SGN2005-00211 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERM IT #: SGN2005 -00211
-III 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/22/2005
PARCEL: 2S102DA - 00401
BUSINESS NAME: CITY OF TIGARD ZONE: CBD
SIGN LOCATION: 13125 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: (2) 3'X'4
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary, two sided, 12 sq ft per face sign. Sign must be
placed on private property and not in the public right -of -way or visual clearance
area. Valid 9/2/05 THRU 10/2/05 Sign #2
MATERIALS: WOOD
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 fyo • l validity date.
� -�1
APPROVED BY: �
PERMITTEE SIGNATURE: Qv-" 6-J°74-"A"`")
DATE: 7/22/2005
'1,0mfi 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
1
FOR STAFF USE ONLY
Site � -
Address/ (
Street Address '
Permit No 5(��'Z s t-' iAf 6,0 211 �'c
Location � :' a 4 / r" L
Suite /Bldg. # City /State Zip ° Expiration Date: . r f
,) ;? Receipt #:
Pi
Name .�` �' "" fi f4 . < .e ,1 } � ' Approved By: , , f
Property ; ' `7 . 4 Date: '7,� 51
Owner Mailing Address Suite Map /TL #: `�
1 1
Zoning: (,
City /State Zip Phone
Tenant or Name Electrical Permit Required? El Yes 51,,.No
Business Building Permit Required? ❑ Yes EIsNo
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign • I
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date [ Completed Application Form
City of Tigard's License #
database) Ile 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
Sign ❑ P ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
g 2-Temporar ❑ Wall ❑ Electronic
(Check all that Other
ap ly) ❑ ❑ Billboard El Balloon 2 copies of elevations, drawn to scale
? [New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
• 1 S Dimensions:
Total Sign Area (sq. ft.): 7 4/ '
El $37.00 Fee (Permanent sign, any size)
," , 2$17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft 2 , ' ; p ' , :, .: Jurisdiction: [City n Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S (E W NE NW SE SW
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
Co sign placement.
pY a l • Wall signs do not require site /plot plans.
Materials: i - '' i ,t • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
pe: El 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 o _
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.
Z
DATED this day of J � , 20 O
Signature of Owner /Agent
De AI n1 5 D e// in-P /e /Z, 4,Z5
Contact Person Name Phone No.
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