SGN2012-00085 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2012 -00085
COMMUNITY DEVELOPMENT Date Issued: 05/15/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S101AA08200
Jurisdiction: Tigard
Name of Business: Security Signs
Business Address: 12455 SW 68TH AVE
Applicant/Agent: Security Signs,
Work Description: Wall Sign
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 4'3 "x7'4"
Total Sign Area: 31
Wall Area: 1680
Wall Face (Direction): West
Sign Height: 15 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: Aluminum
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $165.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: 11 ' /-
Permittee Signature:
Al Wf
CITY OF TIGARD RECEIPT
1 g . 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 186726 - 05/15/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00085 Sign Permit 100- 0000 -43115 $144.00
SGN2012 -00085 Sign Permit - LRP 100 - 0000 -43117 $21.00
Total: $165.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 59205Z HWATKINS 05/15/2012 $165.00
Payor: Melissa Hayden
Total Payments: $165.00
Balance Due: $0.00
Page 1 of 1
.,
II N SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW HaII Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
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GENERAL INFORMATION "Ptt..
Name of Development/Project FOR STAFF USE ONLY
Site I Z -S.S cSL / `- ~ g�
Address/ Street Address Permit No.: t7 a /P'' ��
Location ( Y 1 C . 7 ee LtD2a3kA C0116/4. Expiration Date:
Suite /Bldg. # City /State lip
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Receipt #: /V°
Name Approved By:
Property Date: '9/ S /7i
Owner Mailing Address - Suite Map /TL #: 2 // 0 /A 4 (/7f 7..- ?
Zoning. /N //e
City /State Zip Phone
Tenant or Name
Electrical Permit Required? ❑ Yes �N o
Business i ' krt_, ` / irk Building Permit Required? ❑ Yes o
Name Rev. 7 /1/09
is \ cumin \ masters \land use applications \sign permit app.doc
Sign Security Signs
Contractor Mailing Address Suite
(Prior to permit 2424 SE Holgate Blvd
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if Portland, OR 97202 503.546
without the required submittal elements)
expired in the Oregon Cunst. Cont. Board License # I Ixp. Date
City of Tigard's
database) 122809 ❑ Completed Application Form
Proposed ,ermanent la ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary 1111 Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement. 8t /2" x 11 ", or 11" x 17"
PPS)
New sign? ❑ Alter to existing sign? [1] 2 copies of elevations, drawn to scale
Sign Dimensions: � 0 / ,, � , , j 1 /1 L // (3 copies, if a building permit is required)
'T size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): 5/p ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) 1 91 ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E V� NE NW SE SW
Height to top of sign (feet): Ito / ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): • If must include dimensions of wall face and sign
placement.
Copy: tYlaevfo I A194 • Wall signs do not require site /plot plans.
Materials: a{Virn ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes 21 permit.
Type: ❑ Internal ❑ External ♦ If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
'es ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
A � c r7 (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.
DATED this day of , 20
Signature f Owner/Agent
Melissa Hayden 503.546.7114
Contact Person Name Phone No.
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Landlord Signature
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NORTHEAST ELEVATION -r•ri — i I'''' DATE: 04/24/12
0 WALL DISPLAY (QTY. 2) Approved ........ ._------.. I PAGE a. 1 of 4
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SECURITY
Non- Illuminated SIGNS
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Material: 1/4" aluminum painted Pantone 655C
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Installation anMTYtYWtMaa
Wall Type: Dryvit PROJECT MANAGER
Rachel Raab
Mounting: Stud mount flush to wall DESIGNER
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PROJECT NAME
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Landlord Signature
DATE:
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PAGE •: 2 of 4
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Client Signature
Scale: NT$ Landlord Signature
DATE: 0 4/24/12
PAGER: 4 Of 4
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