SGN1999-00143 CITY TIGARD SIGN PERMIT
• A I DEVELOPMENT SERVICES PERMIT #: SGN1999 -00143
. - 1 3125 SW Hail Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/17/1999
.74 EXPIRATION DATE:
BUSINESS NAME: EMPLOYERS OVERLOAD PARCEL: 2S101AA 0830;
SIGN LOCATION: 12540 SW 69TH AVE
APPLICANT /AGENT: ZONE: MUE
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 13'
TOTAL SIGN AREA: "30 sq. ft.
WALL AREA: 1,376 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 15 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install a permanent 2' 3" x 13' 0" wall sign to existing commercial building.
MATERIALS: CAST ALUMINU
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary shall expire 30 days from approval date. A balloon sign shall expire 10
clays from annrnval data
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 12/17/1999
C iF TIGARD Sign Permit Application Recd By G
Date Recd /A"?
13125 SW HALL BLVD. Permanent or Temporary Permit No. 5 z&/ y // f g_3
TIGARD, OR 97223 Commercial or Residential Permit Fee
(503) 639 -4171 Receipt No.
Please Print or Type. Called
Incomplete or illegible applications will not be accepted.
-
Name of Development/Project
Site IFY■Af'(-09E1 a No � I Type: Internal ❑ External
A ddress/ St'eetAddress , t Are there any existing freestanding,nr wall signs- this
I Location 7- �(-0 S • VJ • CI ,,, location, including wall signs that overlap a tenant space
Suite /Bldg. # City /State Zip „ „ III If "yes", a list or diagram of al dimensions and
11 1)114/0 (P-, 91 LL 3 square footage must also be submitted.
Name / p
Property P� 5 Z �� et-PrO
Mailing Address Suite NOTE: If work authorized under a sign permit has not
Owner
v i ��v� been completed within ninety days after the
2 7 2,2,5Y � issuance of the permit, THE PERMIT WILL
City /State rc -1 t ),; Zip Phone BECOME NULL AND VOID.
14))z-P— a S t , e 0 3 o i l - 6 5 - 2-9 O CU
Name I hereby acknowledge that I have read this application, that the
Tenant or f r /� information given is correct, that I am the owner or authorized agent of the
Business r�� . Lt ' Ir 12 5 00,i) -(A owner, and that plans submitted are in compliance with the City of Tigard.
Name Q-f1c 1 ign ure f nelAgent Date
Sign Wmf r cij T��"� I II IL
Contractor Mailing Address Suit
Contact Person Name
P , Phone
i permit �J �� I � 4 2 › ��
o 5J � ` � ��
issuance, a tom � r f� l'7
copy City/State M !t`j Zip Phone
of all `
licenses �, —7b G t �
are required if a �) i
expired in Oregon Const. Cont. Board Exp.. Date
C.O.T. Ucense # // i 1 Li t � 1 database Ufj� i> required Submit Eleme
Proposed
❑ Freeway Permanent ❑ Completed lication fo m
Sign ' u' s s it` drawn t o sca
Check all that Temporary Freest a nding ❑ Electronic ❑ +� ilp tee efp't plan
apply El Other Wall El Balloon (3 co tf a bu ing , permit is required)
Billboard size `i quirefi' nt~ 8- 11 7"
• Nate~ " all suns do nn require sltelplot plans
s New sign? p �ile vations, drawn to s cale
❑ Alteration to existing sign ( i i a building permit is req uired )
Sign Dimensions: L+ _ ;' 12 _ '�i size�luireme ii 1l2" x 1 1 ", to 2 4" "
N Wa s ig n s Flo not need to be drawl n to
Total Sign Area (sq. ft.): � � cale but must in dimensions
Sign '�
g s50 ilk (I�errrianent sign, a siz
Data Total Wall Area (sq. ft.) $15.00 F e e ( T em p ora r y ' s ig n, a n y t ype)
Please I
complete Direction Wall Faces (circle one):
each item
in this N e E W NE NW SE SW
section FOR OFFICE USE ONLY:
Height to top of sign (feet): I M 5/0119 d 3& zoni i! F
Notes
Projection From Wall (inches): I 01
Electrical Permit Requir ❑ Yes No
Copy: F,1v+r LA) L( e/V5
( li PO _ Building Permit Required? [7] Yes No
Materials: tiv Date of Approval:
c �� �(�' p� I �u Approved By:
Will sign have illumination? ❑ Yes IV N
-,' r 4 (1 10/8/99
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