SGN2006-00167 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00167
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/19/2006
PARCEL: 2S103DD - 00800
BUSINESS NAME: WINDFALL ZONE: C -
SIGN LOCATION: 13815 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 9' 8"
TOTAL SIGN AREA: 19 sq. ft.
WALL AREA: 527 sq. ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: 12 ft.
PROJECTION FROM WALL: 10 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign 2' X 9' 8"
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
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:
� /, d
PERMITTEE SIGNATURE: ` / / r
U
DATE: 9/19/2006
/..C.�va7-- Co5a 3
Ailk
.� _,.. ..... 1 ' SIGN PERMIT APPLICATION vED
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503),684 -7297
SEP 1 8 2006
GENERAL INFORMATION
Name of Development/Project
5iV / W / tI r �` FOR STAFF USE ONLY
Site s l � �l�f1 d J
Address/ reet Address Permit No.: %;/ ( ( & 7
i
Location `6 15 S ) P-ic 14 oi�
Expiration Date: _
do-A City/State Zip
d Receipt #: 3cvOL �
I I yfl� d C �7 -
Name Approved By:
Property 5 iv e, (..e'np Date: VI ���
Owner Mailing Address I Suite Map/TL #: O-S /03b CO ko0
'4730. /11tq, -144-- Zoning: 649
City /State Zip Phil
1 9 *LLL - ' 91:737 ,2 3- c2 O Electrical Permit Required? JYes ❑ No
Tenant or Name
Business
W nJ I) Building Permit Required? ❑ Yes No
Name Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
n e
Sign Ojl/vU l 5/9 g-
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit uu ff (Note: applications will not be accepted
issuance, a d �3 1 it{"/L 41411A 14 Walk without the required submittal elements)
copy of all City /State Zip Phone.Gb
licenses are
required if (N01�) Lv,q 5a0)1 A2S- Soil ,p' Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # �2 Copies of Site /Plot Plan, Drawn to Scale
database) / 53 by (3 copies, if a building permit is required)
Proposed RI,.. Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ®- Wall ❑ Electronic
T,- (Check all that Z copies of elevations, drawn to scale
apply) ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 81" x 11", to 24" x 36"
Sign Dimensions: di x 1 i g 4 Zr $3 '00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): la I9 t 33 ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area �
g
re (sq. fj ) S a l Jurisdiction: City II] Urb
X
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW l o' SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): I6/ sign placement.
Copy: (A; Inc( Ft( • Wall signs do not require site /plot plans.
Materials: 04„�d /jfccc • Freestanding signs over 6 ft. required a
Will sign have illumination? j Yes ❑ No building permit.
Type: ec'4 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
❑ Yes JQ No BECOME NULL AND VOID.
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 of application, tat the
wnerhand that plans a s submitted are
correct, that I am the owner or authorized age nt o
in compliance with the City of Tigard.
DATED this r
1 5 T day of ° t b�� , 20 o
I
1 nature of Owner /Agent
Contact Person Name Phone No.
y YAMS
Your Electrical Sign Source 9' -8"
n
SHERWOOD, OREGON —
503 - 720 -5410 //o .
o 4 i ! N
N 1 - OREGON
g:
CUSTOMER r — LOTTERY
Windfall
ADDRESS SCALE -1/71-1
Tigard, Oregon
/(
JOB FILE NUMBER
Piexiglass Face . .l
Windfall1 Trimcap I l.—
DATE Return '��
09-09 -06 Neon i
DESIGNED BY ElectrobitEndcap
Designer - _ .. GTO Wire
1
• \ _ o 12OVAC
REVISIONS ' ,0 R" Transformer
Locknut - ' _� '
Conduit
Glass Stand ��"
r / /
Attachment Hardware -
Raceway
i Will
FAB AND INSTALL (1) SET OF INTERNALLY ILLUMINATED INDIVIDUAL CHAN rYEi BAR I CEWAY /
THIS DRAWING IS THE rlr
„roveu l
ELECTRICAL SG NSOURCE, RETURNS - - -- ALUMINUM- 5" DEEP -PAINT RED TO MATCH TRIMCAP o itionall w r Approveks des d [ 3
-qc in; � 7
AND IS NOT TO BE
REPLICATED OR USED BACKS .040" ALUMINUM PERMIT NO '&LXOc - OO((p
IN ANY MANNER WITHOUT FACES WHITE PLEXIGLASS W/ VINYL OVERLAY S
EXPRESS WRITTEN CONSENT. VINYL 230 -015 YELLOW
See Letter to: Follow 1
Attach `
TRIMCAP 1" RED TRIMCAP Job Address: !3R($ i) Metric- r{w51 --
NEON 6500 WHITE NEON 6 y: S.17-LYT Date:` �18/Ob
RACEWAY FABRICATED METAL PAINTED TO MATCH BUILDING FASCIA COLOR
ATTACHMENT ATTACH TO EXISTING FASCIA WITH REQUIRED HARDWARE
Rev. 1 CUSTOMER APPROVAL OF LOGO AND COLORS REQUIRED BEFORE MANUFACTURING
OREGON LOTTERY SIGN PROVIDED BY OREGON LOTTERY
r CITY OF TIGARD 9/19/2006
13125 SW Hall Blvd. 10:22:26AM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000004569
Date: 09/19/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00167 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00167 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
ELC2006 -00523 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40
ELC2006 -00523 [TAX] 8% State Surcharge 100- 0000 - 207020 4.27
Line Item Total: $96.67
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check YOUR ELECTRICAL SIGN ST 1416 In Person 89.67
SOURCE
Check YOUR ELECTRICAL SIGN ST 1417 In Person 7.00
SOURCE
Payment Total: $96.67
cReceipt.rpt Page 1 of 1