SGN2005-00170 -
CITY T I G ®RD SIGN PERMIT
� �► DEVELOPMENT SERVICES PERMIT #: SGN2005 -00170
,�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/10/2005
PARCEL: 2S 108 D D -00200
BUSINESS NAME: VALLEY VIEW SUBDIVISION ZONE: R -7
SIGN LOCATION: 15740 SW 150TH AVE JURISDICTION: URB
APPLICANT /AGENT: VANCOUVER SIGN CO
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5' X 12.5'
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 0 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: EXT
DESCRIPTION OF SIGN: P
MATERIALS: STONE
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 37.00
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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: 6/1
,
, 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 V IUc uJt •-10,�eS
Address/ Street Addresis Permit No.: 56Na 00 S— 00 I 0
Location I -7( 16 SO iS1)
Expiration Date:
Suite /Bldg. # City /State Zip
7 )0t4 pIS 9722.3 Receipt #: o200 s -a
Name Approved By: (
Property Kim Lill Air 14✓IAtS Date: it & - lo- OS
Owner Mailing Address Suite Map /TL #: <QS/ b $ p p -- Ood oO
( co1'1 A) /Z c¢, Zoning: R-7
City /State Zip Phone
Uutnca+w (AP( 926n. 360 S` C,<3 7 Electrical Permit Required? Z Yes ❑ No
Tenant or Name
Business �— Building Permit Required? ❑ Yes yj No
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit / app.doc
Sign Unm.4v.✓ �f . �c.v f, y i
Contractor Mailing Address t/ Suite REQUIRED SUBMITTAL ELEMENTS
( Priorto permit /s 4 ) 1.1 cii (Note: applications will not be accepted
i ssuance , a b `6 LAJV
Zip Phone w ithout the re q uired submittal elements)
copy of all City /State
licenses are ''�``
required if t.4cotiww/ Pr 9 S66 360 6 VI 7? 3
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License # 63 95 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed . . ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon 111 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
RI New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
3 Z } - t - ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): , l�
❑ $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City 111 Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E N W SE(
Height to top of sign (feet): • 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: • Freestanding signs over 6 ft. required a
Will sign have illumination? X Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal NI 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 X] No
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 day of 3 , 20 C ��
, Z4
SiV ature of Owner /Agent
(-6 c s
Contact Person Name Phone No.
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Project: Valle View Estates Drawn By: A.E. ". Gu Masonry, Inc.
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Date: 4/14/05 P.O. Box 70040
With Rubble Pattern Drawing #: CD -070 Phone 360'695 -2988 00 Fax 360-695-3191
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II ORCAS i.STATTS
V
` O' D
ciTy OF TIGA D i _ "URBAN SERVICE AREA"
CITY Of 710 IG SUB2004 -00001 /SLR2004- 00005 /VAR2004- 00004 & 5
SITE PLAN N .
VALLEY VIEW SUBDIVISION
(Map is not to scale)