SGN2005-00363 C ITY OF TIGARD SIGN PERMIT
i ek DEVELOPMENT SERVICES PERMIT #: SGN2005 -00363
Il DATE ISSUED: 11/23/2005
13125 SW Hall B lvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 112 D B -00300
BUSINESS NAME: SEARS ZONE: I -L
SIGN LOCATION: 07233 SW KABLE LN 500 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 37" X 24.5"
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 37" x 24.5" A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearancre area. Valid
11/23/05 through 12/23/05 Sign #3
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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: I
PERMITTEE SIGNATURE: A`
DATE: 11/23/2005
L l
I
Al. ' ` till SIGN PERMIT APPLICATION
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 FAX. (503) 684 - 7297
GENERAL INFORMATION
Name of Development/Project
Site
S' /1-t s • FOR STAFF USE ONLY
Address/ Street Address 51/() ' / Permit No.: 56 06:260 S 003(0 3
Location /, , , ig it/V lY� 5
SuiteBldg. # City /State Zip Expiration Date: I a- 3-
'r //i #14 ti 7`/ , Receipt #: a00 S- b0
Name Approved By: C . Ca- ,:- -t_--2.-
Property Date: // - a3- u S
Owner Mailing Address Suite Map/TL #: a -S //,.? A 5— 0 o 3 uv
Zoning: / - I--
City/State • Zip Phone
Tenant or
Nam Electrical Permit Required? El Yes K] No
Business
am
Building Permit Required? ❑ Yes Pn No
Name Rev. 7 /1/05 is \curpin \masters \revised \sign permit app.doc
Sign r --
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 ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of
dataoaTe ard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
p . Permanent Permanen ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
• Sign ►2 Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ B ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building ( p' g permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: ' ,,// �i/
]( 7 ❑ $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): •
❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: El City 111 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
Type: ❑ 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
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 A, 20 a�
Akkt-e— O
Signature of Owner /Agent
i
Contact Person Name ' Phone No.
CITY OF TIGARD 11/23/2005
13125 SW Hall Blvd. 8:29:02AM •
ing Tigard, Oregon 97223
'IL (503) 63 9-417 1
Receipt #: 27200500000000006010
Date: 11/23/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00363 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2005 -00363 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard ARLENE F LARCEY cac 131 180 In Person 18.00
Payment Total: $18.00
cReceipt.rpt Page 1 of 1
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