SGN2005-00212 CITY OF TIGARD SIGN PERMIT
I 1 DEVELOPMENT SERVICES PERMIT #: SGN2005 -00212
13125 SW Hall 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 10/3/05 THRU 11/3/05 Sign #3
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 from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: 61"- c l �
DATE: 7/22/2005
„,,4. iltl` 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
Site _
i • FOR STAFF USE ONLY
Address/ Street Address . J z ' `'C r �
Permit No.: �S'” C,' 1 1 2!l 1,'�
L]
Location
Suite /Bldg. # City /State Zip Expiration Date: ,
) r ,; k" „-. Receipt #: �''/
Name y,,7 . .,4, r , , . ' / ' '.' ` Approved By
fft -7-- Date: /7/4`-,5(
Property
Owner Mailing Address Suite Map /TL #:
ry �
Zoning: (, 1)
City /State Zip Phone
Tenant or Name - Electrical Permit Required? ❑ [
Yes .,.No
Business Building Permit Required? ❑ Yes lo
Name Rev. 1/3/05 i:\curpin\masters\revised\sign permit app.doc
Sign
•
Contractor Mailing Address Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENT
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 Ti �ard's License #
g 2 Copies of Site /Plot Plan, Drawn to Scale
database
Proposed (3 copies, if a building permit is required)
Sign fl Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign all that u Temporary ❑ Wall ❑ Electronic �{/
(Check 2 copies of elevations, drawn to scale
apply) ❑ Other ❑ Billboard 111 Balloon j • ( New si n? (3 copies, if a building permit is required)
h g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
• Sign Dimensions:
❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 7: ° ,
�'( $17.00 Fee (Temporary sign, any type) ■
Sign Data Total Wall Area (sq. ft ,) -� .--, . . _ 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 i z • Wall signs do not require site /plot plans.
Materials: t'ii, - w 1,) • 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: ❑ 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? I BECOME NULL AND VOID.
❑ Yes 11" - 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.
JP Z-7
DATED this day of , 200
Signature of Owner /Agent
DeAf/U/ D .e/ / &M-P /e!
Contact Person Name Phone No.
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