SGN2005-00169 �
4 C ITY OF TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2005 -00169
..J-�1. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/8/2005
PARCEL: 2S112AB-01100
BUSINESS NAME: UNIQUE AUTO BODY ZONE: I -L
SIGN LOCATION: 07235 SW BONITA RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X6'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 5 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 24 sq. ft. banner. Sign must be placed on private
property and not in the public or visual clearance area. Valid 6/8/05 thru 7/8/05.
Sign #2
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 17.00
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 fro va idity date.
APPROVED BY: " —'
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PERMITTEE SIGNATURE:
DATE: 6/8/2005
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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/Pro'ect
Site
� Que
iNi 4 , j ` D �, / FOR STAFF USE ONLY
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Address/ Street Address Permit No.: _SL1 J 2 60 I b 7
Location 7-35 s
Z' ,01// Xa/ Expiration Date: 6 b? 103 – l f s (u 5
Suite /Bldg. # City /State Zip
/ --a ,/- °ie Receipt #: � — � C) 3
Name Approved By: K
Property .3-;-/t/- Date: ‘/( 5"
Owner Mailing Address Suite Map/TL #:
Zoning: 1- (,
City /State Zip Phone
Tenant or
Name Electrical Permit Required? ❑ Yes U.-No
Business Building Permit Required? El Yes Er
Name ,f 1 / Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign c (
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a l
l i
required submittal elements)
copy of all City /State Zip Phone without the re q )
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 I Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ►C Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other E] Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: / �FT FT
7 0� � ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
� / ❑ $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: El City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E CLA/_)NE NW SE SW
Height to top of sign (feet): Sf T • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: (/,it/YL • Freestanding signs over 6 ft. required a
' ign have illumination? ❑ Yes building permit.
No • If work authorized under a sign permit has not
ype: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes / kNo
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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 6- -° 5 day of , 20
Signature wner /Agent
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Contact Person Name P hone No.
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CITY OF 11GARD
Approved /pC1
Conditionally Approved i
For only the work described in:
PERMIT NO -> -Wt."' c--CZJ - ---
See Letter to: Follow i
Attach - f 1
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Jo) Address "2- 3-C ,-/ ca- ni T ri
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CITY OF TIGARD CVO /GUUJ
13125 SW Ha11 Blvd. 10:04:18AM
, TigarTigard, Oregon 97223
P . (503) 639 -4171
Receipt #: 27200500000000002603
Date: 06/08/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00169 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2005 -00169 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $17.00
Payments:
Method Payer User ID AcctJCheck No. Approval No. How Received Amount Paid
Cash UNIQUE AUTO DETAIL KJP In Person 20.00
Change CITY OF TIGARD KJP In Person (3.00)
Payment Total: $17.00
cReceipt.rpt Page 1 of 1