SGN2005-00165 , s.
CITY OF T I GA R D SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00165
„hi 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/6/2005
PARCEL: 2S 102AA -04100
BUSINESS NAME: CROWN CARPETS ZONE: CBD
SIGN LOCATION: 12230 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT: MULTILIGHT SIGN
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X 31'
TOTAL SIGN AREA: 78 sq. ft.
WALL AREA: 8,400 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 10 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: P
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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: ^ `� ' ' 0
PERMITTEE SIGNATURE: -'1��
DATE 6/6/2005
4.
■ A, ,AI SIGN PERMIT APPLICATION
Ai, CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name o evelopment/Project r/Idi"ia
��� FOR STAFF USE ONLY
Site
Address/ Street Address - Permit No.: 6 C. N R ov 5 - Co 1 405-
Location , 0Z) c siz /, ),,eti°,
Expiration Date:
Suite /Bldg. # City /State lip
Receipt #: ‘A 005 — �5 4
Name Approved By: 6. t.: l,h
Property Date: !v " (o - oS
Owner Mailing Address Suite Map/TL #: a5 i o2 R A c) . --1-1 °`' —
Zoning: G+ o
City /State Zip Phone
Electrical Permit Required? E] Yes ❑ No
Tenant or Name
Business Building Permit Required? ❑ Yes 4 No
N a Rev. 30 -Jul -01 is \curpin\masterslrevised\sign permit app.doc
Sign /4 Address • / /f- /G� / V/�4
Contractor
fling
(Prior to permit p i, // 4" h/vil uite ' R EQ UIRED SBMITTAL ELEMENTS D (Note: applications will not be accepted i
issuance, a without the required submittal elements)
copy of all i tate p Phone
licenses are `/ �Q �
required if 1,1A//& 5 ❑ Completed Application Form.
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # 7 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) � � (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", or 11" x 17"
Proposed ermanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8'/2" x 11 ", to 24" x 36"
,New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: ___5(7 t ' 31
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 7 7, S
NOTES:
Sign Data Total Wall Area (sq. ft.) � • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N • Wall signs do not require site /plot plans.
Sl E W NE NW SE SW
"`°°" ,� • Freestanding signs over 6 ft. required a
Height to top of sign (feet): •j_. p building permit. •
Projection From Wall (inches): 10 • If work authorized under a sign permit has not
Copy: Czzoit,y) Cat..." been completed within ninety (90) days after Materia aji the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illuminatidn? V ❑ No
Type: Internal ❑ External
Are there any existing freestanding or wall signs at this No all jurisdictions accept credit cards, please call jurisdiction for more information.
❑ Visa ❑ MasterCard
location, including wall signs that overlap a tenant space?
Credit card number / /
❑ Yes NO Expires
if "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
(OVER FOR SIGNATURES)
r
1
b° DEPTH CONCRE I L BLi)CKWALL
SO l. TRIMCAP era, - — V / 22
D GA. SHEET METAL
_- t/2 X WALL THICKNESS ALL- THREAD
-`
,: / (F ASTENERS AS REQUIRED)
5 . p 1 1 /TM 1/M3/16" ANGLE IRON
3 t "I PLEXIGLAS FACE U.L. LISTED T.C. 200 HOUSING
At - NEON TUBING ILLUMINATION
ill , SFORMER AS NEEDED
id iii
' NEON TUBE GLASS STAND j
M.'.:
ti 4" DRAIN HOLE 8" RACEWAY
DEPTH
y1 SECTION DETAIL pan channel on raceway mounted on concrete
A5' 14' 1
0
e
31 '
DATE 6-3 -05 ADDRESS I COMPANY NAME DESCRIPTION
Nil ( 1 { ti ' 1 <-,_.) PH. (503) 281 -3083 Crown Carpet Illuminated 30" Channel Letters - Rea sign faces th 1' Black trim cap
_ b and Black returns es
LAST 05
FAX (503) 280 -9624 SCALE Exposed raceway- color to match the color of the building
is''6zr...NS * CIIIINNEL LIT7WR8 i7 NtON FILE NAME: Crown Carpet
'These plans are the exclusive property of Multi -Light . Co. and are the result of the original work o its employees. They are submitted to your company for the sole purpose of your consideration of whether to purchase these plans or t0
purchase from Multi -Li ht Sign Co. a sign manufactured according to these plans. Distribution or exhibition o thes p 10 an o ther than employees of your company, or use of these plans to construct a sign similar to the one embodied
herein, is expressly forbidden. In the event that such exhi occurs, Multi -Light Sign Co. expects to be reimburs $500.00 or more in compensation for time and effort entailed in creating these plans.
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CITY OF TIGARD
13125 SW Hall Blvd. .
Ar i �,���a� Tigard, Oregon 97223 r
(503) 639 -4171
Receipt #: 27200500000000002548
Date: 06/06/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00165 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2005 -00165 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2005 -00166 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2005 -00166 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
ELC2005 -00380 [ELPRMT] ELC Permit 220- 0000 - 431510 106.80
ELC2005 -00380 [TAX] 8% State Surcharge 100 - 0000 - 207020 8.54
Line Item Total: $189.34
Payments:
Method Payer User ID Acct. /Check No.Approval No. How Received Amount Paid
Check MULTI -LIGHT SIGN CO CAC 38484 In Person 189.34
Payment Total: $189.34
cReceipt.rpt Page 1 of 1