SGN2001-00108 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00108
13125 SW Hall Blvd.,Tigard, OR 972M3503) 639-4171DATE ISSUED: 6/18/2001
EXPIRATION DATE:
BUSINESS NAME: TIGARD ORENOMAHI N LOCATION: 13680 SW 115TH AVE PARCEL: 2S103DC-0590
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APPLICANT/AGENT: TIGARD ORENOMAH ZONE: R-4.5
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8'X 4'5"
TOTAL SIGN AREA: 36 sq. ft.
WALL AREA: sq. ft.
WALL FACE(DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of(1)permanent freestanding illuminated sign. Not to be placed in
visual clearance area or public right-of-way
MATERIALS: PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject tot gulations contained 'n the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. wo will be done in c rdance with approved plans. A sign permit shall expire 90
days from approval date!w; mpora sign shall exp' a days from approval date. A balloon sign shall expire 10
dw-,fmm annmval data
APPROVED B
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PERMITTEE SIGNATURE:
DATE: 6/18/2001
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SIV Hall Blvd., Tigard, OR 97223(503) 639-4171 FAX (503) 684-7297
GENERAL INFORMATION
Name of Development/Project
Site
FOR STAFF USE ONLY
Address/ Street Address
Location 13&20 56� Avl i r�I Permit No.: 466 r c
Suite/Bldg.# City/State Zip
._.- � �f��v�3 Expiration Date: ft
Name Receipt#:
PropertyAl: Approved By:
Owner Mailing Address Suite Date:—
g
�eC , 6/v Map/TL#: 51 d C .. O I 100
City/State Zip Phone Zoning: C —
Tenant or Natfie l / ❑
Electrical Permit Required?; [g)Yes No
Business
Name Building Permit Required? ❑ Yeslo
Sign
Rev.12/V2000i:\curpinlmasterslrevisedlsi n permit app.doc
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Contractor Mair g Address Sui
(Prior to permit /,� ^issuance,a !� C,/)`
copy of all Ci y/state zip Phone
licenses are REQUIRED SUBMITTAL ELEMENTS
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required if / (Note: applications will not be accepted
expired in the Oregon Const.Cont.Board Exp.Date without the required submittal elements)
City of Tigard's License#)
databasejI d
Proposed Completed Application Form
p Permanent ❑ Freestanding ❑ Freeway
Sign Temporary Wall 2 Copies of Site/Plot Plan, Drawn to Scale
❑
Electronic 3 copies,if a building q
(Check all that ( Piesg permit is required)
apply) Other ❑ Billboard ❑ Balloon size requirement: 81/2"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)
size requirement: 81/2"x 11",to 24"x 36"
Total Sign (sq. ft.): [$50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sg)ft. ❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
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): 1/'-, ` but must include dimensions of wall face and
Projection From Wall (i ches): 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: 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.
j
EJ Yes No
If"yes", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
square footage must also be submitted.
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Receipt #: 27200100000000002483 011
Date: 06/18/2001
T I D E M A R K
COMPUTER SYSTEMS, tNC.
Line m
L ne Ite s:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00108Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check MULTI-LIGHT SIGN CO 0 33736 $50.00
TOTAL AMOUNT PAID: $50.00
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TIGARD ORENOMAH
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DOUBLE FACE SIGN DETAIL
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81_0" 11-41'
TIGA" ORENOMAH
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"SPACER
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DATE ADDRESS /COMPANY NAME DESCRIPTION
05-23-01 TIGARD ORENOMAH Internally illuminated double faced cabinet sign
PH.(503) 281 -3083 MASONIC LODGE installed on existing brick base.
13680 S.W. Pacific Hwy cabinet painted blue to match vinyl.
SCALE copy cobalt blue with silver on logo.
Fax(503) 280-9624 1 „_1 6„ Tigard, OR 97223 address is white vinyl on street side only.
rorenomah masonic temple Reveal painted black.