SGN2005-00358 CITY OF TIGARD SIGN PERMIT
in DEVELOPMENT SERVICES PERMIT #: SGN2005 -00358
I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/18/2005
PARCEL: 2S 102AC -00201
BUSINESS NAME: MAIN STREET VILLAGE ZONE: CBD
SIGN LOCATION: 12650 SW MAIN ST OFFICE JURISDICTION: TIG
APPLICANT /AGENT:
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: Placement of one temporary sign. (Balloons on monument sign.) Sign #1. Valid
from 11/18/05 through 11/28/05.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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
from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: WtAi
DATE: 11/18/20-05
..
' i ' l' l`` 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
P_ �
� I�IVI o•UI 1 1C( FOR STAFF USE ONLY J
Site L "
Address/ Street Address 1 i ' �, , 9 Permit No.: A 2 - 0 45 S- CC ,.3 8
Location i 2105 c� t/v ry /� lC((iA &1 Expiration Date: i 1 1 - � -- A,'5
Suite /Bldg. # City /State Zip
Receipt #: a-0c. 5 — 573f
Name Approved By:
Property Date: / f 0 s
Owner Mailing Address Suite Map/TL #:
Zoning:
City /State Zip Phone
Tenant or N me Electrical Permit Required? ❑ Yes LI - •
Business t h Si-- , 01 / I ape, Building Permit Required? ❑ Yes C3•5
Name Rev. 1/3/05 C \curpin \masters \revised \sign permit app.doc
Sign . _
Contractor Mailing Address 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
expired in the Oregon Const. Cont. Board Exp. Date El Completed Application Form
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other E] Billboard 111 Balloon 111 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
[] sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
e_..1 O.. I i .,a,„ 5 ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (s
❑ $1e.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) Jurisdiction: ['City ill Urb
g
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E N W S E S W
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
I gn have illumination? El Yes 111 building permit.
N • If work authorized under a sign permit has not
'T ype: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this i the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑Yes ❑ 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 LVeJJUQtY 20 U 5
.4s
Sign's, Owner /Agent
j\AL \.ClAAVan
Contact Person Name Phone No.