SGN2000-00093 CITY TIGARD SIGN PERMIT
41..foo�t. DEVELOPMENT SERVICES . PERMIT #: SGN2000 -00093
s re f l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/03/2000
EXPIRATION DATE
BUSINESS NAME: AMERICAN FAMILY INSURANCE PARCEL: 1S135A6 -01001
SIGN LOCATION: 10500 SW GREENBURG RD 200
APPLICANT /AGENT: ZONE: C -P
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 10'
TOTAL SIGN AREA: 30 sq. ft.
WALL AREA: 2,250 sq. ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install a permanent 3' X 10' wall sign.
MATERIALS: GATOR FOAM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10
cl from annrnvaI 1 tP
APPROVED BY:
PERMITTEE SIGNATURE: �'��i A
DATE: 07/03/2000
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SIGN PERMIT APPLICATION
i�4,yl� j {�j . 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
CITY OF TIGARD
GENERAL INFORMATION {PLEASE PRINT CLEARLY}
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Sign Address /Location: • / f/�c) @/"e & . ,c/ •
T a.%W Ica., -
2C�0 'FOR : STAFF USE ONLY;: ;:: :; >.. . .:
Name -
ame
of Tenant/Business: t/Busi �
ne -
ss. -�
�n�r
r >:
• Address: Date >Receied: > • aG? :�::: .'
licant/A ent/Conta � p ,� :: Recei B.y: :_ 1'�j � ::
pp g ct Person: / /c/ S /Q ve,` :: T • A , •
;::•Permit No(s):. .
Sign Company: / fa .pt v 7S Phone:
Permit < Fee :. Roo : :00-0 � �.
Address: .58/7 // C /��' . ::::.:<: >;;:: »..::: .,.:..;... .
City: le State :.aK_Zip: 9 %02 / GZ-
:; Receipt <No':, .O o0,:3/�=_d : - , ,
Approved By:
Sign Company C.C.B. #: /-�S/ j� :..:Date. of. A' : r oval: <'< -
9 P Y PP
Expiration Date: 570 / '`
City of Tigard Business Tax #:
(or) Expiration Date: `<Zoning ::::•�:; C)
(� 1
Metro Business License #: -6
Expiration Date: Z.Vd0
::Electrical '`PermitsReq:uired _.Yes ..: :,N. :
:.
Proposed Sign: (check as many '.Buildin` :P r :
P 9 ( y as applicable) :
; ,g ..e mlt.Regored ?`Yesp.. No >::
Permanent ent
d Freestanding 0 Freeway ti? . /ss... )acurp)nVnasier s� spadoc .
.... ................
Temporary ❑ Wall Q' Electronic ❑
Other ❑ Billboard ❑ Balloon ❑
Sign Dimensions: --•
6 / x /0Z 0
Total Sign Areas (sq. ft.): 30 S 727'. REQUIRED SUBMITTAL ELEMENTS
Total Wall Area (sq. ft.): = .. S -f-t,
Direction Wall Faces: (circle one) N S .0 W NE NW SE SW . U completed Application Form
Height (ft.): %d? to /Plot Plan Drawn to Scale
Projection from Wall: (2 copies, 3 if a building permit is required)
No Type: Internal Drawn to Scale
Illumination: Yes
❑ yp ❑ External ❑ (2 copies, 3 if a building permit is required)
U.L. Label #: (2 H ant's Statement
Copy: 7 17 , 7C ,-- /c . .42 - ---7 ��mi'/X � /,�SU ,-4zv7c Fee (Per manent Sign, any size 0.00 �,; ,
$5
' �s-
❑ Fee (Temporary Sign) $15.00
Materials: / 9 / / o,Jfr?7�e."
Are there any Existing Signs at this Location? Yes ®' No ❑
I certify that I am the recorded owner of the
If yes, a list of all sign dimensions must also be submitted.] property or an agent authorized by the owner.
.NOTE: 4 If work authorized under a sign permit has not been
. completed within ninety days after the issuance of the '. %T
permit. THE PERMIT SHALL BECOME NULL AND VOID. /Applicant's Signature
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