SGN2004-00073 CITY OF TIGARD SIGN PERMIT
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�; DEVELOPMENT SERVICES PERMIT#: SGN2004-00073
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/22/2004
PARCEL: 2S 102AA-04100
BUSINESS NAME: CROWN CARPET(SUZANNE GALLAGHER) ZONE: CBD
SIGN LOCATION: 12230 SW MAIN ST JURISDICTION: TIG
APPLICANT/AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 32"X48"
TOTAL SIGN AREA: 10 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of(1) one temporary 10.6 sq ft sign. Sign must be placed on private
property and not in the public right-of-way or visual clearance area. Political sign
for Suzanne Gallagher. Valid 4/22/04 thru 5/22/03. Sign#1
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 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:
DATE: 4/22/2004
04/19/2004 08:52 FAX 5035981960 CITY OF TIGARD Cj002
4' .�, 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 c
Address/ Street Address Permit No.: SS-I&) c /- ''0 6 3
Location I ZZ 3 0 _vt,1•l AiAn Al 5i. ) �- z/L((
Expiration Dater//�.Z I n tl — �z
SulteBldg.# City/Statezip 2Z3 Receipt#: t 1
Name Approved By: A: eN,
Property -L5I) t Date: 41<x/�a'y'
Owner Mailing Address suite Map/TL#:
ZZ2q ki. BJv/i3i0.e. Zoning: G r l)
1 City/Stam Zip Phone
GASLe
Tenant or Name
'� Electrical Permit Required? ❑ Yes [�'1<10
Business I `-.4.0 1,,,//.1 ���� Building Permit Required? 0 Yes 0'`No
IName Rev.6/7/2003 i:\curpin\masters\revisedlsipn permit app.doc
Sign tO ' li cil- � .
Contractor Mailing Address ' Suite REQUIRED SUBMITTAL ELEMENTS
sPsriio to permit I I (Note: applications will not be accepted i
Icopy of allCity/state Zip Phone without the required submittal elements)
licenses are I
required if •
0 Completed Application Form
expired in the Oregon Const.Cont,Board I Exp.Date
City ofTigard's License# j 2 Copies of Site/Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2"x 11", or 11"x 17"
Sign iaTemporary ❑ Wall ❑ Electronic
(Check all thatOther ❑ Billboard ❑ Balloon 1:24f2 copies of elevations, drawn to scale
apply) i (3 copies, if a building permit is required)
I la New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24"x 36"
Sign Dimensions: it u
32 K 4� ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq.ft.):
10.6 s F $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq.ft.) A Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): 1
items in this NOTES:
section) N S E W NE NV1W SE SW
Height to top of sign (feet): r7- • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): _ , but must include dimensions of wall face and
Copy:sv_vvv*I c Gnitito ( __4. 54.,,, sign placement.
Materials �1• %Wall signs do not require site/plot plans.
- / *-Lts � Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes IZI No building permit.
Type: [j InternalExternal • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this I been completed within ninety (90) days after
location, including wall signs.that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ 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)
04/19/2004 08:52 FAX 5035981960 CITY OF TIGARD 2003
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 L , 20 0 C-
'• -t - of wner/Age t �
S7-- 67
Contact Person to e Phone W.
CITY OF TIGARD 4/22/2004
13125 SW Hall Blvd. 9:41:56AM
���,� Tigard, Oregon 97223
°_..�. (503) 63 9-4 17 1
Receipt #: 27200400000000001667
Date: 04/22/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004-00073 [SIGN]Temp Sign Perm 100-0000-437000 15.00
SGN2004-00075 [SIGN] Temp Sign Perm 100-0000-437000 15.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct./Check Approval No. How Received Amount Paid
Check JOHN&SUZANNE GALLAGHER KJP 284 In Person 30.00
Payment Total: $30.00
2„ awn sign
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ApprovedITY OF T1GARD [ Y
Conditionally Approved [/` j
For only the work as described in:
PERMIT NO.:-"CtNZ,c-J ((— .ItIc>7
See Letter to: Follow [
Attach [
Job Addr :1 Z Z 4/1.41#43'f"
By: /c. . -PsB-�y, o .� . Catc:...`ff
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A M E g i c
4,,S 4y First American Title Insurance Company of Oregon
An assumed business name of TITLE INSURANCE COMPANY OF OREGON
s 1700 SW Fourth Avenue Portland,OR 97201-5512
Phone: (503)222-3651
This map is provided as a convenience in locating property
First American Title Insurance Company assumes no liability for any variations as may be disclosed by an actual survey
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