SGN2003-00316 C ITY OF TIGARD SIGN PERMIT
lk DEVELOPMENT SERVICES PERMIT #: SGN2003 -00316
.(I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/19/03
PARCEL: 2S 102AD -02400
BUSINESS NAME: NW PREFERRED FEDERAL CREDIT UNION ZONE: CBD
SIGN LOCATION: 08950 SW BURNHAM ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 45" X 189"
TOTAL SIGN AREA: 59 sq. ft.
WALL AREA: 1,650 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign. (45" x 189 ")
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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
PERMITTEE SIGNATURE: — " � t A ,
DATE: 1 /19/0
I
I/
A
IL SIGN PERMIT. APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site Mti %reiq . JEO(r aniA2
Address/ Street Address �j �+ Permit No.: .5 (f) a (3() 3 - 002
Location e4 5r 5w lJU41 4,4 Jjr/6Zr
Expiration Date: •
Suite /Bldg. # City /State Zip
rK2 b OR 9
I re 722 3 Receipt #: a c o 3 -- 54(0 q
, 1
Name n r Approved By: C . e.0.4,112 Property (vw � ie 2� c: 0_ G ...4 Date: /d) •- / 9 —0 3
Owner Mailing Address Suite Map/TL #: .. Jod. A 0 — Ur,(-1 CI o
895 Sco ZMM Zoning: �a ID
City/State Zip Phone(r0
l oa 47Z23 yo3 -LZ'a Electrical Permit Required? ❑Yes No
Tenant or Name
Business 04.3 A €F'ER2t 0 Qs, Cre€r 04 aA.1 Building Permit Required? ❑ Yes No
Name Rev. 8/7/2003 i:\curpin \masters \revised\sign permit app.doc
Sign 5 - l 9it-CC-0/ . h C •
Contractor Mailing Address /Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
(Prior t e, a 1319s s.W c # % 4i, N�► S v i 3 (Note: applications will not be accepted
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if Tt. 61i)/ 0 r72?3 .s03 - 63? - 76 91 El Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed Q permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17" '
Sign ❑ Temporary El Wall
❑ Electronic i
(Check all that ❑ Other ❑ Billboard ❑ B ef 2 copies of elevations drawn to scale
apply)
� w si n? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 1 15 1( X /9 2 "05-34 $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 5-g - Pi'. , J
❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft l G S SG. Icf- Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) L'% S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): IV?" but must include dimensions of wall face and
sign placement.
Copy: h pre Fc rrec - Ca e.re,/ era/ 04,;(4 • Wall signs do not require site /plot plans.
Materials: jd /Q,G� fern J Ler • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes E building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
Er-Yes ❑ No BECOME 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.
day of er a- .: 20 • Q, 3
DATED this 1 � y
Signature if Ow er /A• . -
(s�d 2V /55
Contact Person Name Phone No.
CITY OF TIGARD D4-1
Conditionally Approved --- ....•- • - - - -- ....._
For only the work as dec p 3n: ao31 to
PERMIT NO- [
See Letter to: Follow ....... ...............................
Attach .... ..... [
..... � �� r n ha•µ -
�1Sv S _
job ACdr�ss; Date: -► - -�
S c
lrt U1 tluAKI) - ---
13125 SW Hall Blvd. 3:25:46PM
lu io (i Tigard, Oregon 97223
a � 1. (503) 63 9-4 17 1
Receipt #: 27200300000000005469
Date: 12/19/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00316 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $31.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard NW FARMERS INSURANCE CAC 002211 In Person 31.00
GROUP
Payment Total: $31.00
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