SGN1997-00149 SIGN PERMIT APPLICATION
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
CITY OF TIGARD
GENERAL INFORMATION (PLEASE PRINT CLEARLY)
Sign Address /Location: / •2 i4e/ ,
F AFFUS :.`
Name of
e Tenant/Business: ess: E
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Address: / - S�r ,/x(/77
<::Received:::By °'' ;�. ::
Applicant/Agent/Contact Person :.s % -
Sign Company: Phone: 2 ¢/7 Z
Perm N, :> : >> .:.;P ' v.: ,
Address: -4 /c%
COY 99c9/1-- R pt No., .., ..................
State: i
P
9 Company Dateof'A royal
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Sign Com an C.C.B. #: �93
Expiration
Date:
City Tigard Ti and Business Tax #:
(or) Expiration Date: ning: l
Metro Business s ess Li
cense #:
Expiration x anon D
ate.
P
ElectricalPermit.Re uired,.:Yes:. No.
Bu in
Proposed Sign: (check as many as applicable) 9 PermttRequ�ced Y , ...❑ .. No :''
Permanent I j Freestanding ❑ Freeway ❑ Rev 12/27/96 I lcurpinlmastersls _pa doc
Temporary ❑ Wall Electronic ❑
Other ❑ Billboard ❑ Balloon ❑
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Sign Dimensions: 2 ,Y 7 - Y /6
Total Sign Areas (sq. ft.): REQUIRED SUBMITTAL ELEMENTS
Total Wall Area (sq. ft.):
Direction Wall Faces: (circle one) ()SE W NE NW SE SW ( Completed Application Form
Height (ft.) :_O " Site /Plot Plan Drawn to Scale
Projection from Wall:
(2 copies, 3 if a building permit is required)
Illumination: Yes 21 ❑ Type: Internal "xternal ❑ I Elevations Drawn to Scale
(2 copies, 3 if a building permit is required)
U.L. Label #:
(� Applicant's Statement
Copy: � i 1-' ��- � /2457fT�e.- ,'Fee (Permanent Sign, any size) $50.00
Materials: /? ,4 L- ❑ Fee (Temporary Sign) $15.00
Are there any Existing Signs at this Location? Yes 'No ❑ I certify t -t I am the recorded owner of the
if yes, a list of all sign dimensions must also be submitted.) prope , sr an ag - nt authori ed by the owner.
NOTE: b If work authorized under a sign permit has not been
completed within ninety days after the issuance of the /A .
permit, THE PERMIT SHALL BECOME NULL AND VOID. ,Applicant Sign - ure
1
List any VARIANCE OR OTHER LAND USE ACTIONS to be considered as part of this application:
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as
described on the front of this application in the "Required Submittal Elements" box. q
(Detailed Submittal Requirement Information sheets can be obtained, upon request, for all types of Land Use Applications.)
THE APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions that may be attached to or imposed upon the subiect
property,
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all
the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true;
and the applicants so acknowledge that any permit issued, based on this application, may be revoked if it is found that
any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and understands the
requirements for approving or denying the application.
e
SIGNATURES of each owner of the subject property.
DATED this day of • 19
Owner's Signature Owner's Signature
Owner's Signature Owner's Signature
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1/4" PARABOLT FABRICATED
RUST PROOF LETTER (5" DEEP)
FASTENERS @ ENAM. SATIN BLACK
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WHITE PLASTIC FACE
WITH TEAL VINYL OVER
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1 THIS ORIGINAL DESIGN AND SPECIFICATIONS ARE THE PROPERTY ,,. • .. , F.• ���~
OF SECURITY SIGNS,INC. AND ITS USE IN ANY WAY OTHER THAN
AUTHORIZED IS STRICTLY FORBIDDEN ,.: ; � nj` fi `
1 - 30 " �0 +/ _ T — _�EESECTTON FOR STEM= WALL =-
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ENTRY PLAN
A2 1/4' - 1' -O
Q
A3 sMM.
NEW ENTRY SURROUND
• DREXEL HERITAGE
SIGNAGE AND LOGO
EXTERIOR INSULATION
FINISH SYSTEM (EIFS)
PROVIDE REVEALS PER
, ‘ • BUILDING ELEVATIONS
aul DREXEL
HERITAGE NOTE: FIELD VERIFY
AND COORDINATE
H CANOPY AND SIGNAGE
HOME INSPIRATIONS
REQUIREMENTS
FABRIC CANOPY BY OTHERS
XIST. STOREFRONT
ENTRY SURROUND
•
TOP OF CONC. STEM WALL
BOT. OF STUD CONST.
PAINT TO MATCH
•
XISTING GRADE
;ISTING
. .RE ..__.._.,
:RETE
SHALL I
ABO E. 4 ENTRY ELEVATION •
•
A2 1/4' - 1'-a' 6 e