SGN2003-00173 CITY OF TIGARD SIGN PERMIT
i , DEVELOPMENT SERVICES PERMIT #: SGN2003 -00173
dk. Lk "13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/29/03
PARCEL: 2S113AA -00600
BUSINESS NAME: AIR FILTERS NW ZONE: I -L
SIGN LOCATION: 16140 SW 72ND AVE B -01 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18" X 16'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 1,400 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install new wall sign. 18" x 16' (24 sq feet)
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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.
APPROVED BY: `� °J
PERMITTEE SIGNATURE: � u� c •
DATE: 7/29/03
i,. l,,, 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
, . , FOR STAFF USE ONLY
Site ., , . s =;, . , : :, y _
Address/ Street Address P 'Z' Permit No.: j G lI aoo 3 - 001'73
Location . � . ' . • - Expiration Date: .
Suite/Bldg. # City /State Zip
Receipt #: aOb.3 - 33 b 7
Name y Approved By: . C
Property P `.4 : . . a : . ^ - Date: ' 7 .a 9 - 03 -
Owner Mailing Address c •. Suite Map/TL #: , 5 / / 3 A- A — O 0 (a 0 0
e ' - Zoning: - L
City/State Zip Phone ', ° ,
Electrical Permit Required? ❑ Yes III No
Tenant or Name
Business " - ? Building Permit Required? ❑ Yes II No
Name Rev. 30-Jul--01 i:lcxrrpinlmasterslrevisedtsign permit app.doc
Sign „
Contractor Mailing Address .• 4 Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a �, " ! ` . �� - v au
copy of all City /State Zip Phone without the required submittal elements)
licenses are .. -
required if = ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
•
City of Tigard's License # - a ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) S • (3 copies, if a building permit is required)
size requirement: 8 x 11 ", or 11° x 17"
Proposed 0 . Permanent ❑ Freestanding ❑ Freeway
Sign ❑ rm Temporary ❑•,wall ❑ Electronic 0 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑Billboard ❑Balloon • (3 copies, if a building permit is required)
apply) size requirement: 81" x 11", to 24" x 36"
❑ New sign? ❑ Alter to existing sign? 0 o C7
Fee (Permanent sign, any size) 1
Sign Dimensions: - . r , '
, ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 4.. NOTES:
Total Wall Area (sq. ft.) . , . _ . . • Wall signs do not need to be drawn to scale,
Sign Data - but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this :.
section) N S E W NE NW SE SW • Wall signs do not require site/plot plans.
'
o Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit. .
Projection From Wall (inches): • „ • If work authorized under a sign permit has not
Copy: , ; •r -. ;. • . ' . " = been completed within ninety (90) days after
Materials: : • ., , :. the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes 0 No
Type: ❑ Internal ❑ External /
Are there any existing freestanding or wall signs at this ( Not all jurisdictions accept credit cards, please call jurisdiction for more information.
❑ Visa ❑ MasterCard
location, including wall signs that overlap a tenant space?
Credit card number / /
❑ Yes ❑ No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
fnuFR FnP RICZNATI IRFRI
_ P T
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
•
Signature of Owner /Agent
Contact Person Name Phone No.
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: 1 Client:
— . ,._... p � _ _, . j . Air Filters NW
ply Contact:
lq,r. L ' ate ' Todd J. Henne
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� . , -� APPROVAL
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1, � , H f Please initial & date
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p y Dated:
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M=8 503-639
These plans are the exclusive property of Classic Sign Systems and the result of the original work of its employees. They are submitted to your company for the sole purpose of your consideration of whether to purchase classign 503 624 8706
these plans or to purchase from Classic Sign Systems a sign manufactured according to these plans. Distribution or exhibition of these plans to anyone other than employees of your company, or use of these plans to - s.com
construct a similar sign Is expressly forbidden. In the event exhlbltbn occurs, Classic Sign Systems will be reimbursed $500 for time and effort. Scale: 0" = 1'0"
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CITY OF TIGARD 7/29/2003
13125 SW Hall Blvd. 9:57:57AM
i,, r ai M ,� ' � I � Tigard, Oregon 9 72 23
(503) 63 9-4 17 1
Receipt #: 27200300000000003307
Date: 07/29/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00173 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
Line Item Total: $30.00
Payments: •
Method Payer User ID Acct /Check Approval No. How Received Amount Paid
Check CLASSIC DIMENSIONAL CAC 10989 In Person 30.00
GRAPHICS INC
Payment Total: $30.00