SGN2004-00378 i
C ITY OF TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00378
_ . f 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/13/04
PARCEL: 2 S 110AC -01100
BUSINESS NAME: BACK DOOR BOARDS ZONE: C -G
SIGN LOCATION: 11300 SW BULL MOUNTAIN RD JURISDICTION: TIG
APPLICANT /AGENT: BACKDOOR BOARDS
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 35" X '
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of a temporary banner. (35" x 115 ") Sign #1. Valid from 12/13
through 1/13/05.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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
_ al-Am C 4I
PERMITTEE SIGNATURE: -, /-�- - '
DATE: 1 13/04
r
,,
Apo
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
G _/ FOR STAFF USE ONLY
I G� a� Z� V
Site
Address/ Street Address Permit No.: s G K) X00 *00378
Location 1/304 54) u it l- Expiration Date: s
3tAi a / BI � City/State p I 13 - 6 # (..� it r Zip
6--/Q 97 Receipt #: c;.00 �n1`-4' 5 e 3 p
Nam c
Approved By: . La..v �
►1t
Property 7)(4/ G
��,(k Date: 1 a " 13 "Dc"
Owner Mailing Address ite �i Map/TL #: .7_5110 NC — 0 ) 1 00
C v G
,j/ , , � / �t�l Zoning:
Zip Phone ,
, t z:,7,_= • .. I ,, - / / rical Permit Required? ❑ Yes ❑ No
Tenant or Na v v , e . Building Permit Required? ❑ Yes El No
Business >
Name da V 1 . - Re v. 7 /1104 islcurpinlmasterslrevised \signpermitapp.d Sign ' �
Contractor Maili Addre s . Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit i / (Note: applications will not be accepted
issuance. a /A _ , . / LA without the required submittal elements)
copy of all City /State Zip Phone
-
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign 13CTemporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ 2 copies of elevations, drawn to scale
apply) ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimentls•/ X /2 S / ❑ $32.00 Fee (Permanent sign, any size)
Total Sign A a.(s0. 5: / ,, , ( ' $15.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) Jurisdiction: %City ❑ Urb
g
(Complete all Dir ction Wall Faces (circle one): NOTES:
items in this
section) N S E . W NE NW SE SW
1 • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): / Of but must include dimensions of wall face and
Projection From Wall (inches): 5 - 0 - 4 sign placement.
Copy: (3J, • Wall signs do not require site /plot plans.
Materials: I1 � ' 1�� • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ya, No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this 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)
I hereby acknowledge that 1 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 of Owner /Agent
Contact Person Name Phone No.
•