SGN2006-00185 ,_:: � . .'
�" <'. ?�iF` -:� SIGN PERMIT
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DEVELOPMENT SERVICES PERMIT #: SGN2006-00185
,, .... ":' DATE ISSUED: 11/1/2006
..7:449:-Y, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1512600 -00300
BUSINESS NAME: WASHINGTON SQUARE ZONE: C -
SIGN LOCATION: 09585 SW WASHINGTON SQUARE RD MGMT JURISDICTION: TIG
APPLICANT /AGENT: CD.PFSBEEIGTON SQUARE
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6' X 10'
TOTAL SIGN AREA: 29 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 10 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of one (1) permanent freestanding sign 6' X 10' Sign #4
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: Y
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
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
from validity date. / / Q n /� a
APPROVED BY: 4 1L, Dom X. 4
PERMITTEE SIGNATURE: Dom-" a-fPu 6 c a"
DATE: 11/1/2006
ph , in
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blzd, Tiga . at • C17.1 PhPhone 503.639.4171 Fax: 503.598.196. VED
OCT 3 1 2006
GENERAL INFORMATION STGNJ y
CITY OF TIGARD
Name of Development /Project PLANNING /ENUiNtERING
Site W ASIf1in1 K S UWIC FOR STAFF USE ONLY
Address/ Street Address` � �D�� �)
Location II JJ (� Permit No.:
St c 5k) WIC) Alb A S rL.. `� - Expiration Date:
Suite /Bldg. # City /State Vip p
i' tld 0 i • ( 1/ Z25 Receipt # :
Name Approved By S • C>l4-T I r- PEEt it't 14 G
Property MA CC ( :c-V\ Date: ,GI 3 (/15!'
Owner Mailing Address Suite Map /TL# : I S _
H4 W;ls�t << $ 160 Zoning: at 0 --- - "
City /State Zip Phone
Sarl' los` . (.A ¶6( ( $16.3q4.4466 Electrical Permit Required? e aired? Yes
Tenant or Name q ❑ No
Business W etiiiiti6A Sate Building Permit Required? Yes 111 No
Name Rev. 7 /5/06
is \curpin \ masters \land use applications \sign permit app.doc
Sign CUS1GIM C 1 Cf CIA GW/t'OCAti� CA( •
-
Contractor Mailing Address , / l Suit
(Prior to permit
issuance, a J l31 (a J W (Z r „ c i
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if PG Alaw. ) Q 1. ctlaig SQ tq 1324 without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Qty of Tigard's
database) 717) (o Y ❑ Completed Application Form
�. P ermanent Freestanding Freeway Proposed g ❑ y 111 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard
appl}� ❑ 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: i I (3 copies, if a building permit is required)
b x 1 size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
't'ilF q =.t" i (i L li % 2/ ,n, ❑ $39.00 Fee (Permanent sign, any size)
Sign Dat Total Wall Area (sq. ft «�
g ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): IO' -p" • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): _ must include dimensions of wall face and sign
Copy placement.
Materials: • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have umination? y 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
❑ Yes [J 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.
DM :ED this 3 ( day of 0 bt , 20 (Sb
•
Signature of Owner /Agent '
. . c IA: c<< 503- zw.nz '
Contact Person Name Phone No..
t 6 s
CITY OF TIGARD 10/31/2006
f '∎ 13125 SW Hall Blvd. 4:35:10PM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000005211
Date: 10 /31/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00183 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00183 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00184 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -00184 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00185 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -00185 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00186 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -00186 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00187 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00187 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00188 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -00188 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00189 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00189 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00190 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -00190 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00191 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00191 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00197 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -00197 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $390.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check CUSTOM SIGN CO INC KJP 6387 In Person 390.00
Payment Total: $390.00
cReceipt.rpt Page 1 of 1
File: `Washington Square Secondary Ent"
Sign Type C. Signs #3 Sign Type C: Signs #4
VI '
(3) Double Face Illuminated Secondary Entrance Display (3) Double Face Illuminated Secondary Entrance Display
6' -0 "x 10=0" 6' -0 "x 10' -0"
national sign
1255 Westlake Ave. N.
Seattle. WA 98109
- -. P: (206) 282 -0700
F: (206) 285-3091
I
www. rtationalsigncorp.cons
This Is An Original Unpublished
Drawing, Created By National Sign
Corporation. It Is Submitted For
Your Personal Use In Connection
- - With A Project Bring Planned For
Install Sign 83 " In You By National Sin Co,• oration.
Install Sign 83" In _" g � 01 y Sign P
Q From Edge of Curb it , From Edge of Curb I j It Is Not To Be Shown To Anyone
i Outside Your Organization. Or
14' Setback To Be Used, Reproduced, Copied
- - - -- Or Exhibited In Any Fashion. Any
('sage Beyond That Granted To
_- •- Bayer Herein Shall Require The
Scpaeratc Payment Of A Design
And Engineering Fee To National
— •i } . . *. w i iilt II 1 1 A1 r ri Sign Co,poration.
Client:
® Washington Square
1 14' Setback
Jobsrte:
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Oregon
j 1 R.precentative
Marie Wan
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u s
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Customer Approval
11 NUM Sill Salesperson Approval
File: "Washington Square Secondary Ent"
Sign Type C: Signs #5
l ir
(3) Double Face Illuminated Secondary Entrance Display
6' -0 "x 10' - -0"
national sign
1255 Westlake Ave. N.
Seattle, WA 98109
P: (206) 282 -0700
/ ' F: (206) 285 -3091
/ • mum nationalsigncorp. corn
This Is An Original Unpublished
Drawing, Created By National Sign
Corporation. It Is Submitted For
Your Personal Use In Connection
,f With A Project Being Planned For
7 You By National Sign Corporation.
,/
It Is Not To Be Shown To Anyone
Outside Your Organization, Or
20' To Be Used, Reproduced, Copied
Setback 1 Or Exhibited In Any Fashion. Any
Usage Beyond That Granted To
Buyer Herein Shall Require The
Sepaerate Payment Of A Design
Mount To Existing And Engineering Fee To National
Sign Location
,Sign Corporation.
( IN IS' 0" Client.
Setbac ° Washington Square
-
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SW O L y ,D L Jobsite:
---- Oregon
Representative
Marie Wan
\,, Design No.
06 -297
- `\ Des;gnn
1 _ ® 4t
it. ~ Ken Kruntpos
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Customer Approval
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i
': File.' "MI Sri Tenant Direettoirltli''
iI national sign
Sign 3 1255 WiwlebeAre. N.
__
• Sign Type C , '., l''' seattir. WA 98109
�:, r j I . P: (206) 282 -0700
r` ! i F: (206) 285 -3001
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Sign 4' i 1 -1 } i I ' !j : I This Is An Original Unpublished
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:( 1 ' ' ' ' • SignT�tPg p - ; ! Corporation. k Is Submitted For
i j ! - Sigin 2 Your Personal Use In Connection
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;'r ' With A Project Being Planned For
! 1{ _-, , ir - - :•,. :Si in e
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111 t i. t To Be Used, Reproduced, Copied •
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1 h; l. i , ,',..//,, y • • r it 1 1 • And Engintrring Fee To National
.. _ — , .e.' ..,, 1 •, i
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