SGN2010-00066 :$ F : ; CITY OF TIGARD SIGN PERMIT
Permit #: SGN2010 -00066
, „. .-, COMMUNITY DEVELOPMENT Date Issued: 04/26/2010
,, ;y .. . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112DA01200
Jurisdiction: Tigard
Name of Business: Office Depot
Business Address: 15060 SW SEQUOIA PKWY
Applicant/Agent: Paulus, Jaylene
Work Description: Installation of one (1) permanent wall sign 4' X 36' 6” 15% wall space
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 4' X 36' 6"
Total Sign Area: 146
Wall Area: 5198
Wall Face (Direction): West
Sign Height: 18 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Channel letters /raceway
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $40.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: A
Permittee Signature: elk,/ 4
RECEIVED
'PI SIGN PERMIT APPLICATIONAR 1 6 2010
City of Ti and Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
f 8 Phone: 503.639.4171 Fax: 503.598.1960 CITv OF T!GARD
T l G A R D PG_ _A Ni !!! \t ^./ENG NEER!NG
GENERAL INFORMATION
Name of Development /Project
6 FOR STAFF USE ONLY
.0-Q-106
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Site Le ..11
Address/ Street A dress Permit No.: -SON t0 1 1) - 000(P (P c
Location IS S lA) S Q' O t a f Li Expiration Date:
Suite /Bldg. # City/Stat Zip
a � Receipt #:
Name 1 go 1 I Approved By: S T P- 1
Property C 44 4 -c_i- j tall �,�,� ' , Date: 411 o I i
Owner Mailing Address 1 Suite Map/TL#: v-- t a OR ( 1?
Zoning
City /State Zip Phone
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Electrical Permit Required? dyes ❑ o
Tenant or Name
Business (4..t. L(� Y•)st4) t Building Permit Required? ❑ Yes No
Name Rev. 7/1/09
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issuance, a D !'�"�
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are /� (Note: applications will not be accepted
required if � CS 1 v 1� 6h3- L .0-2)OD without the required submittal elements)
expired in the Orekefi Const. Cont. Board License # Exp. Date
City
tabus) igard's L4 ()) 4 a /` ) f I I/ (r Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary gr. Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other Billboard ❑ Balloon size requirement: 81/2" x 11", or 11" x 17"
aPPly)
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
4 ' X a6'— ( t' size requirement: 8' /z" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
L.L.Aiw / e/ 4 ❑ $40.00 Fee (Permanent sign, any size)
Sign Data
Total Wall Area ft.) 'f f ® ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E g NE NW SE SW
Height to top of sign (feet): 181 • Wall signs do not need to be drawn to scale, but
Projection From Wall (mches): es a must include dimensions of wall face and sign
placement.
Copy: ,,�� e_(Dd • Wall signs do not require site /plot plans.
Materials: ls..../M/1Qr0idpa) !/
• Freestanding signs over 6 ft. required a building
Will sign have illumination? Yes ❑ No permit.
Type: . Internal 0 External • If work authorized under a sign permit has not been
Are there any exis ' ree stan 1 .r wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
I Yes ❑ No 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 l.? - day of { , 20 I()
Si tur7of Owner /Agent
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Co ct erson Name Phone No.
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CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
• 503.639.4171
TIGARD
Receipt Number: 177691 - 04/26/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00066 Sign Permit 1003100-43115 $35.00
SGN2010 -00066 Sign Permit - LRP 1003100 -43117 $5.00
Total: $40.00
•
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1072 KPEERMAN 04/26/2010 $40.00
Payor: Meyer Sign Co. of Oregon, Inc.
Total Payments: $40.00
Balance Due: $0.00
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