SGN2004-00181 C ITY OF TIGARD SIGN PERMIT
� DEVELOPMENT SERVICES PERMIT #: SGN2004 -00181
t�� �- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/29/2004
PARCEL: 1S12600-00300
BUSINESS NAME: WASHINGTON SQUARE PARKING GARAGE ZONE: C -G
SIGN LOCATION: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE JURISDICTION: TIG
APPLICANT /AGENT: NATIONAL SIGN CO
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: SEE ABOVE
TOTAL SIGN AREA: 692 sq. ft.
WALL AREA: 10,281 sq. ft.
WALL FACE (DIRECTION): W
• SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of permanent wall sign. (9' 2" x 31' 11") (20' x 20')
•
MATERIALS: ALUMINUM
EXISTING SIGNS: 2
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
/ .
PERMITTEE SIGNATURE:
DATE: 7/29/200
, ,
.4.4 411 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
W4 /W II'1 540 FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: SGN .00 coo 1 al
Location q-M S'.f/v W!g/ijn19/1/5d -IV Expiration Date: -
Suite /Bldg. # City /State Zip
Tl6MP 0g Receipt #: a Op-/ - 3,3(o.
Name Approved By: (. eze.t.,,Le,„..,
Property yv1AAf(2 q{ Date: 7'a 5- o
Owner Mailing Address Suite Map/TL#: (S/ U' OU - Ov 3 d D
►6-1 5 ii (. 71/ S T Zoning: C., - G
City/State Zip Phone
girw vj 78052 6f 2 5) g (7-08 CS Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
I�✓ilSHw✓'1' Sates PA ltd Building Permit Required? ❑ Yes El No Business ��""'''„7I°°�L
Name Rev. 7/1/04 is \curpin \masters \revised\siqn permit app.doc
iAt 10
/ h 5 / fI COO- O
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit fZSf 1�e,7 � Ads �, (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Ph e
licenses are
required if 55 g/flit( 98 1n q el4 2$2 �
'0140 JCompleted Application Form
expired in the Oregon Const. Cont. Board Exp. Date /
City of Tigard's License # /16 2 Copies of Site /Plot Plan, Drawn to Scale
database) 3 7y
��� / ®S (3 copies, if a building permit is required)
Proposed / ❑ Freestan ❑ Fre eway size requirement: Permanent s i uirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary El
(Check all that all 2 copies of elevations, drawn to scale
apply) ❑ Other Billboard ❑ Balloon (3 copies, if a building permit is required)
New sign? ❑ Alter ?o existing sign? size requirement: 8 x 11 ", to 24" x 36"
.? gn Dimensions: 1 2 � � x 31 /1 z 9L ¢ )6 $32.00 Fee (Permanent sign, any size)
?.o -s x ?I -i 11 -- ,- - cio
Total Sign Area (sq. ft.): at CI $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft r if / 7/52 Jurisdiction: El City El Urb
37 )( M 14
(Complete all Direction Wall F- es (circle one): NOTES:
items in this
section) N E i NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top o gn (feet): but must include dimensions of wall face and
Projection From Wall (inches): ��
ill sign placement.
Copy: p✓istit✓oari ,9iiu4 • Wall signs do not require site /plot plans.
Materials: 'hi/1M Idtul • Freestanding signs over 6 ft. required a
Will sign have illumination? ><Yes ❑ No building permit.
Type: Internal ❑ External • If work authorized under a sign permit has not
Are there any existing frees anding 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
r liA El Yes ❑ 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 fthe application, tat the
wnerhand that information
submitted are
correct, that I am the owner or authorized ag ent o
in compliance with the City of Tigard.
2 4/4 day of '1N 20 C L i
DATED this 1 ,
Signat r of o wner /Agent
Sri ✓f. (rtiri P A) 282x0100
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Contact Person Name one No.
CITY OF TIGARD 7/29/2004
13125 SW Hall Blvd. 12:28:0IPM
`
^ p f Tigard, Oregon 97223
,Uk . lL-11d ; (503) 63 9-4 171
Receipt #: 27200400000000003362
Date: 07/29/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00 1 8 1 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2004 -00182 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2004 -00183 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2004 -00184 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2004 -00185 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2004 -00186 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
Line Item Total: $192.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check NATIONAL SIGN CORP CAC 64534 In Person 192.00
Payment Total: $192.00
Page 1 of 1
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Client: Representative Design No. Scale: Your Personal Use In Connection With A Project Being Planned For You By National Sign Corporation.
NIIIII 1255 Westlake Avenue North Seattle, WA
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Phone: 206 282 0700 Fax: 206 285 3091 o
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Phone: 206 282 0700 Fax: 206 285 3091 Ken Krumpos 3/8/04
Oregon p s Exhibited In Any Fashion. Any Usage Beyond That Granted To Buyer Herein Shall Require The Separate
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1255 Westlake Avenue North Seattle, WA
It Is Not To Be Shown To Anyone Outside Your Organization, Or To Be Used, Reproduced, Copied Or
Phone: 206 282 0700 Fax: 206 285 3091 7/21/04
Oregon Brad McKay ,Y Exhibited In Any Fashion. Any Usage Beyond That Granted To Buyer Herein Shall Require The Separate
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