SGN2005-00152 CITY TIGARD SIGN PERMIT
.fly DEVELOPMENT SERVICES PERMIT #: SGN2005 -00152
DATE ISSUED: 5/24/2005
W' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD-01600
BUSINESS NAME: STANDARD TV & APPLIANCE ZONE: C -G
SIGN LOCATION: 11674 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: STANDARD TV & APPLIANCE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: p
MATERIALS: BALLOONS
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.
k � It Cum-,
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 5/24/2005
05/ 2005 15: 0 FAX 5035961960 CITY OF TIGARD 2002
. =
Air* SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
/app FOR STAFF USE ONLY
Site STN 1 f A D 1 Lr
Address! Street Address /� Permit No.: 3 G IJ d 00 S - 0 0 Ise,
Location h�7'/ 54)0 OPteliC. -14CA) Expiration Date: (crf -3/05
Suite /Bldg. # City /State Zip
[b(j ,DA 4-1/Z3 Receipt #: Q eU 5 �.?30
/- Name By:
Property a - (tv%M13S WO IS `T�"' E • Date: 5 - a `' S
Owner Mailing Address Suite Map/TL #: t S 1 3-P C 17 o i
(ate 5u-% 1 5' sr Zoning: C G
\fiestg City /State Zip Phone
0 53344'0 Electrical Permit Required? ❑ Yes ,k ■ No
Tenant or Name
Business 004( I V . M tAIA i Building Permit Required? ❑ Yes : No
Name Rev. 1/3/05 I:\curpin \masteF \revisedlslgn permit app.doc
( Sign
Contractor Mailing suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note; applications will not be accepted
Issuance, a
copy of all City /state Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired In the Oregon Const, Cont. Board I Exp. Data
City ofTigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
,database)
(3 copies, if a building permit is required)
Proposed IS Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ►V Temporary ❑ Wall ii Electronic
(Check all that Other ❑ Billboard Balloon ❑ 2 copies of elevations, drawn to scale
a pp l y ) (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:
❑ $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 1=1 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
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not I
Type: JJ 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 ❑ No l —I:
I ';
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
— (OVER FOR SIGNATURES)
•