SGN2002-00171 C I TY OF TIGARD SIGN PERMIT
� DEVELOPMENT SERVICES PERMIT #: SGN2002 -00171
e• I DATE ISSUED: 9/30/2002
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: KEY BANK
SIGN LOCATION: 11665 SW PACIFIC HWY PARCEL: 1S136CA
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
•
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X25'8"
TOTAL SIGN AREA: 76 sq. ft.
WALL AREA: 1,936 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: installation of a 76.98 sq. ft. permanent wall sign
MATERIALS: SHEET METAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
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 expire:1 f day p m validity date.
I /
APPROVED BY:
PERMITTEE S IGNATURE/� > ��` p,
DATE: 9730/2002
v
4
i - A •
4 '" ° ` �; 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 DevelopmenUProject
K I ,� FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: s 3 ti 20 v 2 () LI ( / -
Location ) ( 4'4 5 L) 104- c i N c__ i4c. i-t
Expiration Date:
Suite /Bldg. # City /State Zip
11 A420 evk Receipt #:
Name Approved By: S!A E ,,. u„ ce .r p.
Property !� 1[41-i Date: /
Owner Mailing Address Suite Map /TL #: /S /.3 (C 4 --O /,o f
)(co tes 5w• pa. -tR,r-r Zoning: Cy
City /State Zip Phone
Electrical Permit Required? gi Yes ❑ No
'Tenant or Name •
Business $ T 13/kNK Building Permit Required? ❑ Yes g{ No
Name Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc
• HI S /4vL.s C'kP-
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit & 9i.v, H(.4.1Z I t4,rzy, (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are ®�P, 9 -3 4A 3
required if 'fr�OAd Completed Application Form
expired in the Oregon Const. Cont. Board Exp. D to
City of Tigard's License # !01_59 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) 9 r � �� (3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ ❑ ❑ ❑ 2 copies of elevations, drawn to scale
Oth Billboard Balloon
apply) (3 copies, if a building permit is required) •
New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions:
3 ZS 'V ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 7 t, ,If 4)
❑ $15.00 Fee (Temporary sign, any type)
• Sign Data Total Wall Area (sq. ft.) f4.3 cP SQT '►' •
(Complete all Direction Wall Faces (circle one): ' NOTES:
items in this
section) N E) E W NE NW SE SW
e 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): sign placement.
Copy: a Wall signs do not require site /plot plans.
Materials: * Freestanding signs over 6 ft. required a
building permit.
Will sign have illu ation? Yes El No a If work authorized under a sign permit has not
Type: ainternal ❑ 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.
0 es ❑ No
If "yes ", a list or diagram of all sign dimensions and I I
square footage must also be submitted.
(OVER FOR SIGNATURES)
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 -7e9 -tz, day of � � -� , 20 C ?—
Signature of Owner /Agent
/
jc73 — Cv>4f)--g ?Q'
enact P: r Name Phone No.
T I D E M A R K
COMPUTER SYSTEMS. INC
Receipt #: 27200200000000003653
Date: 09/27/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00171 [SIGN] Sign Peunit 100- 0000 - 437000 30.00
ELC2002 -00510 [ELPRMT] ELC Permit 220- 0000 - 431510 53.40
ELC2002 -00510 [TAX] 8% State Tax 100 - 0000 - 207020 4.27
Line Item Total: $87.67
Payments:
Method Payer Bank No Account No Confirm No How Received Amount Paid
Check HIGHLAND SIGN CORP. BB 3581 In Person 87.67
Payment Total: $87.67
Page 1 of 1 cReceipt.rpt
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LOCO /LETTER LAYOUT: 3/8 "= 1'a0” ,
NOTES: °
INDIVIDUAL NEON LOGO & LETTERS WITH PLASTIC itsa
FACES AND JEWELITE TRIM, MOUNTED ON ALUMINUM
pi. g ' bi . 4
RACEWAY.
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LOGO FACE TO BE WHITE #2447 PLEXIGLAS WITH C C4
FIRST SURFACE APPLIED RED TRANSLUCENT VINYL M
# 3630 -33. TRIM AND RETURNS TO BE RED TO MATCH 9
RED PMS ##032. g
C LETTER FACES TO BE CASACRYL BLACK- AND - WHITE.
D TRIM AND RETURNS TO BE WHITE.
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NOTES: el 5
MANUFACTURE AND INSTALL ONE(1) C 5
FLAT LEXAN FACE REPLACEMENT FOR ®
AN EXISTING INTERNALLY-ILLUMINATED • UMINATED G
WALL SIGN. 1
BACKGROUND OF FACE TO BE BLACK. ®
KEY LOGO TO MATCH RED PMS 032C. awn Z
COPY TO BE WHITE.
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BUILDING ELEVATION: 3/32 "= 1'-0" I ` I
Oregon Construction Contractors Board » License Details Page 1 of 1
OREGON CONSTRUCTION CONTRACTORS BOARD
License Details as of June 26, 2002 8:33 AM
LICENSE NUMBER: 78140
NAME: PACIFIC NORTHERN ENVIRONMENTAL CORP
ADDRESS: 1081 COLUMBIA BLVD LONGVIEW WA 98632
WORK PHONE NUMBER: 503 - 423 -2245
LICENSE STATUS: Active ENTITY TYPE: Corporation
EXPIRATION DATE: 12/5/2003 LICENSE CATEGORY: General Contractor /All
Non - Exempt (Has
DATE FIRST LICENSED: 12/5/1991 EMPLOYER STATUS: Employees - Must Have
Workers' Comp Coverage)
UNITED STATES DON'T USE! /ZURICH INS
BOND COMPANY: FIDELITY & GUARANTY INSURANCE COMPANY: CO MERGED INTO 420 -
CO USE 420
BOND AMOUNT: $ 15000 INSURANCE AMOUNT: $ 1000000
BOND EFFECTIVE TO: 12/5/2003 INSURANCE EFFECTIVE 7/1/2002
TO:
View Bond History View Insurance History
View Claims History View X- Reference Licenses
View Associated Names View SIC Codes
View Building Codes Division License Details
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