SGN2005-00154 CITY OF TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2005 -00154
'�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/25/2005
PARCEL: 1 S136CD -00101
BUSINESS NAME: WEST COAST BANK ZONE: C -G
SIGN LOCATION: 11675 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: WEST COAST BANK
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 sq. ft. banner. Valid 5/25/05 thru 6/25/05. Sign #2.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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
PERMITTEE SIGNATUR °
DATE: 5/25/2005
„vim, SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site
` Address/ II ( Street Ad ress /�� ,, Permit No.: �QNaoo S - CO ,s4
Location �W
Suite /Bldg. # City /State I Z; Expiration Date: - 5
1( a V O .. Receipt #: ,:,200 S
Name x 1 Approved By: NYC-/
Property WLMO- --L 70 6 Date: 5-a5-o
Owner Mailing Address Suite Map/TL #: IS /3(o CO- ao / o /
Zoning: (t - (7
City /State Zip Phone
or Name 4 Electrical Permit Required? ❑ Yes ❑ No
2c Tenant
Business )�� orzj. Building Permit Required? El Yes El No
Nam Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign 4 sub VC CiXrE-
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuaoc a w ithout the required submittal elements)
copy of all Ci y State n Zip Phone G
licenses are • r D -- �required if I � expired in the regon Const. Cont oard Exp. Date ❑ Completed Application Form
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑, Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other El Billboard ❑ 2 copies of elevations, drawn to scale
apply) ❑ Balloon p'
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
),,,Si Dimensions:
❑ $37.00 Fee (Permanent sign, any size)
ATotal Sign Area (sq. ft.), l
` ❑ $17.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
g
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Watt signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ 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 ❑ 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 day of ,7' , 20
Signature of Owner /Agent
r12-- 5A3--
Contact Person Name Phone No.
CITY OF TIGARD 5/25/2005
13125 SW Hall Blvd. 10:15:57AM
�
��� Tigard, Oregon 97223
NAIL __.. (503) 63 9-4 17 1
Receipt #: 27200500000000002344
Date: 05/25/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00154 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2005 -00154 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $17.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard PAMELA BROWN WEST COAST cac 215251 In Person 17.00
BANK
Payment Total: $17.00
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