SGN2005-00229 CITY TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: SGN2005 -00229
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/3/2005
PARCEL: 2S101 DA -00104
BUSINESS NAME: FARMERS INSURANCE ZONE: MUE
SIGN LOCATION: 13333 SW 68TH PKWY JURISDICTION: TIG
APPLICANT /AGENT: FARMERS INSURANCE
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 7' X 20'
TOTAL SIGN AREA: 140 sq. ft.
WALL AREA: 3,617 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of a wall sign (framed banner). 7' x 20'
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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. (�
r;\ APPROVED BY: 1 I ,
a
PERMITTEE SIGNATURE:
DATE: 8/3/2005
,
:•Aiti SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site FG‘cw {J'S - 1.v.csoti.e.t
Address/ Street Address Permit No.: 561JR005 = u::a cl
Location (n33 5.l_ J. (-)g4 64kkvk/a.' Expiration Date: •
Suite /Bldg. # City /State Zip
( oi0 (- . 611 Z2A Receipt #: 3V77
Name Approved By: C _ Cw: -.rte
Property F. T T. G. 06(61 t` Cc). Date: ?) - 3 - o C
P Y
Owner Mailing Address .6IUJ Suite Map/TL #: ,3 — ()O t o `{
1 447'O (AA 16kt1V.e Zoning: MC.I. E
City /State Zip Phone
L iNv 5 kes CA. a0)(0 323-`132' Electrical Permit Required? ❑ Yes No
Tenant or Name
Business S ■x) , S l -055 Building Permit Required? ❑ Yes No
Name Rev. 7/1/05 is \curpin \masters \revised \sign permit app.doc
Sign aln■ ;ex. DzetAS
Contractor Mailing Address ( J Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit >`r, Note: applications will not be accepted issuance, a q (i0 S G nit o..vC. (Note: P
copy of all City/State Zip Phone without the required submittal elements)
licenses are [ is s
required if �Q(� ,Ur �7Z� 5� ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # / , � — i AZv ' Z °6 6 ❑ p 2 Copies of Site /Plot Plan, Drawn to Scale
database) O[j a
(3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Permanent ® Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon El 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
® Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: t 1
1 V 2O ❑ $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
1,40 ❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 36 (1 Jurisdiction: E1 City El Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N a E W NE NW SE SW
Height to top of sign (feet): t"-C.) • 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: See A{ka.&1,.,e4 • Wall signs do not require site /plot plans.
Materials: VAr v eil 1- ,.v • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes M building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal Zr External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes Ni 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 3 ( day of 14(.A/Lt S 20 () S
ki 6.4
Signature of Owner /Agent
GOT (n Ca6(e 5o3 -'-((3 - 6 Zz
Contact Pers n Name Phone No.
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PFRIVIIT NO. 5GNQ005 -ova1 _____ v .
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FARMERS � 1N50RAN" \ FARMERS
Gets you back where you belong°
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FARMERS INSURANCE GROUP
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For Auto Insurance
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FARMERS'
Gets you back where you belong:
, 12' x 24' poster @ 1/2" scale (5.375" x 11.5 ")
Craig Mills, CPCU
Marketing Specialist
FARMERS
,IN \
�<<,* FARMERS'
13333 SW 68th Parkway
Tigard, Oregon 97223
Phone: (971) 506 -4026 Fax: (503) 443 -6364
Crai g.mills@farmersinsurance. com
Registered principal
Farmers Financial Solutions, LLC
2423 Galena Avenue, Simi Valley, CA 93065
Phone (805) 306 -3400, Member NASD
CITY OF TIGARD
13125 SW Hall Blvd.
i iM,,,,,� tv ,, 4 ,1 Tigard Oregon 97223
(50 3) 6 39 -4171 .
Receipt #: 27200500000000003677
Date: 08/03/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00228 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2005 -00228 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2005 -00229 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2005 -00229 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2005 -00230 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2005 -00230 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
Line Item Total: $114.00
Payments:
Method Payer User ID Acct. /Check No.Approval No. How Received Amount Paid
CreditCard CRAIG R MILLS CAC 413871 In Person 114.00
Payment Total: $114.00
cReceipt.rpt Page 1 of 1