SGN2003-00026 CITY OF TIGARD SIGN PERMIT
n�'�I�'� DEVELOPMENT SERVICES PERMIT #: SGN2003 -00026
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/6/2003
PARCEL: 25101 DC - 04602
BUSINESS NAME: TELECOM LABS, INC ZONE: I -
SIGN LOCATION: 07337 SW TECH CENTER DR JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2X15
TOTAL SIGN AREA: 30 sq. ft.
WALL AREA: 672 sq. ft.
WALL FACE (DIRECTION): NE
SIGN HEIGHT: 14 ft.
PROJECTION FROM WALL: 2 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: 1
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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 exp 10 days from validity date.
APPROVED BY: '
PERMITTEE SIGNATURE: en A �` ((,(411 /rz 0 vI
DATE: 2/6/2003
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'`''„'e in SIGN PERMIT APPLICATION
CITY Y O F 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 "1 C.c.' \ L ; ir..1 6
Address/ Street Address Permit No.: 1 -G(2)Z
Location - 33 7 S J T e..-r-2.. OZ. Ex p i ration Date:
Suite /Bldg. # City /State Zip W A �� . Receipt #: �/ Name Approved B
R.t_A —.)D c-o\Z..4.41 A —0 Date: 2/6/O3
Mailing Address Suite Map /TL #: 2- S / 0 1 VC -1/C0 z
1 4� �5 5 ,.► '72'r
A r u,. 1- Zoning: G-
City /State Zipp Phone
°f'12z4- Sc3
�..gxL.,d•+D, o'er 4Ea9z- - -,dO° Electrical Permit Required? ❑ Yes [
Tenant or Name Building Permit Required? ❑ Yes g
Business
Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc
Name
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
Contractor
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed permanent El Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign Temporary _ E:1 Electronic
(Check all that ❑ Other L Billboard El Bal loon El Wall copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
vi New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimeni ions: ! , i $' $30.00 Fee (Permanent sign, any size) i
Total Sign Area (s ft.):
z2 • ❑ $15.00 Fee (Temporary sign, any type)
� 5� ��= -r-
Total Wall Area .q. ft.
Sign Data i �"R r
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) NS E W NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): Z ' . sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑. Yes gr No • If work authorized under a sign permit has not
_ Type: ❑ Internal II External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes X
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. - -
(OVER FOR SIGNATURES)
N
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 6 1 day of - C' 6' ' 'A 4- , 20 C7 3
Ail.
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Signature of Owner /At en
V _ , .-A--)IN k--- V.-"J 64-T re,c) Sc> — S ci 1 --
Contact Person Name Phone No.
CITY OF TIGARD 2/6/2003
13125 SW Hall Blvd. 11:39:59AM
AV op 3 •' � i i Tigard, Oregon 97223
, __W (503) 639 -4171
Receipt #: 27200300000000000489
Date: 02/06/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00026 [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
CreditCard ROLAND FORNOTORO MET 001100 In Person 30.00
Payment Total: $30.00
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