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SGN2005-00007 CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2005 -00007 DATE ISSUED: 1/4/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S134AA -01900 BUSINESS NAME: MILLER PAINT ZONE: C -G SIGN LOCATION: 10115 SW NIMBUS AVE 900 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4'X33' -5" TOTAL SIGN AREA: 133 sq. ft. WALL AREA: 1,500 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one 133.67 sq ft permanent wall sign. MATERIALS: ALUM /PLASTIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 37.00 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 aIidity date. APPROVED BY: PERMITTEE SIGNATURE: DATE: 1/4/2005 AIM N� + � • 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 FOR STAFF USE ONLY Site • //\ -L■ER P4 i l-lT Address/ Street Address Permit No.: S NZ-(TnS vk3 p Location ID( LS E—"' K( l //14-v 5 Suite /Bldg. # City /State Zip Expiration Date: C/L� -nom zo ( k. Receipt #: 1 05 - c z c 3 3 Name Approved By: t---C Property Date: V(//c. s Owner Mailing Address Suite Map/TL #: Zoning: City /State Zip Phone Electrical Permit Required? IA---Yes ❑ No Tenant or Name A I i L- ( �i�1 Building Permit R ❑Yes Business g}-No Name Rev. 7/1/04 i:\curpin\masters\revised\sign permit app.doc Sign 3E e.1 SICs39.JS Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (4 Se - 120.A (Note: applications will not be accepted issuance, a V� without the required submittal elements) copy of all City /State Zip Phone • licenses are required if PortruLa 7 OQ.�7Lt I sO3 .232- 417 Z._ El 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) 122 3 copies, if a building ( p g permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary R i., Wall (Check all that El Electronic ❑ 2 copies of elevations, drawn to scale ❑ Other Billboard ❑ Balloon (3 copies, if a building permit is required) 'R New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: z, `-- y34t ",c. ZO' ❑ $32.00 Fee (Permanent sign, any size) 4' x '53 " Total Sign Area (sq. ft.): (- ❑ $15.00 Fee (Temporary sign, any type) 133.0 Sign Data Total Wall Area (sq. ft.) z� El Zj Jurisdiction: City Urb I SOD P (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: M „ r= it aN,,4-1 i • Wall signs do not require site /plot plans. Materials: ALovvt rA, 04 7t c • Freestanding signs over 6 ft. required a Will sign have illumination? 2f. Yes ❑ No building permit. Type: S 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 E] 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 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. DATED this day of , 20 Signature of Owner /Agent - y� LO,�(m 15-z55232cc--((7Z Contact Person Name Phone No. .� f lf � _ 1S. Scope of Work: i �'` - 1 Manufacture and install one (1) set of internally illuminated Channel Letters mounted on an exposed raceway. rt 1 ;Ne- �- I. 4 - • Letters: Wrap RETURNS Five inch (5) Black aluminum returns RETURN Five inch (5) Black aluminum returns r 7 , ' s 1 BACKS Dia -bond backs BACK Dia -bond backs -1 OW WO * t t FACES 3/16" Red Acrylic FACE 3/16" White Acrylic - Face to have TRIMCAP One inch (1") Black Trim Cap translucent vinyl applied to the first ILLUMINATION EGL Red Neon surface _ TRIMCAP One inch (1") Black Trim Cap .- . - ° ILLUMINATION EGL White Neon - - T ` Raceway: Ir Aluminum raceway to be painted to match brick wall. 4 • ... TTY hF TIGARD Apn [ X1 k C 0 0, ril+ ,)naliv Approved ..._._..__.. [ i • , -r; or,l :he work as described in: PE i ns.' CIO S�irV 2,335 �-Ocwx-•,7 -- sr Helier to: Follow __ [ 1 Attach C � [ 1 r _ � y _ ` I - 'i) ddreSs j fl 1 f 5 C-(_& , + �' I saiSs =5 �__ / c),0 - r . _15- _ _____ r r.r . Ii / .5_ 33' -5" 4' -0" o ," r V CV 1 A 41N1 Channel Letters /Logo - 133.67 Sq. Ft. Scale: 3/8" = 1' - O" 114-11 © Copyright 2004 Security Signs, Inc. Date 112404 LANDLORD APPROVAL CLIENT APPROVAL (-0") INTERNATIONAL This original design and specifications are ® MILLER PAINT CO. SECU R I N S I G imc S I GN ASSOC IATION exclusive property en Security Signs, Inc. The use of these designs to produce a similar Drawing # 04 KS314 sign without written authorization from P age QUALITY SINCE 1925 WS11_____.A Security Signs Inc. is forbidden. P a e # 2 of 2 PLEASE SIGN HERE PLEASE SIGN HERE WWW.SECURITYSIGNS.COM PROJECT MANAGER 10115 SW Nimbus CUSTOMER AGREES BY 436 SE 12TH AVE T. 503.232.4172 OR CCB #122809 `JG7y /�/ Suite 900 DATE DATE INITIALING HERE Tom Keljo Tigard. OR PORTLAND, OR 97214 F. 503.230.1861 WA SECURSIO20CF