SGN2000-00151 CITYOF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES
PERMIT#: SGN2000-00151
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/14/2000
EXPIRATION DATE:
BUSINESS NAME: NORTHWEST OCCUPATIONAL MEDICINE CENTER PARCEL: 2S11011313-01501
SIGN LOCATION: 12250 SW GARDEN PL BLD.1
APPLICANT/AGENT: ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 10"X 28'
TOTAL SIGN AREA: 23 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 10 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of(1)one 23.33 sq ft permanent wall sign.
MATERIALS: GATERFOAM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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 tem717
II expire 30 days from approval date. A balloon sign shall expire 10
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APPROVED BY: /L-y
PERMITTEE SIGNATURE: k cu� —
DATE: 09/14/2000
08/25/00 FRI 08:51 FAX 503 598 1960 CITY OF TIGARD IA002
Recd By
6/Ty OF TIGARD Sign Permit Application Date Redd
13125 SW HALL BLVD. Permanent or Temporary Permit No.
ShnlZw� oo
TIGARD, OR 97223 Commercial or Residential_ Permit Fee
Receipt No.
(503) 6394171 called
Please Print or Type.
SGwZzavos/ Incomplete or illegible applications will not be accepted.
Name of DevelopmentlProject Are there any existing freestanding or wall signs at this
��
Z I location, including wall signs that overlap a tenant space?
Site x) ❑ Yes K No
Address/ street Address If eyes",a list or diagram of all sign dimensions and
Location )2-25t) SW GNZZ"� �LHC� square footage must also be submitted.
Suite/Bldg.of City/Slate Zip
T(ZFApD bay 07223
Name NOTE: If work authorized under a sign permit has not
�j CKL�2 'pa'pe-0 eS L� been completed within ninety days after the
property issuance of the permit,THE PERMIT WILL
Owner Mailing Address Suite BECOME NULL AND VOID.
X3$0 Sw Y)t1hAwm Av I00
City/State ZiP
Phone 1 hereby acknowledge that 1 have read this application,that the
G7 b p information given is correct.that I am the owner or authorized agent of t
he
TU4TSf�t3-67S-g7�r►�m UYC ! 20 owner,and that plans submitted are in compriance with the City of Tigard.
Tenant or Name Date
Signature of owner/Agent
Business. Ap OW"r 0CLAPAnWW 1ykEZKlnl1:- CT7L i $/ZS_/0D
Name
ct Person Phone
SI6�S i'O� o
Sign uv SD 3
Contractor MaAing Address Suite j
Prior to permit Is°ib7 -U '724 Are- . ' 'Aac, A
issuance.a . .
COPYCity/State Zip Phone r
ofaMlicenses Oct= R�ZZ�- S,03424-07ol * d a re [Submittal Iemettts
are requIred if
eipired in
Oregon Const.Cont.Board Exp.Date as
C.O.T.
uoense
database �
Proposed �{ r
_ �I Permanent
_ El ❑ Freeway
Sign
Temporary Freestanding ❑ Electronic
Cheek all that ❑
❑ Balloon
Wall ;- _
Apply ❑ other
❑ Billboards Ie 1
-
'
New sign?
sle Ut -t0
E] Alteration to existing sign? hlafe.
ns
Sign Dim �e to u i Imenslo ,.
q�
Total Sign Area(sq.ft.):
Sign 25,33 _
Data Total Wall Area(sq.ft.)
Please
complete Direction Wall Faces (circle one): FOR OFFICE USE ONLY:
each item Zoriin
in this N S E NE NW SE SW Ma" 1soo C
/ � - 0
section
Rotes... _
Height to top of sign (feet): I p
Projection From Wall(inches : L S Electrical Permit keq I red? ❑ Yes No
c6W W_
copy: o
Materials: 8iiilding Ferr�iit Requited? ❑ Yes No
Will sign have illumination? No Yes ❑ Date of Ap"-r'L
ApprQveti By
rry -
T Internal ❑ Externalratmon��te
Receipt #: 27200000000000000270
_. Date: 08/31/2000
TCo1M 0T E 3MrEA R CK
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2000-00151Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check NORTHWEST OCCUPATIONAL 0 30100 $50.00
TOTAL AMOUNT PAID: $50.00