SGN2002-00052 CITY TIGARD SIGN PERMIT
i D EVELOPMENT SERVICES PERMIT #: SGN2002 -00052
I
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/16/2002
EXPIRATION DATE:
BUSINESS NAME: DOLLAR TREE PARCEL: 2S115BA -0010'
SIGN LOCATION: 16200 SW PACIFIC HWY Y
APPLICANT /AGENT: ZONE: C -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 56 "X511"
TOTAL SIGN AREA: 198 sq. ft.
WALL AREA: 1,350 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 198.72 sq ft permanent wall sign.
MATERIALS: ALUM /PLASTIC
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: Y
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 sign all a pire 30 days from approval date. A balloon sign shall expire 10
tiavc from annrnval data
APPROVED BY: — _,
PERMITTEE SIGNATURE: 1 / 4 (
DATE: 4/16/2002
•
�,; �t�ill SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION £ LC. ZQ-Q-z - O
Name of DevelopmenUProject
FOR STAFF USE ONLY
Site 4 --(--- ,6 1/4■ 2 ■ 1 a _ ,
Address/ Street Address Permit No.: 5 i /..) 2--00 2 - 00 U 52___
Location 1(_ c_-u PikG(F%C
E xp i rat i on Date:
Suite/Bldg # City /State Zip
�CX Receipt #:
Name Approved By:
Pro perty Date: `� � a,OZ
Owner Mailing Address Suite Map/TL #: 2" I I Y" 0 i 4--
Zoning: C 9
City /State Zip Phone /
Electrical Permit Required? Yes ❑ No
Tenant or Name
Business L,.t Z c7E Building Permit Required? ❑ Yes [ No
Name Rev. 30- Jul-01 is \curpin \masters \revised \sign permit app.doc
Sign C U0-47r 1 C L.LS ,
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to pe rmit ��� S� `— Z—�I (Note: applications will not be accepted
issuance, a l without the required submittal elements)
copy of all /State Zip Phone
licenses are Z„ r7 Z '
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) \Z a3 (3 copies, if a building permit is required)
Proposed III Permanent ❑ g Freeway
size requirement: 8 x 11 ", or 11" x 17"
Freestandin Freewa
Sign ❑ Temporary wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that (3 copies, if a building permit is required)
apply) ❑ Other i and ❑ Balloon size requirement: 8 x 11 ", to 24" x 36"
New sign? 1:1 Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: ,r r
��_ X (42: ---7 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): /1
r
NO S:
Si n Data Total Wall Area (sq. ft.) Wall signs do not need to be drawn to scale,
g � Z ire- but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): • sign placement.
items in this
section) N S E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: r. c k -�'___ been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? Ec---Y.es El No BECOME NULL AND VOID.
Type: ternal External
Are there any existing frees at ndin or wall signs at this ( -Not all jurisdictions accept credit cards, please call jurisdiction for more information.
y g g g ❑ Visa ❑ MasterCard
location, including wall signs that overlap a tenant space?
Credit card number / /
❑ Yes ❑ No
Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted.
Cardholder signature Amount
(OVER FOR SIGNATURES)
I' •
I hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this day of , 20
Sigma of Owner /Agent
.
Contact Person Name Phone No.
•
42' -7 " +- "DOLLAR " (56''x511"=198, 72 & .)
EXPOSED RACEWAY y .. 5 1, -
1.1 H "h.x8 "d.x length) no E i' MOUNTING
i
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DO !1$ 4IIi flN!!k!! J 1 Zile' A. CKYLG i� O L n.a Far letter)
Wilt (se equi ) / (nn
TU WIRE
+ '
HOUDIN&
S FACE 11 A l Vi MIL CONDUIT
NEON TUCE I�AYYN')
(UL Arrays.) _' ils TRTN9 FORMER
III 1
SIGN A NEON ILLUMINATED P/C SIGN (on exF}_sed raceway) O40A. LUMINU1- . MIEN 4aYYnveA - e.)
RETURN ETYODED RPGE'WA,
not to scale I.. Aamnnect a witch)
D OILDINO FA. 1 p,
Sir C'" � M C) D f AN-CHAN. 1211P. DETAIL ON EACEWAY WE
is .A 0 M I
54'+ BLDG FASCIA(' r 935G sq. fl.x?5 2G2.5 sq. ft.) 1.- r c e, K , 2- El EQ. 42'-7 " + - - E51, I. , i -4 - 4
+ a lp O Q� 1
SIGN ' F A MC.DONA
( 1 1 I
,
W ` < PL9ER 150h5' RITE
_ �: AID ,
Q 1
A/.
— 7
G' 4
N fi I �� /Y
__._____
____,,__ I 11 ,___L_ 1.____ 7 ----- _— ---] --- _ / oawR
BUILDING FRONT ELEVATION / �� �— — T"' SCALE 3!32 " =1' -0" 1� SIGN "A
_.C., LOGAT ION NORTH
SITE ELAN NOT TO SCALE
I JOB INFO I FILE I EPECIFICATIONB
WORK ORDER# SALESPERSON MIKE NOORDEWER REVISIONS: SCALE: I SONS A NEC A1 ILLUMINATED P/C LETTER (cn exposed raceway)
(ISS UNITED 4732 Kiernan Court i CLIENT: DOLLAR TREE DRAWN BY BAM 4-4 -02 bam NOTED
ALL CORY GREEN -51 21 ACRYLIC, C_47EEN NEOI ILLUMNATION, UL APPPO'kD
Salida, Calif 95369 I CONTACT: PAGE 1OF 1 4 - - barn FILE NAME: ABCAE TOHAVEBRONM 1 "TPRICAPW /BRONMT AL UMINUMRETURNS
SIGN SYSTEMS DATE. 1212 - ;y E} POiEDSHi' MTLRACE `NAYPANTED MATCH BULOBIGFASCIA
1 -800-481 -SIGN DOLLAR TREE -
c s L. #71D I FAX (2091 543 -1326 16,00 PROJECT LOCATION: CLIENT APPROVAL DATE k tigard,ore
DESIGN MANUFACTURING INSTALLATION MAINTENANCE I TIGARD, ORE LANDLOEDAEROAL DATE 1 o. f11 ,,,,, µ ,,, ,,,,,,,„,, /wRI „,,,, ,s „„S “.1(,..1( .,1(... « " ..., r „",,,,, ”
Receipt #: 27200200000000001360
Date: 04/16/2002
T I D E M A R K
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00052 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check SECURITY SIGNS INC 0 008286 $50.00
TOTAL AMOUNT PAID: $50.00