SGN2006-00190 l �
CITYOF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2006-00190
TIGARD 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/1/2006
PARCEL: 1S12600-00300
BUSINESS NAME: WASHINGTON SQUARE ZONE: C-G
SIGN LOCATION: 09585 SW WASHINGTON SQUARE RD MGMT JURISDICTION: TIG
APPLICANT/AGENT: JOE'JGTON SQUARE
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6'X 4'
TOTAL SIGN AREA: 24 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of one (1) permanent freestanding sign 6' X 4' Sign #9
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
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.
APPROVED BY: r- ��7,��L1 ._ t li-l-
PERMITTEE SIGNATURE: OR- A96C 2 -
DATE: 11/1/2006
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III ifi, SIGN PERMIT APPLICATION
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City of Tigard Permit Center 13125 SW Hall Blzcl, Tigard OR 97223
Phone' 503.639.4171 Fax:503.598.1960 RECEIVED
GENERAL INFORMATION cj( � O C 1 3 1 2006
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Name of Development/Project
W
' ' FOR g'if tPt�ING
Site W 6.5tViiy kGN c(VUAIC• S(� ILS.��n'� 0 �C�
Address/ Street Address 1 Permit No.:
Location q IrS 5(4 W WileCO it CC 0
Expiration Date:
Suite/Bldg.# City/State the
Zip
i
City/State
Vf. 411 2L5 Receipt#:
Name Approved By --'•T72Ed T ) PL(<e_$4 l4
Property WI a(e riCh Date: (C/3( 10
Owner Mailing Address Suite Map/TL#: i S•0880 CO"t)--t)361)
401 t i;tSiuit, 6601 'W Zoning: it,( u C-----
City/State
-''City/State Zip Phone
cal 01 0,,,,%., %k0( 7(0 :Att.WO Electrical Permit Required? Yes ❑ No
Tenant or Name
Business W CASkkti '(oh S( (ea+e.• Building Permit Required? ❑ Yes ❑ No
Name Rev"7/5/06
is\curpin\masters\land use applications\sign permit app"doc
Sign CU)41/411 6(410 Coy 1 tri.
Contractor Mailing Address Suite — — —
(Prior permit
issuance,a Y �/ ``4l 3 l SG/ (70ty D,•copy of all City/State Zip Phone REOUIRED SUBMITTAL ELEMENTS
licenses are (Note:1 /��� �•,it s4.;,L�`�} (Note: applications will not be accepted
required if C d �Lwithout the required submittal elements)
expired in the Oregon Const.Cont.Board License# Exp.Date
ta Trgard's
da1 Ti r 4 ❑
database) t���1ij Completed Application Form
Proposed 1ermanent Freestanding ❑ Freeway ❑ 2 Copies of Site/Plot Plan,Drawn to Scale I,
Sign ❑ Temporary Wall ❑ Electronic (3 copies,if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon
apIN 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)
It 1 size requirement: 81/2" x 11",to 24" x 36"
Total Sign Area(sq.ft.):
(Ado 2{ j7 ; ❑ $39.00 Fee (Permanent sign, any size)
Sign Data I 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 E W NE NW SE SW
Height to top of sign(feet): VL.Ol' • Wall signs do not need to be drawn to scale, but
Projection From Wall(inches): .—• 1 must include dimensions of wall face and sign
placement.
Materials: 1 • Wall signs do not require site/plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illation? ,d'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
1:-...] Yes ,;�No NULL AND VOID.
If"yes",a list or diagram of all sign dimensions and square _ 1
footage must also be submitted.
(OVER FOR SIGNATURES)
4
K 444,
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.
DAIED this li day of O c.XE Q , ,20. Of
aulte
Signature of Owner/Agent
7r&,_, PlAtth•-> 4`t 6 -1..Lkta
Contact Person Name Phone No.-
CITY OF TIGARD 10/31/2006
- " 13125 SW HaII 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
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cReceipt.rpt Page 1 of 1
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Date 7/7/06kk
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