SGN2001-00027 SIGN PERMIT
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CITY OF TIGARD
DEVELOPMENT SERVICES PERMIT#: SGN2001-00027
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 02/06/2001
EXPIRATION DATE:
BUSINESS NAME: PACIFIC NORTHWEST TITLE COMPANY PARCEL: 1S126BC-0150,
SIGN LOCATION: 09020 SW WQSHINGTON SQUARE RD 120
APPLICANT/AGENT: PACIFIC NW TITLE COMPANY ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 33"X 40'
TOTAL SIGN AREA: 1,320 sq.ft.
WALL AREA: 9,100 sq.ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 69 ft.
PROJECTION FROM WALL: 12 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of permanent illuminated wall sign.
MATERIALS: ALUM/PLST
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
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. Allwill be done in accord nce with approved plans. A sign permit shall expire 90
days from approval date. A to )On-- sign shall expire 30 s fr m approval date. A balloon sign shall expire 10
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APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 02/06/2001
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 S11'Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684-7297
GENERAL INFORMATION
Name of Development/Project
Site FORSTAFFMSE ONLY
Address/ Street Address
Location cj-Z C> V-) WAS Q, Permit No
Suite/Bldg.# City/State Zip 14,
_
MC) Expiratio, ,.:"I Ai
4•
Name Receipv,
Wl IM L 1� Ap
Propertproved
y f� �
Owner
Mailing Address Suite Dater
City/State Zip Phone
Cyt Zoning.
Tenant or Name
, p ► Electrical P� itRegaired�� Yes' ❑ No
Business l 1 r _ , 4
Name Budding Perfnit,,--'.R egc�i�ed� ❑ Yes (� No
Sign
Rev.12/ %2000,&-a urpinlniastersvevisedls' ``p nnitap .doc
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Contractor Mailing Address Suite
(Prior topermit
issuancce,a 474,420 a7n�
copy of all City/State zip Phone
licenses are REQUIRED SUBMITTAL ELEMENTS
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required if � (,�( .✓� r(.� , , (Note: applications will n_Qt be accepted
expired in the Oregon Const.Cont.Board Exp.Date without the required submittal elements)
City of Tigard's License# ,ZZ
database)
❑ Completed Application Form
Proposed Permanent Freestanding ❑ Freeway
SignTemporary Wall Electronic E] 2 Copies of Site/Plot Plan, Drawn to Scale
❑ ❑
(Check all that ❑ Other Billboard ❑ Balloon (3 copies,if a building permit is required)
apply) size requirement: 81/2"x 11",or 11"x 17"
'INew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: _ NX (3 copies,if a building permit is required)
size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area (sq. ft.): t� $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle 6ne):
items in this NOTES:
section) N S E E NW SE SW + Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): -L,;' sign placement.
Copy: t F«, -1j"t-TZ • Wall signs do not require site/plot plans.
Materials: wylIioti0vl-i T1 • Freestanding signs over 6 ft. required a
Will sign have illumination? ®.Yes ❑ No building permit.
Internal ❑ �_x [-] • If work authorized under a sign permit has not
Type:
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space?
BECOME NULL AND VOID.
❑. Yes ❑ No
If"yes", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
square footage must also be submitted.
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 Cday of ���� . 2001
Si ure c canergent
Gta5T' T_
a I L Q -9 6ZA-#LU9 72
Contact Person Name Phone No.
Receipt #: 27200100000000000532
..,..�. Date: 02/06/2001
T 1 0 E M A R K
COMPUTER SYSTEMS, tNC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00027Sign Permit 100-0000-437000 $50.00
SGN2001-00028Sign Permit 100-0000-437000 $50.00
SGN2001-00029Sign Permit 100-0000-437000
$50.00
SGN2001-00030Sign Permit 100-0000-437000 $50.00
SGN2001-00031Sign Permit 100-0000-437000 $50.00
SGN2001-00032Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check SECURITY SIGNS,INC. 0 6997 $300.00
TOTAL AMOUNT PAID: $300.00