SGN2002-00089 CITY OF TIGARD SIGN PERMIT
Ewa I� DEVELOPMENT SERVICES PERMIT #: SGN2002 -00089
"..61. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/24/2002
EXPIRATION DATE:
BUSINESS NAME: INTEGRITY PLUS PARCEL: 2S102BD -0190
SIGN LOCATION: 12900 SW PACIFIC HWY
APPLICANT /AGENT: INTEGRITY PLUS ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 3'
TOTAL SIGN AREA: 9 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) A -Board Sign. Not to be placed in visual clearance
area or public right of way. Valid 5/24/02 - 6/24/02
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 wo be done in accordance L h approved plans. A sign permit shall expire 90
days from approval date. A temp•rary sig shall expire 30 days f approval date. A balloon sign shall expire 10
clays from annrnval riatP n
APPROVED BY:
PERMITTEE SIGNATURE: A . �'"� ' �
DATE: 5/24/2002
w•- e vW - 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
Address/ Street Address — 00.' de
Location ( 99
06 ) Permit No.: �,�/
, Expiration Date: kji� �� ��y Q •
Suite /Bldg. # City /State Zip /
Receipt #: - l i/ l q - 3
Name Approved By:
Property cayc., - Date: t- D
Owner Mailing Address Suite Map/TL #: !- A92/01 ( — L
Zoning: (
City/State Zip Phone
a, I Q 72-23 ary Electrical Permit Required? ❑ Yes a N
Tenant or Name -f�q
Business �(LT! ✓ Building Permit Required? El No
Name Rev. 30 -Jul -01 is \curpin \masters \revised\sign permit app.doc
Sign n / 7/-- :. -
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ripe 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed size requirement: 81" x 11 ", or 11" x 17"
Permanent
F reestanding ❑ Freeway
Sign Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) /size requirement: 8 x 11 ", to 24" x 36"
N, New sign? ❑ Alter to existing sign? 0.00 Fee (Permanent sig , - e)
Sign Dimensions* .
3 x 3 C ( I $15.00 Fee (Temporary sign, any type) •
Total Sign Area (sq. ft.): /2 4// n -
Sign Data Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): • sign placement.
items in this
section) • Wall signs do not require site/ lot lans.
section) g q p p
N S E W NE NW SE SW
Height to top of sign (feet): i • Freestanding signs over 6 ft. required a
building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes S. No BECOME NULL AND VOID.
S
_ Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
CI
location, including wall signs that overlap a tenant space? visa ❑MasterCard
Credit card number / /
❑ Yes El, No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted.
Cardholder signature Amount
(OVER FOR SIGNATURES)
r4
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.
DATED this day of 772 etc,/ , 20 O 2 -
L lre--pta.
Signature of Owner /Agent
3 — 6 a2sS —
Contact Person Name Phone No.
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Receipt #: 27200200000000001923
__�...® Date: 05 /24/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 - 00089 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check RENA A. WILSON DCP 147 0 • $15.00
TOTAL AMOUNT PAID: $15.00