SGN2004-00211 C ITY OF TIGARD SIGN PERMIT
c.;:�1 I4. DEVELOPMENT SERVICES PERMIT #: SGN2004 -00211
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/20/2004
PARCEL: 2S 112DA -00700
BUSINESS NAME: SAIF CORPORATION ZONE: I -P
SIGN LOCATION: 15333 SW SEQUOIA PKWY JURISDICTION: TIG
APPLICANT /AGENT:
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: 600 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 20 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 24 sq ft banner. Valid 8/20/04 - 9/19/04. Sign #2
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 "-4" �idity date.
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APPROVED BY: , - -C' .P -
PERMITTEE SIGNATURE: (7)--k_ . - / `
DATE: 8/20/2004
08/18/2004 {QED 10 :21 FAX 5033153036 ASD Fax I002/005
06/21/2004 16:29 FAX 5035981960 CITY OF TIGARD l 002
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,,,,, "Ja1'It SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297
GENERAL INFORMATION'
Name of Deveioprnerit/Project
S / /fib v‘..._
FOR STAFF USE ONLY
Site 1 ( r22�`
Address/ Street Address permit No.: N – 00 2-1 1
Location /53 33 505a, A n I a �
Suite /81dg. 7/ c�Stete Tip " Expiration Date: _13 1A O y – �'1 L .�Tr
i fI/ W / Re #: _
Na o / / a eN ;; 1, Approved By: (�
Property r eyx - t o JA)/74.A. rte , Date; '812.4o y
Owner Mailing Address 7 k , ot � Suite Map/TL #:
/,5350 . i.ko; 0 ( , Zoning: ,
City/State VliP Phone 1
r )44 4 02 1129 1(593)(0.14. ? 7
Tenant or Name Electrical Permit Required? ❑ Yes M-
Business
.4. , 4)/ , ''• ■ Building Permit Required? ❑ Yes EJ--Ne—
Name I Rev. 0/7/2002 tticurpin \meatera\reviaed\sipn permit app.doc
Sign ik M -Q
Contractor Mailing Add ass suits REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
Issuance, a
copy of all Ciry/state zip Phone without the required submittal elements)
ticonses are
required if ; [2) Completed Application Form
expired in the Oregon Const, Cont. Board Exp. Date f
City ba )
e ofTigard'S U El Cen5e ft 2 Copies of Site /Plot Plan, Drawn to Scale
9 dataDa,q e)
�4 -E' (3 copies, if a building perrnit is required)
roposed ❑ permanent ❑ Freestanding ❑ Freeway size requirement 8 x 11 ", or 11" x 17"
Sign E y Temporary ❑ Wall ❑ Electronic
(Chock all that Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
aeply) (3 copies, if a building permit is required)
V New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: / I
3 X g ❑ $31,00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
- s ❑ $16.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb •
.
(complete au Direction Wall Faces (circle one)
items in this NOTES:
section) N C E W NE NW SE SW
Height to top of sign (feet) < y i • Wall signs do not need to be drawn to scale,
Projection From Well (inches); ( but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site/plot plans.
Materials: , .,,• , ., , “...,, J , . • Freestanding signs over 6 ft. required a
0 Q r _A Will sign have illumination? ❑ Yes M No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or well 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 ❑ No
BECOME NULL AND VOID.
If "yes ", a list or diagram of alI sign dimensions and - - - -
s • uare foots: a must also be submitted.
(OVER FOR SIGNATURES)
08/18/2004 WED 10:21 FAX 5033153036 ASD Fax Z003/005
O6/'21/2004 16:30 FAX 5035981960 CITY OF TIGARD V1003
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_
g
DATED this /6 day of I t(„5- _ , 200(
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Signaturcef Owner /Agent
( 5b3) 3/57. 3(79,2
Conta 1 -rson Name Phone No.
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IA l Y Ur 1IliAMU O/
13125 SW Hall Blvd. 1:24:47PM
,,,,N , t Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200400000000003717
Date: 08/20/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00211 [SIGN] Temp Sign Perm 100- 0000 - 437000 * 15.00
Line Item Total: $15.00
Payments: •
Method Payer User ID Acct /Check Approval No. How Received Amount Paid
•
CreditCard CONNIE J. MUSIC KJP 063944 In Person 15.00
Payment Total: $15.00
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