SGN2001-00180 CITY OF TIGARD
SIGN PERMIT
16 DEVELOPMENT SERVICES PERMIT #: SGN2001 -00180
II DATE ISSUED: 10/08/2001
13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: PAYCHEX
PARCEL: 2S101 BD -00101
SIGN LOCATION: 07650 SW BEVELAND ST
APPLICANT /AGENT: PAYCHEX ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 1910"
TOTAL SIGN AREA: 60 sq. ft.
WALL AREA: 5,700 sq. ft. .,
WALL FACE (DIRECTION): W
W OPY.
SIGN HEIGHT: 1 ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of (1) illuminated wall sign.
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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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 temp sign shall exp - 30 days from approval date. A balloon sign shall expire 10
nays from annrnval r♦atP
APPROVED BY: ' # '/
PERMITTEE SIGNATURE:
DATE: 10/ 8/2001
f A s
a , , ,,,i4 SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX. (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenVProject
Site y� / 640
Address/ Street Address
FOR STAFF USE ONLY
Location t50 giA) e /� N !�
Suite /Bldg. # City/ tate /," Zip Permit No.: k1 2po ( - (Do �
p (
I I J ? Expiration Date: n
Name I Receipt #: ae8 — '400
Property i- / Ar /�, It . Approved By:
Owner Mailing Address S.de l O , f. O I
Date: '—[ ,
,t� � \
Ci tat Map/TL #: c�S 10..�- , ' D -CO / IOV
,�2 Zi p Phone
Tenant or Name
o._) 9z Zoning: - ,�,
Business �-M Electrical Permit Required? Yes
0
Name Building Permit Required?
/� /f/J� T ❑Yes (� No
Sign �� , R ev. 12/1 /2000 is \curpIn\masters\revised\sign permit app.doc
Contractor Mailin Address 'Suite
4-
issuance, to permit —J permit ry, % ' , V,ca2 xeFr/ r 1
copy of all City/ ate Zip Phone
licenses are � IIAvKte 97 // REQUIRED SUBMITTAL ELEMENTS
required wired if /" / /(.0
expired in the Oregon Const. Cont. Board x � p. Date (Note: applications will not be accepted
City of Tigard's License # / without the required submittal elements)
database) KJ /'/ //3/07/
Proposed /_� Permanent ❑ Freestanding ❑ Freeway ❑ Completed Application Form
Sign U Temporary I Wall
(Check all that El Other ❑ Electronic ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
apply) Billboard El Balloon (3 copies, if a building permit is required)
size requirement: 81/2" x 11", or 11" x 17"
New sign? 0 Alter to existing sign?
Sign Dimensions: ❑ 2 copies of elevations, drawn to scale
3 /lei ,
^ / O ti (3 copies, If a building permit is required)
Total Sign Area (sq. ft.): ! size requirement: 8 x 11 ", to 24" x 36"
�9. S t ❑ $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) 570
❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this
section) N S E (220 NW SE SW NOTES:
Height to top of sign (feet): IL/ 27 • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): /p but must include dimensions of wall face and
Copy: -p,4c(CJI6 sign placement.
• Wall signs do not require site /plot plans.
AAA"( • Freestanding signs over 6 ft. required a
Will sign have ill ination? ®'Yes ❑ No building permit.
Type: Internal ❑External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overla a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and LOVER FOR SIGNATURES)
. square footage must also be submitted.
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 / i
" , 20 Ot
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ig ature o +caner /Agent
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Receipt #: 27200100000000004023
Date: 10/08/2001 E Sn
TIDEMARK
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00180 [SIGN] Sign Permit 100-0000-437000 $50.00
SGN2001-00181 [SIGN] Sign Permit 100-0000-437000 $50.00
Payments: •
Method Payer Bank No Acct Check No Confirm No. • Amount Paid
Check TUBEART SIGNS & SPORTS DISPLAYS 0 1694 0 $100.00
TOTAL AMOUNT PAID: $100.00