SGN2002-00030 CITY OF TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2002 -00030
4�
` 1 �' I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/28/2002
EXPIRATION DATE:
BUSINESS NAME: SYMONDS, EVANS & COMPANY. P.C.
PARCEL: 2S101DA 0080
SIGN LOCATION: 07105 SW VARNS ST
APPLICANT /AGENT: SYMONOS. EVANS & COMPANY ZONE: C -P
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 50" X 200"
TOTAL SIGN AREA: 70 sq. ft.
WALL AREA: 1,660 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 2 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of (1) non - illuminated wall sign.
MATERIALS: FOAM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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 acco nce with approved plans. A sign permit shall expire 90
days from approval date. A to •ora sign shall ex 3'0 d ys rom approval date. A balloon sign shall expire 10
claw from annrnval ( �" �/ /Li
APPROVED BY: —
PERMITTEE SIGNATURE:
DATE: 2/28/2002
01'23.2002 13:11 FAX 5035981960 CITY OF TIGARD 2002
,
rte, +< SIGN PERMIT APPLICATION
CiTY OF TIGARD 13125 SW Hail Blvd, Tigard, OR 9 (503) 639 - 4171 FAX (503) 684 - 7297
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY I
Site 51 t Cei,I f jj- jvr) -+ '% nt, . . ( � ••
Address/ Street Address Permit No.:
Location /D � rt Expiration Date: 1 A _.-
Suite /Bide # City/State Zip .
��2- Receipt #:
zc�rt D � 9 P `,Iti
Name Approved B °
t_l 4 Date: ,• Mill
Owne mailing A ' Suite Map1TL #: . A
1 7105 so k)xns 2 Zoning: Cam —
i
1 CityrState ZIP Phontr 6
1 4 OR q 2 5q7 - Electrical Permit Required? ❑ Yes 11/No
[ Tenant or Name
Business ', Building Permit Required? 0 Yes o
l N a A 5 dr , ytu t► . r.. Rev. 30- tuwt l 1purpin\meSter9lreviGed Stan permit 2if0.dpF
Sign 490. 5/ C2/7.5
g
Contractor Nisifi Address • Suite REQUIB,D SUBMITTAL ELEMENTS
(Poor to permit ,/ (Note: applications will not be accepted
Issuance. a 55"3 .su) c. without the required submittal elements)
Copy of all City/Stale Zip one . 5 0 3
licenses are �p 97 ' '
r �y2
aired If � r fG►1 [ l.1 ❑ Completed Application Form
expired in the Oregon Canal. Cont. B oard Exp. Date
City of Tigard 's License #/
0 2 Copies of Site/Plot Plan, Drawn to Scale
database) (3 copies, it a Gu!lding permit Is required)
size requirement eYx" x 11 ", or 11" x it
Proposed Zi Permanent Freestanding ❑ Freeway
CI Temporary Wall Electronic 0 2 copies of elevations, drawn to scale
(Check all that Q other Q Billboard Baboon • (3 copies, If a build permit is required)
s i size requ 8½x i i ". to 24" x36"
25 New sign? ❑ Mar to existing sign? $ 5p,pp Fe e (Permanent sign, any si
Sign Dimensions: "
T J�i X if $16.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): L 7
/. 7 NOTES:
Total Well Area (sq• ft.) yr Wall signs do not need to be drawn to scale,
Sign Data ie but must include dimensions of wall face and
;Complete all Direction Wall Faces (circle one): sign placement.
items in the • Wall signs do not require site /plot plans.
> �I S E W NE NW SE SW • Freestanding signs over 6 ft. required a
Height to top o f sign (feet): building permit.
Projection From Wail (inches): ,2 • If work authorised under a sign permit has not
been completed within ninety (90) days after
Copy• the issuance of the permit, THE PERMIT WILL
`" � BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes fg( No .
T , e: ■ Internal ■ External i 4
Are there any existing freestanding or wail signs at this wall ju t;diciions adapt credit cards, Please tall jurisdiction for more inlom'at
0 Yre ❑ Maetercetd
location, including wall signs that overlap a tenant space?
� Credit Card number_
El Yes Yes No revireit
It "yes", a list or diagram of all sign dimensions and Nam* oreardhdderns Shawn on Wield card
square foota! a must also be submitted. t
Cardholder re Amount
(OVER FOR SIGNATURES) ---
• 01;23i20O2 13:12 FAX 5035981960 CITY OF TIGARD 2003
! hereby acknowledge wne plans that o
the that I am the or authorized agent of the owner, and that pla submitted are
in compliance with the City of Tigard_
day of �) i. &f7 ,20 �
DATED this Y /
Signature of Ow r /Agent
Contact Person Name Phone No.
•
/ter
Receipt #: 272 00200000000000757
— " A Date: 02/28/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No.
Amount Due
SGN2002 - 00030 [SIGN] Sign Permit 100 - 0000 - 437000
Payments: $50.00
Method Payer Bank No Acct Check No Confirm No.
Amount Paid
Check PDQ SIGNS 0 6431 0
$50.00
TOTAL AMOUNT PAID: $50.00
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SYMONDS EVANS
& COMPANY, P.C.
CERTIFIED PUBLIC ACCOUNTANTS
Caps @ 14" smaller caps @ 10.5', Certified @ 7.5"
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