SGN2000-00144 C ITY OF TIGARD SIGN PERMIT
�d iA DEVELOPMENT SERVICES PERMIT #: SGN2000 -00144
,.I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/22/2000
EXPIRATION DATE:
BUSINESS NAME: VERIZON WIRELESS PARCEL: 2S112DD -0160
SIGN LOCATION: 15495 SW SEQUOIA PKWY 150
APPLICANT /AGENT: ZONE: I -P
BUSINESS TAX NO: • JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X 8'
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Replace facing on existing 30" x 8 ' monument sign.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N •
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 ign hall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval data
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 4/23/2000
'Q-.24).Le. `\\04\v. \t4,\
f
;ITY OF TIGARD Sign Permit Application Date d Redd
t or Temporary Permit No. LOO- Ool
3125 SW HALL BLVD. Permanent y
'IGARD, OR 97223 Commercial or Residential Permit Fee
Receipt No.
503) 639 -4171 Reed
Please Print or Type.
Incomplete or illegible applications will not be accepted.
Name o Development/Projed Are there any existing freestanding or wall' signs at this
location, including wall signs that overlap a tenant space?
Site 'Li' c ZrO� � ► re /e).3 location, Yes ❑ No
Address/ Street Address £ YCA4,\Okil If "yes ", a list or diagram of all sign dimensions and
Location MIA c \ S J„ Z..p
Suite/Bldg. # City /Stale Zip
/ S l ` ��, ok square footage must also be submitted.
NOTE: If work authorized under a sign permit has not
Name — S 0 v \\ 0 \ \ck been completed within ninety days after the
Property c caL,Y\N 6A. issuance of the permit, THE PERMIT WILL
Mailing Address Suite BECOME NULL AND VOID.
Owner \5'3 5\-� Se,�v.��a 3 0
City /State Zip Phone 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
,kt.A05- �1
0aa` t ^).VC' .1,, 11 owner, and that plans submitted are in compliance with the City of Tigard.
Tenant or Na m Date
Business
Q1^ \ \oh \� Q S S of Owner /Age
-
Name Phone
`0 . o � C t, \IN Contact Person Name
Sign \N\%1/4\v S \�� L.J
Contractor
Mailing Address Suite
Prior to permit -) 3 I k b 5 l.c dtc\ikv\f-.L .
issuance, a Phone
copy City /State Zip
of all licenses 543 (13 ii .1,06 Required'Submitfal::Elements
expired in Oregon Const. Cont. Board
`� ra. UVL r 11 � ,�.�
if
cared .:..:.....:_..:.._._:.::,: .._:.::_.:,_..: :...,.__..._.... _. .
are required .
Ex .Date
P
• Co pleted appli form
C.O.T. License # 6 01 ( , 3 o D' �� ❑ drawn to scal
database ❑ 2 copie of sit pla
Propgsed t copies; tfabul re
❑ Permanent 71 ❑ Freeway
• Sign Freestanding ❑ Electronic size require 8 1/2 x 1 or 11. x 17
Check l that ❑ Temporary Note Wallsigns do no require stt elplot:pl a ns.
Wall ❑ Balloon
apply ❑ Other ❑ Billboard ❑ co pies of
2 elevations drawn to scale
: 0 - : ;cop1e ":s, if a building :permit is required)
.� New sign? si ze requirement '.,:18A/2.•::-:x.-.- 1 ", to 24" x 3 6 "
b�Q. Alteration to existing sign? Note Wall signs•do ri not need :tote drawn to
Sign Dimensions: i scale, t ut m ust i.nclude dim ensions
6
g i,. .$
[] $5Q Oq Fee { Permanent sign, a ny s ize)
em ora sl n an
Total Sign Area (sq. ft.): (�. ' $15�30�F�e ;(T .- :P::: ..:: �! =• g- �:.::y p . _
Sign '10 Si n
Data Total Wall Area (sq. ft.) R
Please
complete Direction Wall Faces (circle one):
each item FOR OFFICE USE ONLY:
in this N S E W NE NW SE SW Map /TL# ,zS Zoning: / / L (7 P 616 cA
section Notes •
Height to top of sign (feet):
Projection From Wall (inches): Electrical Permit.Required? ❑ Yes AD
Copy: .
Building permit Required? ❑ Yes No
Materials:
Will sign have illumination? No ❑ Yes Date of App wa
Approved eY' . %, 4. v a • „
Type: 'Internal ❑External Facplration oat;. -
Customer Receipt
CITY OF TIGARD Printed: 08/22/2000 09:10
User: kristie
Station: 02
Operator: kjp
Rcpt No: 0004639 Date: 08/22/2000
Customer No: 000000 Amount Due: 242.34
Name: MEYER SIGN CO OF OREGON Cash: 0.00
Address: 7340 SW LANDMARD LN Check: 242.34
TIGARD, OR 97223 N/A 0.00
Change: 0.00
Type Description Amount
SIGN Sign Permit Fees 50.00
SIGN Sign Permit Fees 50.00
SIGN Sign Permit Fees 50.00
ELPRMT Electrical Permit 85.50
TAX St. Build Permit Tax 8% 6.84
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