SGN2001-00172 I
CITY OF TIGARD SIGN PERMIT
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DEVELOPMENT SERVICES PERMIT #: SGN2001 -00172
Ali DATE ISSUED: 9/17/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 EXPIRATION DATE:
BUSINESS NAME: H & R BLOCK PARCEL: 1S126C0 -0010(
SIGN LOCATION: 09225 SW HALL BLVD D
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 11.16'
TOTAL SIGN AREA: 22 sq. ft.
WALL AREA: 1,140 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 15 ft.
PROJECTION FROM WALL: 13 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 22.32 sq ft permanet wall sign.
MATERIALS: ACRYLIC /ALUM
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 signs ,xPire 30 days from approval date. A balloon sign shall expire 10
riays from annmval rlata
APPROVED BY: - / l +
PERMITTEE SIGNATURE: 'c �S
DATE: 9/17/01
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,,,,,• 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
fig g /%Dc=I FOR STAFF USE ONLY
Address/ Street Address
Location 9/IC i t hi( GU Permit No.: N / 1 -- - < ) o ( _ a 0 I "7 Z City/State Zip
T 6 > 62 r 9/ZZ) Expiration Date:
Name Receipt #: 2.420 ( _ o -�
Property Approved By:
Owner
Suite Date: y/77:,, Y
Owner Mailing Address D C p- V Q/ d U
Map/TL #:, i Z Co
City/State Zip Phone
Zoning:..__ .. -/e- ...__.. _
Tenant or Name
Business by R- j ,u Electrical Permit Required? [Yes . ❑ No
Name Building Permit Required? ❑ Yes ❑ No .
t�i ra Y � `,. . G � 7 O j Rev. 12/1 /2000 is�curpinl masters \revised\sign permit app
Sign //s� / / (J
Contractor Mailing Address uite
'(Prior to permit _ issuance. a 73 � W �svi
copy of all City State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are ZZ . Z D - $�
required if T� 6p. . `?7 3 6 2 (Note: applications will not be accepted
expired in the Oregon Cons( Cont. Board Exp. Date without the required submittal elements)
City of Tigard's License # // r r / _2� D 3 A...
database) C `t'o /
❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary all ErGectronic ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 ", or 11" x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: ` . (3 copies, if a building permit is required)
Z' h X ii, I6 W size requirement: 8I /2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
.ZZ. 3 259. FT ❑ $50.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) ��� �� Va./S-
❑ $15.00 Fee (Temporary sign, any type)
Sign Data U. /
(Complete all Direction Wall Faces (circle one): 7 FL .
Items in this NOTES:
section) N S E W NE NW SE SW
• Wall signs do- not need to be drawn to scale,
Height to top of sign (feet):. / Z-- but must include dimensions of wall face and
Projection From Wall (inches): J3 P( sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: (/,.I,, ? 44.c#m . • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? Dies ❑ No • If work authorized under a sign permit has not
Type: OTternal ❑ 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 No
OVER FOR SIGNATURES)
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
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I hereby - acknowledge t • I hav read' this application, -that the information given _is ,
correct that I am the owner or authorized : 'aent of the owner ;
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9 S and that plans submitted are:
in compliance with the'City of Tigard. - 4.=
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DATED this _ day of , • • - . - _ l T .r t , r 1..
Signature of Owner/ ge , f r 4 ; r ,
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SIGN 1-€R)
Receipt #: 27200100000000003765
Date: 09/17/2001
TIDEMARK
COMPUTER SYSTEMS, INC
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
ELC2001 -00459 - [ TAX] 8% State Tax 100- 0000 - 207020 $12.82
ELC2001 -00459 [ELPRMT] ELC Permit 220- 0000 - 431510 $160.20
SGN2001 -00170 [SIGN] Sign. Permit 100 - 0000 - 437000 $50.00
SGN2001 -00171 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2001 -00172 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
Payments: _
Method Payer Bank No Acct Check No Confirm No. - - - Amount Paid
Check MEYER SIGN SO OF OREGON INC 0 - 4022 $323.02
TOTAL AMOUNT PAID: $323.02
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