SGN2005-00308 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2005-00308
L6
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 10/20/2005
PARCEL: 1S12600-00300
BUSINESS NAME: JANEVILLE ZONE: C-G
SIGN LOCATION: 09339 SW WASHINGTON SQUARE RD JURISDICTION: TIG
APPLICANT/AGENT: SECURITY SIGNS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 11'X 2' 9.5"
TOTAL SIGN AREA: 31 sq.ft.
WALL AREA: 1,131 sq.ft.
WALL FACE(DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: EXT
DESCRIPTION OF SIGN: Install one permanent wall sign. (11'x2' 9.5")
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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 10 days
from validity date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 10/20/2005
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223(503) 639-4171 FAX.- (503) 684-7297
GENERAL INFORMATION
Name Development/Project FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: J< (SIJ Uo5 — oo3u
Location 33lj Wafh S • Expiration Date:
Swte/Bldg.# City/State Uzip
Receipt#: vol oo 5- 5�,4
Name Approved By:
Property )(k S VX S Date:
Owner Mailing Address Suite Map/TL#:
Zoning:
City/State Zip Phone
Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business --!5;' Building Permit Required? El Yes E] No
Name Rev.2/28/2003 i:\curpin\masters\revised\sign permit app.doc
SignGC�
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(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 c) 2^. Of-- or?w32324! El 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 ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11", or 11" x 17"
Sign ❑ Temporary Wall ❑ Electronic
(Check all that ❑ Other Billboard ❑ Balloon El copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensiops:
�! -) 9 /a. I 1 ❑ $38"0 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): � 1 ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 'A0X 3 Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E NE NW SE SW
Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: ♦ Wall signs do not require site/plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: 0 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 overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes ❑ No
If"yes",a list or diagram of all sign dimensions and
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 day of , 20
Signature of Owner/Agent
Contact Person Name Phone No.
CITY OF TIGARD 10/20/2005
13125 SW Hall Blvd. 11:32:38AM
Tigard,Oregon 97223
(503) 639-4171
Receipt #: 27200500000000005342
Date: 10/20/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005-00308 [SIGN] Sign Permit 100-0000-437000 33.00
SGN2005-00308 [LRPF] LR Planning Surcharge 100-0000-438050 5.00
Line Item Total: $38.00
Payments:
Method Payer User ID AcctJCheck No.Approval No. How Received Amount Paid
Check SECURITY SIGNS,INC cac 014291 In Person 38.00
Payment Total: $38.00
cReceipt.rpt Page 1 of 1
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Conditionally Approved......................................
For only the work as described in:
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. 1 Y 4,rt PERMIT NO. "o
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STOREFRONT ELEVATION-EXTERIOR SCALE: 3/16"= 1'- 0" RY •�' Dats:111� 'd S Q N Q