SGN2001-00090 CITY OF TI GARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00090
MEOW 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/18/2001
EXPIRATION DATE:
BUSINESS NAME: ATM PARCEL: 2S1 12AC-021 01
SIGN LOCATION: 14915 SW 72ND AVE
APPLICANT/AGENT: ZONE: I-L
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 24"X 105'
TOTAL SIGN AREA: 17 sq.ft.
WALL AREA: 816 sq. ft.
WALL FACE (DIRECTIONI: N
SIGN HEIGHT: 16 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of(1)one permanent 17.5 sq ft wall sign.
MATERIALS: METAL/FOAM
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 temporary shall expire 30 days from approval date. A balloon sign shall expire 10
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APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 5/18/2001
.ITY OF TIGARD Sign Permit Application DateReceRecdc' IC 7*
Date d Q /
;3125 SW HALL BLVD. Permanent or Temporary Pemdt No. 2 2-4 rod
TIGARD, OR 97223 Commercial or Residential Permit Fee - "-
{: 6394171 Receipt No. =s a/ -A tJ W
�--_ Please Print or Type. called
Incomplete or illegible applications will not be accepted.
Name of Development/Project Are there any existing freestanding or wall signs at this
Site 0 �A T location, including wall signs that overlap a tenant space?
AddreSsf Street Address ❑ Yes P, No
Location j / `�� 7� �'`( 1�`�. if"yes",a list or diagram of all sign dimensions and
square footage must also be submitted.
Suite/Bldg.i City/State Zip
Name NOTE: If work authorized under a sign permit has not
Property J �-� �� �,� been completed within ninety days after the
p issuance of the permit,THE PERMIT WILL
Owner Mailing Address Re BECOME NULL AND VOID.
Cfly/State Zip Phone 1 hereby acknowledge that i have read this application,that the
G7Zi 0 563-ZZO-006 7 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.
Tenant or Name
Business 6
Si ture of owner/Agent Date
Name / 7 p/
Sign �� `j\ S costa erson me Phone
Contractor Mailing Addres
Suite
�/, 5
Prior to permit 6 t�
Issuance,a copy
city/State Zip Phone
of an kenses 3 y��-D y(� {
C17�(o e "uiredy-4Su'bmiFttat,£lements
am required If
d in Oregon Const Cont.Board ExP.Date
License iR
C.O.T. I `-I Z �- �w3Q,
database §2p1,
Proposed �.�_ '#h
Freeway
Permanent ❑ ❑ s
Sign Temporary Freestanding E] Electronic
Check an that ❑ wan
apply ❑ Other C] Balloon
❑ BillboardAIN
'/ 5
New sign?
Alteration to existin si n?
Sign Dimensions:
n ions.
Total Sign Area(sq. ft.): I`7 �j ;❑ �('� s " �� ` _ ,
Sign '
Data Total Wall Area(sq. ft.)
Please 5A
complete Direction Wall Faces (circle one): FOR OFFICE USE ONLY:
each item Zoning:
in this ;N) S E W NE NW SE SW
sectlon .
. Notes -�.•
Height to.top of sign(feet): t(o
Projection From Wall (inches): ! Electrical Permit Required? Yes ( No
Copy: �1
Materials: - w» Building Permit Required? ❑ Yes No
1Vill sign have ilium nation? No Yes ete of rdli
Approved$Y:
T pe: Interna! External -� S �� t),/.
Ex "WA date:
N
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S
6C
014
_ CA
FA I
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For A Quality Sign That Right. On Time. '
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For A Quality 9 9 Sign That's Right. On Time.
Receipt #: 27200100000000002068 r--p
T I'40�0 �D E M R K Date: 05/18/2001
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No.
Amount Due
SGN2001-00090Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check DOSEVANS INC TBA TIGARD FASTSIGNS 0 3963 $50.00
TOTAL AMOUNT PAID: $50.00
r
KEYBANK NATIONAL ASSOCIATION 3963
DOSEVANS, INC. TIGARD,OREGON 97223 24.201
DBA TIGARD FASTSIGNS '400-KEYZY01
11525 SW PACIFIC HWY
TIGARD, OR 97223
503-244-8813 /
PAY TO THE $ S(�Xx//0Q
ORDER OF
DOLLARS
� X/ate
MEMO
Nr
112003963112 I: L 2 300 20 L LI: 3 700 9 L00 6 5 II■