SGN2000-00111 CITY OF TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: PERMIT
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/21/2000
EXPIRATION DATE:
BUSINESS NAME: SAFEWAY PARCEL: 2S110DC -0220
SIGN LOCATION: 15570 SW PACIFIC HWY
APPLICANT /AGENT: ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2FT X 4 FT
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: 4,336 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of a 8 sq ft Western Union permanent wall sign.
MATERIALS: METAL/PLASTI
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 expire 30 days from approval date. A balloon sign shall expire 10
claw from annrnvaI riatP
•
APPROVED BY:
PERMITTEE SIGNATURE: ad -
DATE: 07/21/2000
1 r •
C Recd By OF TIGARD Sign Permit Application Date Rec'd
13125 SW HALL BLVD. Permanent or Temporary Permit No. S 6,A/Gero - ,ill /
TIGARD, OR 97223 Commercial or Residential Permit Fee
(503) 639 -4171 Receipt No.
Please Print or Type. Called
Incomplete or illegible applications will not be accepted.
Name of Development/Project Are there any existing freestanding or wall signs at this
Site location, including wall signs that overlap a tenant space?
Yes ❑ No
Address/ Street Address If " yes ", a list or diagram of all sign dimensions and
Location _I 55 �L� ""Gt�IG t `� square footage must also be submitted.
Suite/Bldg. it City /State Zip
Name
NOTE: If work authorized under a sign permit has not
been completed within ninety days after the
Property issuance of the permit, THE PERMIT WILL
Owner
Mailing ddress Suite BECOME NULL AND VOID.
27 - 7 � t J 1,Ca � /3/✓� to (
y1State Zip Phone I hereby acknowledge that I have read this application, that the
/kid 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.
Tenant or Name Date
S Ar-��\I., 61 Sure of
Business f (Q I V! I O U
e
C Person Name Phone
Sign QCLzbev7 S1C1rn e,1�
Contractor \)4t r ' 3 `(� �J
tl
ractor Mailing Address 1 Suite Ct- a e .S r..k
Prior to permit 565 1417'x.. 1
issuance, a
c opy /State Zip Phone
of all licenses 1Z. 0O`2`�(r�q Required Submittal Elements
are required if �n JV `''"��
expired in Oregon Const. Cont. Board Exp.
.
C.O.T. License # O 2. ' I i iv /... ❑ ❑ Com applica form database 2 copies of site/plot plan, drawn to scale
. Proposed 3 copies,; tf a wilding permit i req
❑ Freeway Permanent �s �._ ❑ Freewa
Sign 11:1 Temporary Freestanding 111 Electronic sue regUlfement 8 1/2" X 11" Or 11"'X 17"
Check all that Note i NalI sign do not require sitelplot plans.
apply El Other IS, Wall El Balloon
❑ Billboard ❑ 2 •copies of elevati ons, drawn to k ale
(3 copies if o build mit per is required)
ist New sign? size requiremen $ 1/2" x 11 •t 24" x 3
❑ Alteration to existing sign? Note: Wall sign do not need to be draw to
Sign Dimensions: 2 : (/1. cale, but must inclu dimensions.
Q $50 00 Fee (Permanent sign, any s ize)
Total Sign Area (sq. ft.): ❑ $1 5 OO Fee' (Tmp
eorary sig any type)
Sign (3ocs, r ) g new _
Data Total Wall Area (q. ft.)
Please 24,
complete Direction Wall Faces (circle one): FOR OFFICE USE ONLY:
each item -
in this S E W NE NW SE SW Map/TIS Zoning: ' 11d QC QLZ u 0 C7
section
I , 1 - Notes
•
` '-
Height to top of sign (feet): 6 -J
Projection From Wall (inches): C' Electrical Permit Required? ' es ❑ No
Copy: W t�S1r 0.) VA.) t 6.
•
Materials: JtIc» �iS>Si1C Building Permit Required? ❑Yes P No
a.
Will sign have illumination? No ❑ Yes f
Date of Approval;
Approved By: � v Z ' w
Type: I Internal ❑ External
Expiration Date:
ViTY tBGARD
` . Jr*ly Approved ...
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WESTERN UNION - OUI LAYOUT APPROVAL
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i'474,metlY-.4,2 FILE #96-10-105HRS01-SEP ...OUTDOOR LAYOUTS DATE :11-18-96O SIZE :2x4 & 3x6 Outdoor SCALE :1" =1' 2 COLORS : BLACK, PANTONE 109 YELLOW +White
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"WESTERN UNION ®" is Yellow on a Black bkg. w/ a White outline Dua Dua
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