:01PM
Vi k Tigard, Oregon 97223
�:-� +L -� i ��, (503) 63 9-4 17 1
Receipt #: 27200400000000003362
Date: 07/29/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00181 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2004 -00182 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2004 -00183 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2004 -00184 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2004 -00185 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2004 -00186 [SIGN] Sign Permit 100- 0000 - 437000 32.00
Line Item Total: $192.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check NATIONAL SIGN CORP CAC 64534 In Person 192.00
Payment Total: $192.00
Page 1 of 1
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1255 Westlake Avenue North Seattle, WA Client: Representative Design No. Scale: Your Personal Use In Connection With A Project Being Planned For You By National Sign Corporation.
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