SGN2005-00031 w
CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00031
A DATE ISSUED: 2/14/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136DD 00200
BUSINESS NAME: GREEN OFFICE COMPLEX ZONE: MUE
SIGN LOCATION: 11560 SW 67TH AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X7'
TOTAL SIGN AREA: 14 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 5 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one permanent 14 sq. ft. wall sign.
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 37.00
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.
APPROVED BY: A / r ;___—
O P ; i i�� ` rii PERMITTEE SIGNATURE ) //l//'
DATE: 14 005
411 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
Site
G , /�/ / FOR STAFF USE ONLY
Address/ Street Address , / , Permit No.: C7� Z2i 6
Location i `6-190 � (,/ (/ �i�' ; T� // A Expiration Date:
Suite /Bldg. # City /State Zip
� � c1
'-/Y 0 (a Receipt #: 57 7
Name J � Approved By: C =-
Property ✓lc9 - C /'7'
�vu(,�r ST/I7,.61/1 Date: //`7
Owner M iling Address Suite Map /TL #: t
D 3\L 1 S l Zoning:
City/State I Zip Phone
T '491 \1 A ,c 011- 011- ` G� 7G 'g'Y e0 mold Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business 6./a 12,-,c/co /3-v/4I/7 Building Permit Required? El Yes ❑ No
Name / J Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign LPNI //J/7 - cia-Al.S
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit 9/ SW e/n L (Note: applications will not be accepted
issuance, a
copy of all City /State Zipp7 ?v Phone 5 - 6 3.. without the required submittal elements)
licenses are �/�
required if /iv/L.rO/1/V /LL(l, dje zv"7a -4/3
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City eard's License#
database) /sue 7 El 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ® Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary E. Wall ❑ Electronic
(Check all that ❑ Other Billboard ❑ Ba lloon 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
® New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: , / y
$37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ,
� #k" ❑ $17.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) Jurisdiction: Ill City ❑ Urb
g
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N OC) W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): 5 "off but must include dimensions of wall face and
sign placement.
Copy: Ge it/ • Wall signs do not require site /plot plans.
Materials: /d-u/4i,v04/ • Freestanding signs over 6 ft. required a
Will sign have illumination? [g Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: X 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 cRi No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
v
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 , 20
-
Sign ; 'of Ow - A 'l ent
4,414e Jisc —A3 5773- S7O - to 1 3- F--
Contact Person Name Phone No.
6' -11"
ir ,
, R E ____..., r . .
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_ .. N
O
i N
M
N
THIS DESIGN AND ENGINEERING IS TO REMAIN THE EXCLUSIVE PROPERTY OF LUMINRE SIGNS UNTIL ACCEPTED AND APPROVED BY PURCHASE. THE USE OF THIS DESIGN, FOR ANY PURPOSE WHATSOEVER. WITHOUT WRITTEN APPROVAL OF AN OFFICER OF LUMINITE SIGNS 15 PROHIBITED BY LAW.
JOB LOCATION: SPECIFICATIONS:
JOE GREEN INVESTMENT CO
PO. BOX 1 MANUFACTURE AND INSTALL: CITY OF TIGARt SALES APPROVAL DATE
DONALD, OR 97020
(1) ONE SET OF BRUSH BRITE ALUMINUM LETTERS ' S
r -, HALO LIT GREEN .nicatiorlally Approved
W/ BLACK RETURNS ' a� or+ly th work d scribed i [ , NT APPROVAL 1/4-i L
i 'FRMIT NO. SL6e -c.it,)C
s
4" LiileNr °
.1c;_
Letter to: Follow ... ....•..•....
............................. [ 1
Attach.. .. LANDLORD APPROVAL DATE
9128 SWRIDDERRD WLSONVLLE, J. ',ddress: t
c , . �5� -95� f _�...` DRAWN BY: LEIF CLEM 4 JAN 05
• TEL 503.570.6137 FAX 503.570.6138 PROJECT COORDINATOR: JAKE JACOBSEN
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