SGN2010-00025 • CITY OF TIGARD SIGN PERMIT
i5 Permit #: SGN2010 -00025
COMMUNITY DEVELOPMENT Date Issued: 03/03/2010
13125 SW Hall Blvd., Tigard OR 97223 503,639.4171 Parcel: 1S127DD01200
Jurisdiction: Tigard
Name of Business: Ultimate Electric
Business Address: 9770 SW SCHOLLS FERRY RD
Applicant/Agent: Ultimate Electric,
Work Description: Installation of one (1) permanent wall sign 12.1' X 27.1' MUC zoning allows for 15%
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 12.1' X 27.1'
Total Sign Area: 324
Wall Area: 4860
Wall Face (Direction): East
Sign Height: 25 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Acrylic /Alum
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $40.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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:
Pit A JuiP
Permittee Signature:
III CITY OF TIGARD RECEIPT
- V
g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 177081 - 03/03/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00025 Sign Permit 1003100 -43115 $35.00
SGN2010 -00025 Sign Permit - LRP 1003100 -43117 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 277104 STREAT 03/03/2010 $40.00
Payor: Melissa Hayden Security Sign
Total Payments: $40.00
Balance Due: $0.00
Page 1 of 1
SIGN PERMIT APPLICATION
,Sg• City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
:Tit r f t 4 .:0',6' Phone: 503.639.4171 Fax: 503.598.1960
11 ° .P t :
GENERAL INFORMATION
0
Name of Development /Project
Wi p j �__ l , ,e i c FOR STAFF USE ONLY
eoctic) Site ("
Address / Street Address Permit No.: S6k I O — OD U , -5
Location
- 470 l(S .lnrr
Expiration Date:
Suite /Bldg. # City /State Zip
Receipt #:
Name Approved By: S -
Property Date: 3/ al 1 1)
Owner Mailing Address Suite Map/TL#: S 102 0 S 0 g--00
Zoning: /tat(- f,� ! J / q
Ciq' /State 'Lip Phone
Tenant or
Name Electrical Permit Required? [Yes ❑ o
Business V l in ( Building Permit Required? ❑ Yes No
Name �CJ� Rev. 7/ 1 /07
is \curpin \masters \land uic applications \sign permit app.doc
Sign Secuirty Signs
Contractor Mailing Address Suite
(Prior to permit 2424 SE Holgate B lvd
issuance, a
copy of all City /Stare 'Lip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if Portland, OR 97202 503 546 7114
without the required submittal elements)
expired in the Oregon Const. Cont. Board license # lxp. Date
City of Tigard's 122809
database) GGO 9 ❑ Completed Application Form
1 ermancnt 1'rccstandin g l'recwa
Pro h osed ❑ y El 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 'Temporary g Wall Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other Billboard Balloon t
apply) ❑ size requirement: 8 /2" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: I • I n (. (3 copies, if a building permit is required)
� size requirement: 8 x 11 ", to 24" x 36"
Tota] Sign Area (sq. ft.): `�
Zq� �I ❑ $40.00 Fee (Permanent sign, any size)
S' Data Total Wall Area (sq. ft.)
�� ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one): •
items in this NOTES:
section) N S 0 W NE NW SE SW
Height to top of sign (feet): Z.j ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): s must include dimensions of wall face and sign
placement.
Copy:
Materials: Wall signs do not require site /plot plans.
r �, D�l1�ld►�� ♦ Freestanding signs over 6 ft. required a building
Will sign have i ll urination? Yes ❑ No permit.
Type: Internal ❑ External ♦ If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL 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)
hereby acknowledge that 1 have read this application, that the information given is correct, that Y 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
Signature of Owner /Agent
Melissa Hayden 503 546 7114
Contact Person Name Phone No.
CITY OF TIGARD SIGN PERMIT
" Permit #: SGN2010 -00025
COMMUNITY DEVELOPMENT Date Issued: 03/03/2010
TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S127DD01200
Jurisdiction: Tigard
Name of Business: Ultimate Electronics
Business Address: 10031 SW CASCADE AVE
Applicant/Agent: Ultimate Electronics,
Work Description: Installation of one (1) permanent wall sign 12.1' X 27.1' MUC zoning allows for 15%
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 12.1' X 27.1'
Total Sign Area: 324
Wall Area: 4860
Wall Face (Direction): East
Sign Height: 25 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Acrylic /Alum
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $40.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: 544/ I Jv (�
Permittee Signature: (j1.%-- Qp') C( 6 --