SGN2010-00186 CITY OF TIGARD rGR1YlII
1! . Permit #: SGN2010 -00186
COMMUNITY DEVELOPMENT Date Issued: 12/23/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S113AC00101
Jurisdiction: Tigard
Name of Business: Copytronix
Business Address: 16655 SW 72ND AVE 800
Applicant/Agent: Lanphere, David
Work Description: Installation of (1) one 5 s.f. permanent wall sign
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 6.75' x 106"
Total Sign Area: 5
Wall Area: 518
Wall Face (Direction): East •
Sign Height: 12 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: Acrylic
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $164.00
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: /1
Permittee Signature: el+4%-
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• City of Tigard
Sign Permit Application
TIGARD
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site COP y 17?-o„ / )C
Address/ Street Address Permit No.: S 4 a ZO I C - 0 0
Location IloloGS AL.) 72,4> A■• 8 approved By:
Suite /Bldg. # City/State Zip
(300 ptZ-rt_A", , t 9722--1 Date: i
Name Receipt #:
Property PAC..TiZ )C.T Map /TL #: a c 4LDD /0
Owner Mailing Address Suite Zoning: �1 -- 1 �
/6/63s7) Sw SEi•.2ta 3OO Allowable Total Area: of 5 . q /+
O'1144 5 op , s. '15" = /3•S -
City/State Z p Phone
Pb X =- 1 7 ZLy Sig toZy l03•0 Electrical Permit Required? ❑ Yes ,No
Tenant or Name
Business ��ff ►� Building Permit Required? 1=1 Yes ONo
c O -ON/ K
Name Rev. 7/1/10
is \curpin \ masters \land use applications \sign permit app.doc
Sign Ij4NtNn!/4■1 Si c„•J S y i 1Em s, [-t-C..
Contractor Mailing Address Suite
5 /0/ SS I-r' ANc
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
P:Ig-i 0 2 - 977„,o - 503 94 b 8373 (Note: applications will not be accepted
Oregon Const. Cont. Board license # Exp. Date without the required submittal elements)
/'8167'7'2- II / if
❑ Completed Application Form
Proposed 24 Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that wall ❑ Other t »
aPP size requirement: 8 /z x II", or 11 " x 17"
❑ 2 copies of elevations, drawn to scale
0 New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimension: .. size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. tt.): 111 $164.00 Fee (Permanent sign, any size)
S-Se.
Total Wall Area (sq. ft.) ' 111 $52.00 Fee (Temporary sign, any type)
Sign Data = U%
Sl 0
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S CO) W NE NW SE SW
Height to top of sign (feet): 12. • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): t Z C' must include dimensions of wall face and sign
Materials: AG9_1 LA c__
placement.
• Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes la No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs overlap a tenant space?
t A Yes ❑ No
(OVER FOR SIGNATURES)
If "yes ", a list or diagram of all sign dimensions and square �,
fnntaoe must alsn he submitted ✓ ' /7 /
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 r
Signature of Owner /Agent
L.44-fp 603 9y6 8373
Contact Person Name Phone No.
I 12 1 , 1c O AI/ rr..ii 1 m: .,..4 CND n ^1^1'1-, I cn1 c7n 4171 I -,...a _ .. I n.... .."1
CITY OF TIGARD
Approved ...... ° [ /
Conditionally Approved [ i
For only the work s described 4 Side View
PERMIT NO.
See Letter to: Follow ................ ........ ....... _. -- [ 1
A ... [ g o
Job Ad s - S S S� Z6 .
by:.__ [?p'o' 1/8" Stud (4 typ per letter)
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3/16" Acrylic Letter Stud Mounted
:OPYTRONIN... A Xerox Company 11/4" Dryvit Fascia
5/8" Plywood B:
6.75" x 106" = 5 square feet
Proparod For. Project Manager. Revlelona
Oave Lanphere Ho Daa„tpol,,, pate Approval CO Copyright 2007 Hannah Sig]
l ' - 4 1 ji / NA, s - -- -- - 9 - This original property and d specifications - Cl S i the exclusive r of Hannah Sign
C Data 12l Alo
Soot. NT8 Hannah use of this design to produce a semi
S IG N sys�ms 1-1-e � ient n ature sign Systems is H prohib annah Sign Systems s strictltly prohib
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HALLMARK OF CUSTOM BUILT SIGNS L- 8429 SE 65TH AVE. PORTLAND. OR 97206 PHONE 503-946 -8373 FAX 503. 206.4900 CCBI4 188772
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Prepared For. Project Manager. RevhHona
DaveLenphere H. Da.wtraon vu Approval m This original design Copyright 2007 Hannah Sig
2.1 _.. _. texiveertyospecifications nu
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'tgpea�Nnt►ars Client Signature the ofIrodc
Data 1.41W Wb The use of this design to produce a sim
sign without written authorization fro:
::---- N 5`f STEMS LLC hail NM _ Hannah Sign Systems is strictly prohit
r HALLMARK OF CUSTOM BUILT SIGNS 8429 SE 65TH AVE. PORTLAND, OR 97206 PHONE 503-946-8373 FAX 503-206-4900 CCB# 18877:
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13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGAR.D
Receipt Number: 180800 - 12/23/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00186 Sign Permit 1003100 -43115 $143.00
SGN2010 -00186 Sign Permit - LRP 1003100 -43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 065612 065612 KPEERMAN 12/23/2010 $164.00
Payor: David P. Lanphere
Total Payments: $164.00
Balance Due: $0.00