SGN2006-00225 . _ eA CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00225
TIG;ARD. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 12/18/2006
PARCEL: 2S 102AB -03600
BUSINESS NAME: STATE FARM INSURANCE ZONE: CBD
SIGN LOCATION: 12285 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT: STATE FARM INSURANCE
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X 8 - 1/2"
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: 708 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 16 ft.
PROJECTION FROM WALL: 8 in
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one permanent 4'h x 8' -1/2" x 8 "d wall sign.
MATERIALS: ALUM /ACRYLIC
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
l aws. 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.
op
APPROVED BY:
PERMITTEE SIGNATURE: lJ
DATE: 12/18/2006
I
,
41 < SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223,(503) 639 -4171 FAX. (503) 684 -7297
1
GENERAL INFORMATION
Name of Development/Project
1 FOR STAFF USE ONLY
Site :5Tlerr6 F1 _.. vt, 1 10c .
Address / Street Address
Permit No.: (0 /0� Z Z✓5
Location; tz2gs S1,1) 0 /N S"1
Expiration Date:
Suite /Bldg. # City/State Zip
11& -[Li, v-2 a 1 --2-3 Receipt #: 8 7 z
Name Approved By: / /✓
Property e. P pfbpp�r�/ F�}+ ►ZS we. Date: v / /?1/ iv i ,
Owner Mailing Address Suite Map/TL #: R
1
(52-z 11A) SvArs81 Zoning: C ! 7 Q
City /State Zip Phone ( 5 03)
Tenant of �
ame OR q72 245 1117 Ek ctrical Permit Re s ❑ No
� Building Permit Required? ❑Yes L_�{'No /
Business y Pt g g CREEV ,,/ / �
Name / / Rev. 01-Jul-02 i:\cu .In4nasters\revisedlsi.n ..naita...doc -
Sign ft (640Gt*r Sign/ ' t%'n1 zR
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit ar 3 t�7 (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone (4"03) without the required submittal elements)
licenses are
required if '+ 1 a'iARI a g7a (:; Rp-05 ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City ofTigard's License# / � [� Qp [11 2.Copies.of Site /Plot Plan, Drawn to Scale
database) (d T�! / _ a ■
Proposed (3 copies, if a building permit is required)
P Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ff Wall ❑ Electronic
(Check all that ❑ Other Billboard El Balloon ❑ 2 copies of elevations, drawn to scale
apply) 3 copies, if a building ( p� g permit is required)
New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: t n
+f X Y2 l.tl x $ D ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): `
111 i $15.00 Fee (Temporary sign, any type)
Sign Da a Total Wall Area (sq. ft.) 560
(Complete I Direction Wall Faces (circle one): N TES:
items in thi .
section) N S E ® NE NW SE SW
Height to top of sign (feet): / • Wall signs do not need to be drawn to scale,
rrO but must include dimensions of wall face and
Projection From 711 (inches): ' ' sign placement.
Copy: j� /L / /J g- . Wall signs do not require site/plot plans.
Materials:() f A U pp / pfczyL/!_ • Freestanding signs over 6 ft. required a
Will sign have i urination? / Yes ❑ No building permit.
Type: Internal External • If work authorized under a sign permit has not
Are there any existing freest�ndin or wall been completed within ninety (90) days after
y g g o a signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? p
BECOME NULL AND VOID.
❑ Yes i No
If "yes ",•a list or diagram of all sign dimensions and
square footage must also be submitted -
(OVER FOR SIGNATURES)
1 Thereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent cf the owner, and that plans submitted are
incompliance with the City of Tigard.
DATED this ig day of > ELFIN
70 /
Signature o jOwner /Agent ,\
Contact P Name
5O3)•q j—
h one No.
I , I
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SOUTH ELEVATIO\ _
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35' ill CITY OF TIGARD
,,, Aperoved
Co;1cd1! cnally Appris"'rl
! rk,,. c l ly the rk a described in:
`D l &N' _ -g • t 1 . - -. NERM11 NO.. /J Z--If \- , — 6n72 -3
See Letter to: Follow ............ [ ]
Attach [ [
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WEST ELEVATION
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EXPANSION
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