SGN2009-00167 NY ,, CITY OF TIGARD SIGN PERMIT
I C , Permit#: SGN2009-00167
COMMUNITY DEVELOPMENT Date Issued: 07/28/2009
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S115BA02600
Jurisdiction: Tigard
Name of Business:
Business Address: 16230 SW PACIFIC HWY 120
Applicant/Agent:
Work Description: Installation of(1)31.08 sf. permanent wall sign.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 2.6'x15'
Total Sign Area: 31.08
Wall Area: 400
Wall Face(Direction): East
Sign Height: 20 ft.
Projection From Wall: 13 in.
Illumination: Internal
Materials: Lexan
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: ik: ---e--0-4--7,-,---ecit
Permittee Signature:M r"- „ ,T.
Eir SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Bled, Tigarg OR 97223
Phone 503.639.4171 Fax:503.598.1960
0224_
GENERAL INFORMATION
Name of Development/Project
n FOR STAFF USE ONLY
Site _cot
Address/ Street Address Permit No.: c6 A V CJ`/'—a v (07
Location • . • _11
Expiration Date:
Suite/Bl.g.# State Zip
Receipt#:
Name Approved By. «- �j PProperty Date: 7/2-44)9
Owner Mailing Address Suite Map/TL#
Zoning. C
Gly/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ s IDNo
Business Building Permit Required? ❑ Yes cri\To
Name Rev.7/5/06
,,,5p
is\curpin\masters\land use applications\sign permit app.doc
Sign (V' am lO�
Contractor Mailing Address e
rianto perrmt 2/'�,` `+^ (� . \�`
issuance,pa
U'- e �'>I5�1 REOUIRED SUBMITTAL ELEMENTS
copy of all ay/State Zip Phone
licenses are (Note:• I�� (Note: applications will not be accepted
f�
required if (ti`l.h without the required submittal elements)
expired in the Oregon Const.Cont.Lard License# Exp.Date
Gly of Tigard's
database) i VeridI 0 Completed Application Form
Propos ❑ Freestanding y ❑ 2 Copies of Site/Plot Plan,Drawn to Scale
P �Pertnanent Freeway
Sign ❑ Temporary Wall Electronic I (3 copies,if a building permit is required)
(Check all that
(Clsec ❑ Other Billboard ❑ Balloon size requirement: 81/2" x 11",or 11" x 17"
' New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations,drawn to scale
Sign Dimensions: nn ( � (3 copies,if a building permit is required)
4�0 x size requirement: 81/" x 11",to 24" x 36"
Total Sign Area(sq.ft.): at
• ❑ $39.00 Fee (Permanent sign,any size)
Sign Data Total Wall Area(sq.ft.)
0 $19.00 Fee (Temporary sign,any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E C) NE NW SE SW
Height to top of sign(feet): Q( ( • Wall signs do not need to be drawn to scale, but
Projection From Wall(inches): j OVY must include dimensions of wall face and sign
Copy: (4fRpSeigsfS—" placement.
Materials: (4)234^...., • Wall signs do not require site/plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? NED Yes ❑ No permit.
Type: Intemal El 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
❑ Yes IS\No 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 r )C.)19 ,20 0/
ignature o Owner/Agent
s o71i4
ntact Person N Phone No.
CITY OF TIGARD RECEIPT
14 . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 174561 - 07/28/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009-00167 Sign Permit 1003100-43115 $35.00
SGN2009-00167 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 111310 KPEERMAN 07/28/2009 $40.00
Payor: Melissa Hayden
Total Payments: $40.00
Balance Due: $0.00
Page 1 of 1
EQ CENTER SIGN EQ Channel Letters 44—
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EAST ELEVATION Scale:nts raceway into studs, 32" on center
EQ CENTER SIGN EQ Transformers: Raceway mounted
Primary: 120V
0 Copyright 2009 Security Signs,Inc.
i= All Rights Reserved
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0oriditionaliy Approved......_ .. [x/ DATE: 07/21/09
-or only the work as described in:
PERMIT NO. -S4 ^12—Leer4,, 1(,2 j- 60/0 I PAGE#: 1 of 3
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WEST ELEVATION Scale:nts Attach DRAWING#:
Job Addr s•i i. 36 3;`� t tw :_ } 09-JF261
SECURITY
2'-6" 12'-5" SIGNS
Quality Since 1925
4. 40s, 24245E Holgate Boulevard
Portland,Oregon 97202
503-232-4172 fax503-230-1861
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SCALE: 1/2" = 1'-0" DESIGNER
J.Ford
PROJECT NAME
1"BLACK OUTLINE MADE .040 ALUMINUM RETURN •
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(GEYGCLSI GOLDENROD
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SEAM WELDED OR RIVETED POWER REQUIREMENTS:
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FLUORESCENT LOGO LED LETTERS ! PAGE#: 2 Of 3 (
RACEWAY MOUNT RACEWAY MOUNT
DRAWING#:
09-JF261
4
SITE PLAN 0112NORTH AREA MAP NORTH012 SECURITYAREAQuality Since 1925
2424 SE Holgate Boulevard
,.� Portland,Oregon 97202
King City 0,` ( 7 / 503-232-4172 fax503-230-1861
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®Copyright 2009 Security Signs,Inc.
tAll Rights Reserved
Unauthorized use,reproduction,and/or
display shall render the Infringer liable
r it
- # for up to 5150,000 in Statutory Damages,
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plus attorneys fees and costs,for each
'0 r Infringement,under the U.S.Copyright
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•
' APPROVALS
Client Signature
Scale:nts
Landlord Signature
DATE: 07/21/09
PAGE#: 3of3
DRAWING#:
09-JF261